Clinic
Intercare Community Health Network
Intercare Community Health Network was paid $458K by Medicaid between Jan 2018 and Aug 2023, across 36 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 23% of everything it billed.
33Billing provider infoINTERCARE COMMUNITY HEALTH NETWORK
BANGOR, MI 49013
BANGOR, MI 49013
33aNPI1326058512assigned 08/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$458K
24GClaims13,912
24DCodes billed36
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#126 of 241
Median peer was paid$477K
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HENDERSHOTT, VELMA controls 11+ related entities in our dataset. Read more
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 | 1,686 | $53K | |
| 2019 | 7,761 | $248K | |
| 2020 | 1,703 | $56K | |
| 2021 | 726 | $30K | |
| 2022 | 1,792 | $61K | |
| 2023 | 244 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 23% | 1,777 | 991 | $106K |
| 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 | 23% | 1,545 | 1,418 | $106K |
| D0140 | Limited oral evaluation - problem focused | 9.9% | 1,540 | 1,444 | $45K |
| D1110 | Prophylaxis - adult | 8.3% | 1,059 | 1,035 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 527 | 517 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 3.8% | 316 | 306 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.8% | 540 | 525 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 177 | 138 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 205 | 168 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,217 | 1,169 | $15K |
| D1206 | Topical application of fluoride varnish | 2.6% | 626 | 611 | $12K |
| D0274 | Bitewings - four radiographic images | 2.6% | 432 | 420 | $12K |
24 more codes
| D0120 | Dental checkup, returning patient | 2.1% | 446 | $10K |
| 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 | 1.7% | 111 | $8K |
| D1351 | Sealant - per tooth | <1% | 168 | $4K |
| D0191 | <1% | 340 | $3K | |
| 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 | <1% | 47 | $3K |
| D2330 | <1% | 39 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 80 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 182 | $1K |
| D0270 | <1% | 94 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 69 | $980.00 |
| D4355 | <1% | 29 | $912.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,075 | $177.50 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $35.00 |
| 80305 | <1% | 147 | $8.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 102 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 19 | $0.00 |
| D1330 | 0% | 514 | $0.00 | |
| 59430 | 0% | 12 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 81025 | 0% | 293 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| D9991 | 0% | 33 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 49 | $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 officialHENDERSHOTT, VELMA (PRESIDENT CEO)
| Provider | Location | Paid |
|---|---|---|
| Intercare Community Health Network | Benton Harbor, MI | $20.47M |
| Intercare Community Health Network | Holland, MI | $7.10M |
| Intercare Community Health Network | Eau Claire, MI | $4.76M |
| Intercare Community Health Network | Bangor, MI | $4.67M |
| Intercare Community Health Network | Pullman, MI | $2.30M |
| Intercare Community Health Network | Bangor, MI | $1.87M |
| Intercare Community Health Network | Benton Harbor, MI | $599K |
| Intercare Community Health Network | Holland, MI | $594K |
| Intercare Community Health Network | Benton Harbor, MI | $197K |
| Intercare Community Health Network | Eau Claire, MI | $130K |
| Intercare Community Health Network | Pullman, MI | $107.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.