Clinic
Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $1.56M by Medicaid between Jun 2020 and Nov 2024, across 35 billing codes. Its largest line is G0467, community health center visit, returning patient — 64% of everything it billed.
33Billing provider infoUPPER GREAT LAKES FAMILY HEALTH CENTER
MARQUETTE, MI 49855
MARQUETTE, MI 49855
33aNPI1053948265assigned 03/26/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.56M
24GClaims45,181
24DCodes billed35
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#82 of 241
Median peer was paid$477K
This provider vs. median3.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 3,915 | $115K | |
| 2021 | 6,646 | $271K | |
| 2022 | 8,244 | $393K | |
| 2023 | 12,002 | $464K | |
| 2024incomplete | 14,374 | $319K |
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 | 64% | 12,245 | 10,220 | $1.00M |
| 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 | 17% | 6,899 | 6,064 | $273K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 4,725 | 4,064 | $81K |
| 80305 | 2.7% | 5,327 | 4,573 | $42K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 666 | 510 | $29K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 252 | 162 | $22K |
| 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 | 1.3% | 428 | 422 | $21K |
| 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 | 1.3% | 1,435 | 857 | $21K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.1% | 61 | 61 | $18K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.0% | 355 | 258 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 237 | 231 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 590 | 551 | $5K |
23 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 40 | $4K |
| H0001 | Alcohol and/or drug assessment | <1% | 21 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 69 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $3K |
| 98966 | <1% | 320 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $1K |
| 81025 | <1% | 302 | $1K | |
| 90686 | <1% | 78 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | $1K |
| 90656 | <1% | 35 | $737.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $277.78 |
| 81002 | <1% | 29 | $69.12 | |
| 96127 | <1% | 21 | $47.68 | |
| 3077F | 0% | 394 | $0.00 | |
| 3078F | 0% | 2,737 | $0.00 | |
| 3079F | 0% | 2,192 | $0.00 | |
| 3075F | 0% | 1,045 | $0.00 | |
| 3074F | 0% | 3,736 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 364 | $0.00 |
| 3080F | 0% | 145 | $0.00 | |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 97 | $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 officialHODGES, TREVOR (CEO)
Parent organization-
| Provider | Location | Paid |
|---|---|---|
| Upper Great Lakes Family Health Center | Hancock, MI | $4.08M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.84M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.57M |
| Upper Great Lakes Family Health Center | Calumet, MI | $1.41M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.27M |
| Upper Great Lakes Family Health Center | Houghton, MI | $955K |
| Upper Great Lakes Family Health Center | Calumet, MI | $947K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $350K |
| Upper Great Lakes Family Health Center | Menominee, MI | $337K |
| Upper Great Lakes Family Health Center | Ontonagon, MI | $167K |
| Upper Great Lakes Family Health Center | Iron River, MI | $164K |
| Upper Great Lakes Family Health Center | Hancock, MI | $32K |
| Upper Great Lakes Family Health Center | Iron River, MI | $31K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.