Clinic
Mycare Health Center
Mycare Health Center was paid $3.98M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is G0467, community health center visit, returning patient — 39% of everything it billed.
33Billing provider infoMYCARE HEALTH CENTER
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
33aNPI1265749683assigned 09/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.98M
24GClaims83,060
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#43 of 241
Median peer was paid$477K
This provider vs. median8.3×
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 | 10,163 | $556K | |
| 2019 | 10,047 | $559K | |
| 2020 | 9,676 | $430K | |
| 2021 | 14,415 | $671K | |
| 2022 | 14,403 | $793K | |
| 2023 | 12,128 | $537K | |
| 2024incomplete | 12,228 | $435K |
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 | 39% | 22,459 | 19,157 | $1.56M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 32% | 1,284 | 1,044 | $1.27M |
| 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 | 18% | 8,086 | 4,205 | $703K |
| 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 | 4.6% | 2,486 | 2,427 | $181K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 11,539 | 10,408 | $61K |
| 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 | 1.4% | 7,383 | 6,803 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 458 | 458 | $24K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,734 | 2,286 | $23K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 296 | 295 | $17K |
| D1110 | Prophylaxis - adult | <1% | 241 | 241 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,372 | 1,619 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 163 | 160 | $9K |
57 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,433 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 39 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 550 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,914 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 30 | $3K |
| 80305 | <1% | 2,645 | $3K | |
| 90674 | <1% | 447 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 151 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 274 | $2K |
| 96127 | <1% | 4,359 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 40 | $2K |
| 0064A | <1% | 91 | $2K | |
| D4355 | <1% | 15 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 850 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 884 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,673 | $1K |
| 81025 | <1% | 1,105 | $1K | |
| 0011A | <1% | 56 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 42 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 545 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 71 | $1K |
| 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% | 16 | $839.50 |
| D0274 | Bitewings - four radiographic images | <1% | 40 | $707.26 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $707.00 |
| 90661 | <1% | 20 | $626.45 | |
| D1120 | Dental cleaning, child | <1% | 13 | $545.46 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 307 | $537.88 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 98 | $532.78 |
| 81003 | <1% | 1,238 | $510.64 | |
| 0012A | <1% | 15 | $376.36 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 106 | $366.60 |
| 90686 | <1% | 44 | $228.36 | |
| 0134A | <1% | 12 | $228.28 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 219 | $194.91 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $162.84 |
| 99000 | <1% | 226 | $129.37 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 73 | $126.00 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 40 | $102.42 |
| 82075 | <1% | 493 | $99.00 | |
| 81002 | <1% | 128 | $95.04 | |
| D0603 | <1% | 170 | $95.00 | |
| 90715 | <1% | 14 | $65.70 | |
| 93000 | <1% | 13 | $47.55 | |
| 99406 | <1% | 13 | $25.56 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $21.00 |
| 82962 | <1% | 12 | $2.71 | |
| 3085F | 0% | 214 | $0.00 | |
| 2028F | 0% | 27 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 12 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 28 | $0.00 |
| 36416 | 0% | 113 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,504 | $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% | 19 | $0.00 |
| 3044F | 0% | 18 | $0.00 | |
| 99385 | 0% | 15 | $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 officialWOOD, KAREN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mycare Health Center | Center Line, MI | $3.77M |
| Mycare Health Center | Clinton Township, MI | $290K |
| Mycare Health Center | Center Line, MI | $17K |
| Advanced Pain Management Center PC | Portland, OR | $530.89 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.