Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Keweenaw Bay Indian Community Substance Abuse Programs

Keweenaw Bay Indian Community Substance Abuse Programs was paid $390K by Medicaid between Sep 2019 and Oct 2024, across 4 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 — 97% of everything it billed.

33Billing provider infoKEWEENAW BAY INDIAN COMMUNITY SUBSTANCE ABUSE PROGRAMS
LANSE, MI 49946
33aNPI1174796411assigned 04/08/2008
28Total paid$390K
24GClaims807
24DCodes billed4
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Michigan

Rank by total paid#34 of 44
Median peer was paid$2.35M
This provider vs. median0.2×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201984$38K
2022265$111K
2023366$175K
2024incomplete92$66K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 97% 602 64 $379K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit 3.0% 18 18 $12K
H0004 Behavioral health counseling and therapy, per 15 minutes 0% 170 30 $0.00
H0001 Alcohol and/or drug assessment 0% 17 17 $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 officialCURTIS, JERRY (ADMINISTRATOR)