Physician
Northwest Michigan Health Services INC.
Northwest Michigan Health Services INC. was paid $8.16M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is G0467, community health center visit, returning patient — 27% of everything it billed.
33Billing provider infoNORTHWEST MICHIGAN HEALTH SERVICES INC.
SHELBY, MI 49455
SHELBY, MI 49455
33aNPI1235208075assigned 11/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$8.16M
24GClaims203,914
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#15 of 826
Median peer was paid$98K
This provider vs. median84×
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 | 28,439 | $1.20M | |
| 2019 | 26,925 | $1.12M | |
| 2020 | 22,986 | $853K | |
| 2021 | 33,810 | $1.24M | |
| 2022 | 28,888 | $1.19M | |
| 2023 | 36,305 | $1.43M | |
| 2024incomplete | 26,561 | $1.12M |
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 | 27% | 31,901 | 26,574 | $2.21M |
| 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 | 11% | 13,126 | 7,243 | $875K |
| D1110 | Prophylaxis - adult | 9.2% | 9,178 | 9,100 | $752K |
| D7140 | Extraction, erupted tooth or exposed root | 7.3% | 7,054 | 3,579 | $594K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 4,274 | 3,540 | $547K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 5,391 | 5,227 | $363K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 3,684 | 2,811 | $345K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 5,361 | 5,277 | $326K |
| 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 | 3.1% | 2,900 | 2,881 | $255K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 1,579 | 1,458 | $242K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 8,289 | 8,235 | $217K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 5,225 | 5,204 | $206K |
90 more codes
| D1206 | Topical application of fluoride varnish | 1.7% | 6,607 | $143K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 3,481 | $118K |
| D0274 | Bitewings - four radiographic images | 1.2% | 4,858 | $95K |
| D2331 | 1.2% | 929 | $94K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 9,718 | $82K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 16,909 | $77K |
| 90837 | Psychotherapy session, about an hour | <1% | 4,485 | $72K |
| D0330 | Panoramic radiographic image | <1% | 2,197 | $71K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,375 | $64K |
| D1351 | Sealant - per tooth | <1% | 2,229 | $61K |
| D2330 | <1% | 709 | $47K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,682 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,392 | $29K |
| D2335 | <1% | 171 | $26K | |
| D2332 | <1% | 196 | $26K | |
| D4910 | <1% | 373 | $23K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,048 | $20K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,137 | $18K |
| 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 | <1% | 196 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 86 | $13K |
| D4341 | <1% | 59 | $8K | |
| D0191 | <1% | 495 | $7K | |
| D2394 | <1% | 42 | $7K | |
| D0270 | <1% | 1,347 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 419 | $7K |
| D1354 | <1% | 251 | $5K | |
| 0012A | <1% | 143 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,427 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 736 | $4K |
| 80305 | <1% | 2,147 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 351 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 93 | $3K |
| 0011A | <1% | 114 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 218 | $3K |
| 90674 | <1% | 831 | $2K | |
| 99000 | <1% | 392 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 329 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,885 | $2K |
| 96152 | <1% | 820 | $2K | |
| 99406 | <1% | 1,165 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 669 | $2K |
| 0064A | <1% | 40 | $2K | |
| 0001A | <1% | 40 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,332 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 864 | $1K |
| 90686 | <1% | 722 | $1K | |
| 0002A | <1% | 34 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 309 | $1K |
| D2940 | <1% | 14 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 497 | $552.80 |
| 90715 | <1% | 174 | $543.79 | |
| 90661 | <1% | 36 | $515.90 | |
| 0072A | <1% | 13 | $492.05 | |
| 99407 | <1% | 177 | $458.25 | |
| 90750 | <1% | 31 | $445.20 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 309 | $357.92 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 134 | $294.96 |
| 0124A | <1% | 12 | $263.64 | |
| 96158 | <1% | 35 | $234.07 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 200 | $229.31 |
| 81025 | <1% | 182 | $163.91 | |
| 96150 | <1% | 29 | $86.94 | |
| 81003 | <1% | 434 | $86.62 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 136 | $85.18 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | $82.26 |
| 36416 | <1% | 2,215 | $70.60 | |
| 90632 | <1% | 29 | $58.44 | |
| 87428 | <1% | 12 | $58.20 | |
| 98966 | <1% | 14 | $41.57 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $9.20 |
| 81002 | <1% | 74 | $9.06 | |
| 82044 | <1% | 13 | $5.16 | |
| 85018 | <1% | 159 | $2.43 | |
| D1310 | 0% | 722 | $0.00 | |
| D0603 | 0% | 1,153 | $0.00 | |
| D1330 | 0% | 1,552 | $0.00 | |
| D1320 | 0% | 302 | $0.00 | |
| 91301 | 0% | 158 | $0.00 | |
| D0602 | 0% | 238 | $0.00 | |
| 81000 | 0% | 13 | $0.00 | |
| D0601 | 0% | 64 | $0.00 | |
| 80100 | 0% | 13 | $0.00 | |
| 91307 | 0% | 33 | $0.00 | |
| 99496 | 0% | 13 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 14 | $0.00 |
| D0431 | 0% | 1,345 | $0.00 | |
| 99173 | 0% | 106 | $0.00 | |
| 91300 | 0% | 149 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 13 | $0.00 |
| 91312 | 0% | 12 | $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 officialBRITTON, HEIDI (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Northwest Michigan Health Services, INC | Traverse City, MI | $52K |
| Northwest Michigan Health Services, INC. | Benzonia, MI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.