Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Genesee Health System

Genesee Health System was paid $116K by Medicaid between Jan 2018 and May 2018, across 20 billing codes. Its largest line is G0467, community health center visit, returning patient — 63% of everything it billed.

33Billing provider infoGENESEE HEALTH SYSTEM
FLINT, MI 48503
33aNPI1205346939assigned 10/09/2017
28Total paid$116K
24GClaims4,860
24DCodes billed20
24AFirst – last monthJan 2018 – May 2018
Compared with peers

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

Rank by total paid#179 of 241
Median peer was paid$477K
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$20K$40K$60K2018201920202021202220232024
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
20184,860$116K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 1,687 1,306 $73K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,309 1,028 $18K
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 6.2% 147 147 $7K
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 6.2% 191 165 $7K
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 4.3% 292 277 $5K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.6% 44 33 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.3% 112 112 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 15 15 $569.38
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 35 34 $425.03
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 15 15 $269.67
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 53 53 $238.00
82962 <1% 82 76 $171.60
8 more codes
81025 <1% 54 $170.64
83036 Hemoglobin; glycosylated (A1C) <1% 25 $155.52
90688 <1% 14 $142.72
93000 <1% 20 $133.14
81002 <1% 109 $75.90
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $70.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 36 $51.84
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 0% 607 $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 officialTROOP, JEAN (CEO)
Parent organizationGENESEE HEALTH SYSTEM
Same official

Other billing entities under TROOP, JEAN

Full network →
ProviderLocationPaid
Genesee Health SystemFlint, MI$159.88M
Genesee Health SystemFlint, MI$7.67M
Genesee Health SystemBurton, MI$5.30M
Genesee Health SystemFlint, MI$140K
Genesee Health SystemFlint, MI$5K

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