Bay Mills Indian Community

Bay Mills Indian Community was paid $3.55M by Medicaid between Jan 2018 and Dec 2024, across 10 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 — 87% of everything it billed.

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Michigan

Rank by total paid#28 of 117

Median peer was paid$339K

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	1,744	$362K
2019	2,543	$476K
2020	2,903	$520K
2021	4,004	$671K
2022	2,242	$461K
2023	2,912	$536K
2024incomplete	2,895	$527K

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	87%	9,538	4,934	$3.10M
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	7.2%	867	783	$255K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.5%	4,454	3,005	$89K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	859	602	$32K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	1,952	1,430	$28K
G0469	Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit	<1%	62	60	$19K
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%	319	306	$10K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	278	253	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	514	458	$5K
90785		<1%	400	261	$2K

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 (HHS DIRECTOR)

Same official

Other billing entities under BREAKIE, AUDREY

Full network →

Provider	Location	Paid
Bay Mills Indian Community	Brimley, MI	$4.86M
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.