Clinic
Trinity Health - Michigan
Trinity Health - Michigan was paid $750K by Medicaid between Jan 2018 and Jun 2020, across 41 billing codes. Its largest line is G0467, community health center visit, returning patient — 86% of everything it billed.
33Billing provider infoTRINITY HEALTH - MICHIGAN
SPARTA, MI 49345
SPARTA, MI 49345
33aNPI1245769744assigned 06/08/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$750K
24GClaims27,402
24DCodes billed41
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#112 of 241
Median peer was paid$477K
This provider vs. median1.6×
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 | 12,714 | $335K | |
| 2019 | 11,768 | $323K | |
| 2020 | 2,920 | $92K |
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 | 86% | 8,629 | 7,434 | $641K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 11% | 926 | 884 | $80K |
| 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 | 1.4% | 89 | 84 | $10K |
| 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% | 4,515 | 4,045 | $6K |
| 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% | 2,239 | 2,057 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 722 | 603 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 477 | 474 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 863 | 853 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,900 | 1,875 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 422 | 421 | $1K |
| 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 | <1% | 16 | 12 | $995.84 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 324 | 320 | $643.12 |
29 more codes
| 90686 | <1% | 869 | $516.85 | |
| 90651 | <1% | 109 | $229.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,322 | $218.10 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 421 | $147.06 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $81.34 |
| 36416 | <1% | 976 | $78.37 | |
| D0190 | <1% | 85 | $74.45 | |
| 90474 | <1% | 174 | $48.00 | |
| 82962 | <1% | 467 | $44.28 | |
| 99188 | <1% | 85 | $34.65 | |
| 81003 | <1% | 202 | $27.47 | |
| 85018 | <1% | 166 | $13.33 | |
| 81025 | <1% | 13 | $7.13 | |
| 90744 | 0% | 26 | $0.00 | |
| 90698 | 0% | 86 | $0.00 | |
| 90723 | 0% | 48 | $0.00 | |
| 90680 | 0% | 171 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 90670 | 0% | 409 | $0.00 | |
| 83655 | 0% | 50 | $0.00 | |
| 90707 | 0% | 24 | $0.00 | |
| 90685 | 0% | 112 | $0.00 | |
| 90700 | 0% | 36 | $0.00 | |
| 90648 | 0% | 202 | $0.00 | |
| 90633 | 0% | 98 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 37 | $0.00 |
| 90734 | 0% | 38 | $0.00 | |
| 90715 | 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 officialMURPHY, ELIZABETH (VP, CNO)
Parent organizationTRINITY HEALTH - MICHIGAN
| Provider | Location | Paid |
|---|---|---|
| North Ridge Recovery LLC | Albion, IN | $19.04M |
| Trinity Health-Michigan | Grand Rapids, MI | $788K |
| Summit Homecare Services, L L C | San Antonio, TX | $375.88 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.