Clinic
MGH Family Health Center
MGH Family Health Center was paid $24.36M by Medicaid between Jan 2018 and Dec 2024, across 228 billing codes. Its largest line is G0467, community health center visit, returning patient — 34% of everything it billed.
33Billing provider infoMGH FAMILY HEALTH CENTER
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1255331583assigned 07/28/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$24.36M
24GClaims1,030,624
24DCodes billed228
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#3 of 241
Median peer was paid$477K
This provider vs. median51×
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 | 253,085 | $4.93M | |
| 2019 | 234,623 | $4.78M | |
| 2020 | 100,676 | $2.25M | |
| 2021 | 158,810 | $3.47M | |
| 2022 | 119,414 | $2.95M | |
| 2023 | 85,309 | $3.13M | |
| 2024incomplete | 78,707 | $2.85M |
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 | 34% | 131,226 | 107,329 | $8.16M |
| 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 | 6.6% | 24,702 | 12,932 | $1.61M |
| 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 | 6.0% | 23,039 | 22,539 | $1.46M |
| D1110 | Prophylaxis - adult | 5.8% | 14,554 | 14,448 | $1.41M |
| 99402 | 5.5% | 15,835 | 12,555 | $1.35M | |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 13,044 | 6,984 | $1.25M |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 11,242 | 10,979 | $1.04M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 9,477 | 9,437 | $582K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 3,685 | 3,165 | $498K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 6,290 | 6,254 | $497K |
| 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 | 1.7% | 5,434 | 5,367 | $413K |
| 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 | 1.5% | 48,944 | 43,058 | $369K |
216 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.4% | 2,879 | $340K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 3,022 | $331K |
| D5110 | 1.4% | 341 | $329K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.3% | 70,614 | $326K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.1% | 2,583 | $279K |
| D1120 | Dental cleaning, child | 1.1% | 7,035 | $269K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.1% | 2,003 | $267K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,454 | $231K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,991 | $217K |
| D1206 | Topical application of fluoride varnish | <1% | 8,461 | $202K |
| D2331 | <1% | 1,406 | $183K | |
| D0274 | Bitewings - four radiographic images | <1% | 9,867 | $153K |
| D0330 | Panoramic radiographic image | <1% | 5,726 | $147K |
| D2335 | <1% | 883 | $145K | |
| D2160 | <1% | 913 | $125K | |
| D2140 | <1% | 1,245 | $123K | |
| H0006 | Alcohol and/or drug services; case management | <1% | 2,035 | $119K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,098 | $113K |
| D2332 | <1% | 744 | $112K | |
| D2330 | <1% | 948 | $106K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15,894 | $97K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 11,973 | $92K |
| H1000 | Prenatal care, at-risk assessment | <1% | 951 | $81K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 5,943 | $52K |
| D0272 | Bitewings - two radiographic images | <1% | 2,604 | $48K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,740 | $46K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 4,032 | $43K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 4,278 | $43K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,727 | $42K |
| 99442 | <1% | 3,558 | $42K | |
| 90837 | Psychotherapy session, about an hour | <1% | 2,541 | $41K |
| D1351 | Sealant - per tooth | <1% | 1,397 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,528 | $39K |
| 90651 | <1% | 1,352 | $39K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,154 | $33K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,671 | $33K |
| D4346 | <1% | 388 | $31K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 393 | $29K |
| D5214 | <1% | 66 | $28K | |
| D4355 | <1% | 212 | $26K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,857 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,116 | $25K |
| D5120 | <1% | 101 | $25K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,488 | $25K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,653 | $24K |
| 99000 | <1% | 4,360 | $22K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,310 | $22K |
| 59426 | <1% | 30 | $21K | |
| 99441 | <1% | 2,552 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,752 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,505 | $20K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 439 | $17K |
| 99443 | <1% | 1,198 | $17K | |
| 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% | 194 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,722 | $15K |
| 96154 | <1% | 220 | $15K | |
| D4341 | <1% | 118 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,082 | $13K |
| 99406 | <1% | 9,686 | $13K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,864 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,226 | $12K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | $12K |
| 90636 | <1% | 658 | $12K | |
| 82962 | <1% | 15,466 | $12K | |
| 0012A | <1% | 342 | $12K | |
| 81025 | <1% | 7,195 | $12K | |
| H0001 | Alcohol and/or drug assessment | <1% | 81 | $11K |
| 0011A | <1% | 376 | $11K | |
| D0190 | <1% | 2,916 | $11K | |
| D0191 | <1% | 581 | $8K | |
| 90632 | <1% | 1,428 | $8K | |
| 90688 | <1% | 4,458 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,927 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 450 | $8K |
| 90746 | <1% | 1,235 | $7K | |
| 90715 | <1% | 1,811 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,547 | $6K |
