Clinic
Bay Mills Indian Community
Bay Mills Indian Community was paid $4.86M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is G0467, community health center visit, returning patient — 84% of everything it billed.
33Billing provider infoBAY MILLS INDIAN COMMUNITY
BRIMLEY, MI 49715
BRIMLEY, MI 49715
33aNPI1053592089assigned 11/19/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.86M
24GClaims29,974
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#31 of 241
Median peer was paid$477K
This provider vs. median10×
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 | 4,109 | $531K | |
| 2019 | 3,328 | $490K | |
| 2020 | 3,860 | $427K | |
| 2021 | 4,131 | $650K | |
| 2022 | 3,354 | $628K | |
| 2023 | 6,519 | $1.18M | |
| 2024incomplete | 4,673 | $959K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 84% | 12,034 | 10,133 | $4.06M |
| 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 | 4.7% | 393 | 244 | $227K |
| 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 | 3.7% | 600 | 593 | $180K |
| 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 | 3.5% | 872 | 868 | $168K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 9,418 | 8,125 | $132K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.0% | 759 | 758 | $49K |
| 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% | 426 | 415 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,454 | 1,363 | $8K |
| 92015 | Determination of refractive state | <1% | 886 | 885 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 284 | 283 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 653 | 645 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 53 | 53 | $3K |
16 more codes
| 99000 | <1% | 139 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 403 | $1K |
| 90656 | <1% | 34 | $603.45 | |
| G0008 | Administration of influenza virus vaccine | <1% | 225 | $542.40 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 220 | $540.54 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 17 | $237.16 |
| 90688 | <1% | 12 | $146.16 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 37 | $94.76 |
| 90686 | <1% | 124 | $64.49 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $4.55 |
| 3078F | 0% | 148 | $0.00 | |
| 91300 | 0% | 14 | $0.00 | |
| 3008F | 0% | 448 | $0.00 | |
| 3074F | 0% | 213 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 3079F | 0% | 80 | $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 officialBREAKIE, AUDREY (HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Bay Mills Indian Community | Brimley, MI | $3.55M |
| Bay Mills Indian Community | Sault Sainte Marie, MI | $8K |
| Bay Mills Indian Community | Brimley, MI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.