Clinic
Grand Traverse Band of Ottawa and Chippewa Indians
Grand Traverse Band of Ottawa and Chippewa Indians was paid $1.06M by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is G0467, community health center visit, returning patient — 96% of everything it billed.
33Billing provider infoGRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS
SUTTONS BAY, MI 49682
SUTTONS BAY, MI 49682
33aNPI1134281132assigned 12/15/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.06M
24GClaims3,922
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#100 of 241
Median peer was paid$477K
This provider vs. median2.2×
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 | 1,017 | $197K | |
| 2019 | 827 | $189K | |
| 2020 | 389 | $112K | |
| 2021 | 576 | $102K | |
| 2022 | 346 | $128K | |
| 2023 | 477 | $198K | |
| 2024incomplete | 290 | $130K |
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 | 96% | 2,172 | 1,869 | $1.01M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 165 | 165 | $36K |
| D1110 | Prophylaxis - adult | <1% | 13 | 13 | $4K |
| 0012A | <1% | 54 | 54 | $2K | |
| 0001A | <1% | 35 | 35 | $1K | |
| 0011A | <1% | 52 | 52 | $829.40 | |
| 0002A | <1% | 21 | 21 | $794.85 | |
| 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% | 455 | 423 | $164.43 |
| 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% | 227 | 210 | $60.62 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | 15 | $51.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 175 | 170 | $31.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | 26 | $7.00 |
5 more codes
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 officialZOTIGH, SONYA (HEALTH ADMIN)