| 99381 | <1% | 574 | $5K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,628 | $5K |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 448 | $5K |
| 85018 | <1% | 9,220 | $5K | |
| 0064A | <1% | 147 | $5K | |
| 92558 | <1% | 5,100 | $5K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 53 | $5K |
| 83655 | <1% | 1,711 | $5K | |
| 96160 | <1% | 1,747 | $4K | |
| 90670 | <1% | 2,372 | $4K | |
| D2394 | <1% | 27 | $4K | |
| 87428 | <1% | 1,470 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,314 | $4K |
| 96127 | <1% | 8,782 | $4K | |
| 90620 | <1% | 400 | $4K | |
| 81003 | <1% | 1,515 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 168 | $3K |
| 82274 | <1% | 627 | $3K | |
| 98966 | <1% | 807 | $3K | |
| 81002 | <1% | 4,210 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,120 | $3K |
| 90756 | <1% | 481 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 563 | $2K |
| D2950 | <1% | 14 | $2K | |
| 36416 | <1% | 18,604 | $2K | |
| 80305 | <1% | 1,174 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,169 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 85 | $2K |
| 90658 | <1% | 133 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,177 | $2K |
| 0134A | <1% | 60 | $2K | |
| 90750 | <1% | 202 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 131 | $1K |
| 90716 | <1% | 504 | $1K | |
| G9001 | Coordinated care fee, initial rate | <1% | 91 | $1K |
| 90734 | <1% | 879 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 323 | $1K |
| 88142 | <1% | 1,100 | $1K | |
| 99354 | <1% | 98 | $1K | |
| D4910 | <1% | 13 | $1K | |
| 99383 | <1% | 147 | $1K | |
| 86318 | <1% | 315 | $787.98 | |
| 99188 | <1% | 879 | $771.80 | |
| 86328 | <1% | 29 | $763.98 | |
| 90473 | <1% | 1,221 | $710.76 | |
| 69210 | <1% | 168 | $692.74 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 192 | $683.29 |
| 90707 | <1% | 519 | $675.65 | |
| 90677 | <1% | 55 | $625.88 | |
| 99355 | <1% | 102 | $550.70 | |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 17,935 | $412.50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 68 | $379.81 |
| 99495 | <1% | 28 | $379.41 | |
| 93000 | <1% | 173 | $367.66 | |
| D0270 | <1% | 85 | $365.86 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 58 | $364.10 |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 13 | $331.64 |
| 99050 | <1% | 1,007 | $313.61 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 147 | $272.39 |
| 98967 | <1% | 55 | $237.35 | |
| 99385 | <1% | 12 | $198.74 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 53 | $180.30 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 191 | $162.51 |
| 90474 | <1% | 66 | $147.00 | |
| 99174 | <1% | 2,709 | $141.68 | |
| 99384 | <1% | 13 | $101.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 2,926 | $97.39 |
| 99382 | <1% | 40 | $93.36 | |
| 87252 | <1% | 32 | $86.32 | |
| 80053 | Comprehensive metabolic panel | <1% | 88 | $80.92 |
| 2014F | <1% | 18,732 | $68.10 | |
| 80061 | Lipid panel | <1% | 93 | $51.28 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 44,835 | $51.11 |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 77 | $50.25 |
| 83014 | <1% | 142 | $49.74 | |
| 90686 | <1% | 935 | $45.16 | |
| 92551 | <1% | 154 | $35.34 | |
| 20610 | <1% | 15 | $34.07 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 38 | $33.00 |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 2,450 | $18.25 |
| 99072 | <1% | 1,754 | $12.88 | |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | <1% | 258 | $9.00 |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 42,827 | $0.63 |
| 99173 | <1% | 3,318 | $0.24 | |
| 3079F | <1% | 23,593 | $0.01 | |
| 3074F | <1% | 39,698 | $0.01 | |
| 90633 | 0% | 1,335 | $0.00 | |
| 3077F | 0% | 7,348 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 7,719 | $0.00 |
| 3078F | 0% | 29,170 | $0.00 | |
| 99051 | 0% | 1,051 | $0.00 | |
| 3085F | 0% | 2,230 | $0.00 | |
| 3045F | 0% | 507 | $0.00 | |
| 90710 | 0% | 449 | $0.00 | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | 0% | 1,675 | $0.00 |
| 3046F | 0% | 946 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,123 | $0.00 |
| 90685 | 0% | 283 | $0.00 | |
| 2028F | 0% | 885 | $0.00 | |
| 91313 | 0% | 61 | $0.00 | |
| 90461 | 0% | 171 | $0.00 | |
| 3051F | 0% | 164 | $0.00 | |
| D1999 | 0% | 144 | $0.00 | |
| 90700 | 0% | 59 | $0.00 | |
| 90662 | 0% | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 6,589 | $0.00 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 2,259 | $0.00 |
| 1000F | 0% | 6,825 | $0.00 | |
| 99070 | 0% | 505 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,629 | $0.00 |
| 3075F | 0% | 11,744 | $0.00 | |
| D0601 | 0% | 1,237 | $0.00 | |
| 90680 | 0% | 1,192 | $0.00 | |
| 3080F | 0% | 6,046 | $0.00 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 278 | $0.00 |
| 90723 | 0% | 1,415 | $0.00 | |
| 3044F | 0% | 2,183 | $0.00 | |
| 90696 | 0% | 422 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 428 | $0.00 |
| D1320 | 0% | 367 | $0.00 | |
| D0603 | 0% | 988 | $0.00 | |
| 1005F | 0% | 912 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 83 | $0.00 |
| 90647 | 0% | 1,222 | $0.00 | |
| 4000F | 0% | 5,522 | $0.00 | |
| 1220F | 0% | 157 | $0.00 | |
| 91306 | 0% | 146 | $0.00 | |
| D0602 | 0% | 365 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 44 | $0.00 |
| 90698 | 0% | 221 | $0.00 | |
| 90619 | 0% | 66 | $0.00 | |
| 91301 | 0% | 197 | $0.00 | |
| D9440 | 0% | 127 | $0.00 | |
| D1330 | 0% | 246 | $0.00 | |
| 91305 | 0% | 36 | $0.00 | |
| 90697 | 0% | 160 | $0.00 | |
| 58300 | 0% | 14 | $0.00 | |
| 59430 | 0% | 13 | $0.00 | |
| 3052F | 0% | 75 | $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 officialOGLESBY, DANIEL (EXECUTIVE DIRECTOR)