Little Traverse Bay Bands of Odawa Indians

Little Traverse Bay Bands of Odawa Indians was paid $8.80M by Medicaid between Jan 2018 and Dec 2024, across 54 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 — 52% of everything it billed.

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Michigan

Rank by total paid#14 of 241

Median peer was paid$477K

This provider vs. median18×

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	4,576	$684K
2019	5,173	$899K
2020	6,086	$990K
2021	8,423	$1.30M
2022	8,771	$2.09M
2023	7,411	$1.78M
2024incomplete	4,018	$1.06M

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	52%	10,994	4,422	$4.61M
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%	8,562	7,461	$3.54M
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	3.4%	877	868	$303K
D1110	Prophylaxis - adult	1.5%	317	316	$128K
D0140	Limited oral evaluation - problem focused	<1%	159	155	$68K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	4,910	2,391	$42K
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%	3,876	3,624	$28K
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%	3,492	3,199	$18K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	2,354	1,397	$16K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	948	758	$8K
0012A		<1%	146	146	$5K
D0150	Comprehensive oral evaluation - new or established patient	<1%	15	15	$5K

42 more codes

D0120	Dental checkup, returning patient	<1%	51	$4K
0011A		<1%	150	$3K
D1206	Topical application of fluoride varnish	<1%	247	$3K
0002A		<1%	63	$2K
0064A		<1%	57	$2K
0001A		<1%	58	$2K
D0274	Bitewings - four radiographic images	<1%	171	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	818	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	137	$2K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	416	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	241	$744.20
36415	Collection of venous blood by venipuncture	<1%	1,216	$658.68
0031A		<1%	24	$623.56
90688		<1%	311	$556.85
D1120	Dental cleaning, child	<1%	13	$535.00
D0220	Intraoral - periapical first radiographic image	<1%	144	$504.60
0134A		<1%	13	$487.89
90472	Immunization administration, each additional vaccine (list separately)	<1%	73	$395.37
90791	Psychiatric diagnostic evaluation	<1%	14	$350.20
83036	Hemoglobin; glycosylated (A1C)	<1%	296	$338.50
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	62	$134.98
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	69	$85.38
82962		<1%	145	$59.58
81003		<1%	332	$57.34
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	54	$53.05
Q3014	Telehealth originating site facility fee	<1%	148	$49.72
80305		<1%	28	$20.86
81002		<1%	12	$5.76
82947		<1%	13	$3.26
90686		<1%	22	$0.01
91300		0%	131	$0.00
4064F		0%	207	$0.00
3089F		0%	160	$0.00
91313		0%	13	$0.00
3077F		0%	13	$0.00
91305		0%	15	$0.00
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	0%	1,419	$0.00
2000F		0%	42	$0.00
91301		0%	300	$0.00
3008F		0%	29	$0.00
91303		0%	24	$0.00
91306		0%	57	$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 officialDUBOIS, CHRISTINA (ASSISTANT HEALTH DIRECTOR)

Same official

Other billing entities under DUBOIS, CHRISTINA

Full network →

Provider	Location	Paid
Little Traverse Bay Bands of Odawa Indians	Petoskey, MI	$353K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.