Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPPER GREAT LAKES FAMILY HEALTH CENTER

NPI: 1114354479 · CALUMET, MI 49913 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more

$1.41M
Total Medicaid Paid
45,523
Total Claims
40,916
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHODGES, TREVOR (CEO)
NPI Enumeration Date10/02/2013

Related Entities

Other providers sharing the same authorized official: HODGES, TREVOR

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,712 $246K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 15,087 13,269 $565K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,998 7,519 $337K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 461 460 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,441 3,975 $107K
90837 Psychotherapy, 53 minutes with patient 654 423 $52K
99215 Prolong outpt/office vis 692 670 $43K
H0004 Behavioral health counseling and therapy, per 15 minutes 937 769 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 976 931 $23K
90834 Psychotherapy, 45 minutes with patient 256 197 $14K
90832 Psychotherapy, 30 minutes with patient 326 266 $13K
80305 1,472 1,334 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 306 296 $11K
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 1,575 959 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,366 1,165 $8K
20552 258 203 $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 85 85 $5K
H0001 Alcohol and/or drug assessment 25 25 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 400 370 $4K
G0466 Federally 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 42 42 $3K
90686 318 315 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 516 511 $3K
0012A 77 77 $3K
0011A 86 86 $2K
99417 Prolong home eval add 15m 54 47 $2K
98925 91 88 $829.21
98966 93 86 $772.83
90656 31 31 $648.15
0134A 17 17 $619.76
36415 Collection of venous blood by venipuncture 339 330 $576.46
J1010 Injection, methylprednisolone acetate, 1 mg 72 67 $509.80
0064A 13 13 $492.05
0002A 12 12 $454.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 26 $94.62
96127 21 19 $56.62
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 914 910 $0.00
3074F 1,600 1,552 $0.00
3075F 666 650 $0.00
3080F 190 187 $0.00
3079F 950 926 $0.00
91301 214 203 $0.00
99000 52 32 $0.00
3078F 1,410 1,374 $0.00
3077F 350 347 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $0.00
91300 29 27 $0.00