Physician
Downriver Community Services, INC.
Downriver Community Services, INC. was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is G0467, community health center visit, returning patient — 67% of everything it billed.
33Billing provider infoDOWNRIVER COMMUNITY SERVICES, INC.
PORT HURON, MI 48060
PORT HURON, MI 48060
33aNPI1184935488assigned 07/01/2010
33bProvider typeFamily Medicine Physician
28Total paid$2.41M
24GClaims92,538
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#46 of 826
Median peer was paid$98K
This provider vs. median25×
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 | 12,595 | $289K | |
| 2019 | 13,229 | $302K | |
| 2020 | 10,355 | $287K | |
| 2021 | 13,110 | $386K | |
| 2022 | 16,575 | $451K | |
| 2023 | 15,641 | $440K | |
| 2024incomplete | 11,033 | $252K |
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 | 67% | 25,058 | 21,952 | $1.61M |
| G0466 | Community health center visit, new patientFederally 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 | 7.3% | 2,468 | 2,457 | $176K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 816 | 408 | $86K |
| 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 | 3.5% | 1,435 | 713 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 15,868 | 14,195 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 567 | 567 | $54K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 520 | 514 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 335 | 281 | $44K |
| D1110 | Prophylaxis - adult | 1.7% | 576 | 576 | $41K |
| 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 | 1.7% | 6,746 | 6,496 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.5% | 588 | 587 | $35K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,008 | 525 | $19K |
66 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 101 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 420 | $13K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,530 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 50 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 663 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,057 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 197 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,837 | $4K |
| 0064A | <1% | 85 | $3K | |
| 90632 | <1% | 396 | $3K | |
| 0012A | <1% | 119 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,086 | $3K |
| 0011A | <1% | 122 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 61 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,511 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 330 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,049 | $2K |
| 90686 | <1% | 1,107 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 176 | $1K |
| 81025 | <1% | 1,434 | $997.36 | |
| D1120 | Dental cleaning, child | <1% | 25 | $960.31 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,382 | $921.58 |
| 87634 | <1% | 114 | $871.95 | |
| 81002 | <1% | 3,057 | $806.88 | |
| 93000 | <1% | 821 | $725.95 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 513 | $673.03 |
| 90732 | <1% | 72 | $672.63 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 135 | $628.75 |
| D1206 | Topical application of fluoride varnish | <1% | 27 | $582.56 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 139 | $532.78 |
| 90715 | <1% | 121 | $517.22 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 234 | $435.75 |
| 0031A | <1% | 14 | $430.00 | |
| 90656 | <1% | 41 | $399.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 237 | $393.59 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 196 | $329.98 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 112 | $314.74 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 76 | $269.67 |
| 82962 | <1% | 1,258 | $192.26 | |
| 99406 | <1% | 105 | $84.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 31 | $83.15 |
| 82044 | <1% | 148 | $77.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 41 | $69.40 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $52.10 |
| 81003 | <1% | 314 | $35.53 | |
| 96127 | <1% | 255 | $32.78 | |
| 85018 | <1% | 30 | $3.92 | |
| 3078F | 0% | 1,287 | $0.00 | |
| 91300 | 0% | 49 | $0.00 | |
| 3077F | 0% | 221 | $0.00 | |
| 3051F | 0% | 16 | $0.00 | |
| 3074F | 0% | 1,358 | $0.00 | |
| 3075F | 0% | 427 | $0.00 | |
| D1330 | 0% | 256 | $0.00 | |
| 3080F | 0% | 92 | $0.00 | |
| D0603 | 0% | 347 | $0.00 | |
| 3044F | 0% | 422 | $0.00 | |
| 3079F | 0% | 705 | $0.00 | |
| 91303 | 0% | 12 | $0.00 | |
| 91301 | 0% | 259 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 84 | $0.00 |
| 91306 | 0% | 85 | $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% | 38 | $0.00 |
| D0601 | 0% | 14 | $0.00 | |
| D0602 | 0% | 13 | $0.00 | |
| 1111F | 0% | 13 | $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 officialBARANOWSKI, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Downriver Community Services, INC. | Algonac, MI | $1.29M |
| Downriver Community Services, INC. | New Haven, MI | $442K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.