Hamilton Community Health Network INC.

Hamilton Community Health Network INC. was paid $1.49M by Medicaid between Oct 2018 and Dec 2024, across 34 billing codes. Its largest line is G0470, Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit — 48% of everything it billed.

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Michigan

Rank by total paid#84 of 241

Median peer was paid$477K

This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	580	$12K
2019	4,645	$83K
2020	3,085	$82K
2021	4,202	$157K
2022	4,983	$286K
2023	7,229	$594K
2024incomplete	5,295	$281K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit	48%	7,367	4,226	$715K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	31%	6,493	4,966	$469K
J2315	Injection, naltrexone, depot form, 1 mg	13%	160	155	$198K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	2,667	2,223	$30K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.5%	3,944	2,556	$23K
G0466	Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	1.4%	278	278	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	3,011	2,368	$17K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	198	129	$5K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	518	242	$5K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	892	721	$4K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	275	265	$2K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	151	107	$2K

22 more codes

99203	Doctor's office visit, new patient (routine)	<1%	57	$1K
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv	<1%	13	$891.97
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	42	$615.18
96156		<1%	44	$606.96
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	441	$391.69
90791	Psychiatric diagnostic evaluation	<1%	64	$307.06
99204	Doctor's office visit, new patient (more involved)	<1%	15	$276.36
80305		<1%	34	$125.16
81025		<1%	15	$42.78
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	77	$26.04
3008F		<1%	996	$0.43
3074F		<1%	839	$0.36
3078F		<1%	456	$0.21
3079F		<1%	465	$0.20
3075F		<1%	47	$0.03
3080F		<1%	214	$0.03
3077F		<1%	131	$0.03
1036F		0%	23	$0.00
3044F		0%	16	$0.00
3725F		0%	22	$0.00
1159F		0%	27	$0.00
1160F		0%	27	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPIERCE, CLARENCE (CEO)

Same official

Other billing entities under PIERCE, CLARENCE

Full network →

Provider	Location	Paid
Hamilton Community Health Network INC.	Burton, MI	$10.28M
Hamilton Community Health Network, INC.	Flint, MI	$8.71M
Hamilton Community Health Network INC.	Flint, MI	$5.73M
Hamilton Community Health Network INC.	Clio, MI	$2.13M
Hamilton Community Health Network, INC	Lapeer, MI	$1.18M
Hamilton Community Health Network INC.	Flint, MI	$885K
Hamilton Community Health Network INC.	Flint, MI	$847K
Hamilton Community Health Network INC	Flint, MI	$19K
Hamilton Community Health Network INC	Whitmore Lake, MI	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.