Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is G0467, community health center visit, returning patient — 49% of everything it billed.
GWINN, MI 49841
Next to other Family Medicine Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,387 | $150K | |
| 2019 | 6,054 | $236K | |
| 2020 | 5,751 | $192K | |
| 2021 | 5,704 | $186K | |
| 2022 | 4,887 | $130K | |
| 2023 | 10,387 | $207K | |
| 2024incomplete | 7,739 | $169K |
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 | 49% | 14,801 | 12,884 | $618K |
| 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 | 19% | 7,273 | 6,563 | $237K |
| 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 | 10% | 4,354 | 2,802 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 4,106 | 3,769 | $112K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.2% | 2,657 | 1,861 | $92K |
| 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 | 1.6% | 286 | 285 | $20K |
| 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 | 1.2% | 303 | 302 | $15K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 621 | 440 | $10K |
| 87428 | <1% | 126 | 121 | $5K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 106 | 104 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 51 | 50 | $4K |
| 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% | 55 | 42 | $4K |
30 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 643 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 166 | $4K |
| 90686 | <1% | 256 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 55 | $1K |
| 0012A | <1% | 26 | $961.86 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $594.96 |
| 90656 | <1% | 22 | $469.35 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 940 | $388.50 |
| 0011A | <1% | 20 | $340.90 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $287.49 |
| 98966 | <1% | 33 | $267.27 | |
| 98967 | <1% | 14 | $214.76 | |
| 96127 | <1% | 63 | $137.08 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $134.64 |
| 80305 | <1% | 13 | $125.16 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 723 | $90.44 |
| 81002 | <1% | 13 | $37.44 | |
| 3078F | 0% | 1,818 | $0.00 | |
| 3077F | 0% | 103 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 89 | $0.00 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 1,235 | $0.00 |
| 3074F | 0% | 1,936 | $0.00 | |
| 3079F | 0% | 869 | $0.00 | |
| 3075F | 0% | 683 | $0.00 | |
| 1126F | 0% | 205 | $0.00 | |
| 1125F | 0% | 16 | $0.00 | |
| 91301 | 0% | 58 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 17 | $0.00 |
| 3080F | 0% | 27 | $0.00 | |
| 99000 | 0% | 13 | $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.
Who's on the registration
| 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 | Marquette, MI | $1.56M |
| Upper Great Lakes Family Health Center | Calumet, MI | $1.41M |
| 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.