Clinic
Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is G0467, community health center visit, returning patient — 40% of everything it billed.
33Billing provider infoUPPER GREAT LAKES FAMILY HEALTH CENTER
CALUMET, MI 49913
CALUMET, MI 49913
33aNPI1114354479assigned 10/02/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.41M
24GClaims45,523
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#86 of 241
Median peer was paid$477K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 4,019 | $131K | |
| 2019 | 4,276 | $132K | |
| 2020 | 5,847 | $145K | |
| 2021 | 8,220 | $244K | |
| 2022 | 6,524 | $220K | |
| 2023 | 7,925 | $288K | |
| 2024incomplete | 8,712 | $246K |
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 | 40% | 15,087 | 13,269 | $565K |
| 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 | 24% | 7,998 | 7,519 | $337K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 9.5% | 461 | 460 | $133K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 4,441 | 3,975 | $107K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.7% | 654 | 423 | $52K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 692 | 670 | $43K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.3% | 937 | 769 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 976 | 931 | $23K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 256 | 197 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 326 | 266 | $13K |
| 80305 | <1% | 1,472 | 1,334 | $13K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 306 | 296 | $11K |
34 more codes
| 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% | 1,575 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,366 | $8K |
| 20552 | <1% | 258 | $7K | |
| 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% | 85 | $5K |
| H0001 | Alcohol and/or drug assessment | <1% | 25 | $5K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 400 | $4K |
| G0466 | Community health center visit, new patient | <1% | 42 | $3K |
| 90686 | <1% | 318 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 516 | $3K |
| 0012A | <1% | 77 | $3K | |
| 0011A | <1% | 86 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 54 | $2K |
| 98925 | <1% | 91 | $829.21 | |
| 98966 | <1% | 93 | $772.83 | |
| 90656 | <1% | 31 | $648.15 | |
| 0134A | <1% | 17 | $619.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 339 | $576.46 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 72 | $509.80 |
| 0064A | <1% | 13 | $492.05 | |
| 0002A | <1% | 12 | $454.20 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 26 | $94.62 |
| 96127 | <1% | 21 | $56.62 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 914 | $0.00 |
| 3074F | 0% | 1,600 | $0.00 | |
| 3075F | 0% | 666 | $0.00 | |
| 3080F | 0% | 190 | $0.00 | |
| 3079F | 0% | 950 | $0.00 | |
| 91301 | 0% | 214 | $0.00 | |
| 99000 | 0% | 52 | $0.00 | |
| 3078F | 0% | 1,410 | $0.00 | |
| 3077F | 0% | 350 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 13 | $0.00 |
| 91300 | 0% | 29 | $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)
| 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 | 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.