Clinic
Lac Vieux Desert Band of Lake Superior Chippewa Indians
Lac Vieux Desert Band of Lake Superior Chippewa Indians was paid $7.89M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is G0467, community health center visit, returning patient — 49% of everything it billed.
33Billing provider infoLAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
WATERSMEET, MI 49969
WATERSMEET, MI 49969
33aNPI1114071578assigned 01/23/2007
33bProvider typeClinic/Center
28Total paid$7.89M
24GClaims58,554
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#5 of 121
Median peer was paid$71K
This provider vs. median112×
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 WILLIAMS, JAMES controls 13+ 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 | |
|---|---|---|---|
| 2018 | 8,521 | $924K | |
| 2019 | 9,049 | $1.05M | |
| 2020 | 7,900 | $872K | |
| 2021 | 7,650 | $1.04M | |
| 2022 | 8,044 | $1.28M | |
| 2023 | 9,822 | $1.53M | |
| 2024incomplete | 7,568 | $1.19M |
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 | 49% | 15,445 | 10,116 | $3.86M |
| 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 | 17% | 4,033 | 2,344 | $1.35M |
| D0140 | Limited oral evaluation - problem focused | 6.5% | 2,321 | 2,290 | $516K |
| D1110 | Prophylaxis - adult | 4.6% | 2,462 | 2,458 | $362K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,444 | 1,441 | $264K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 1,485 | 747 | $247K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 2,245 | 2,242 | $205K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 1,073 | 864 | $199K |
| 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 | 2.3% | 1,105 | 1,074 | $185K |
| 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 | 1.7% | 640 | 632 | $131K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 6,655 | 5,574 | $111K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 576 | 455 | $88K |
49 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 2,561 | $80K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,102 | $43K |
| D9310 | <1% | 86 | $30K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,207 | $29K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 495 | $26K |
| D1120 | Dental cleaning, child | <1% | 541 | $22K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,775 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 342 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 222 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 578 | $11K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,001 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 48 | $8K |
| 92015 | Determination of refractive state | <1% | 1,307 | $6K |
| D2330 | <1% | 42 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 215 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 105 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 122 | $4K |
| 98940 | <1% | 466 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 335 | $4K |
| D2335 | <1% | 13 | $3K | |
| 0012A | <1% | 84 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 380 | $2K |
| D0330 | Panoramic radiographic image | <1% | 38 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $2K |
| 87428 | <1% | 96 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 469 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,012 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 307 | $2K |
| 0011A | <1% | 84 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 150 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $898.90 |
| 90686 | <1% | 110 | $879.03 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 128 | $726.17 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 31 | $640.32 |
| 80061 | Lipid panel | <1% | 90 | $621.04 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 81 | $450.24 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $296.24 |
| 90656 | <1% | 13 | $290.55 | |
| 99000 | <1% | 21 | $272.19 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 26 | $222.56 |
| 90688 | <1% | 32 | $204.23 | |
| 97035 | <1% | 24 | $141.44 | |
| 99605 | 0% | 52 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 41 | $0.00 |
| D0180 | 0% | 13 | $0.00 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 82 | $0.00 |
| 99606 | 0% | 20 | $0.00 | |
| 97010 | 0% | 16 | $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 officialWILLIAMS, JAMES (LAC VIEUX DESERT TRIBAL CHAIRMAN)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.