Clinic
Keweenaw Bay Indian Community
Keweenaw Bay Indian Community was paid $4.24M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is G0467, community health center visit, returning patient — 62% of everything it billed.
33Billing provider infoKEWEENAW BAY INDIAN COMMUNITY
BARAGA, MI 49908
BARAGA, MI 49908
33aNPI1336232289assigned 10/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.24M
24GClaims21,486
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#39 of 241
Median peer was paid$477K
This provider vs. median8.9×
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 | 3,506 | $362K | |
| 2019 | 2,361 | $426K | |
| 2020 | 1,443 | $296K | |
| 2021 | 2,450 | $473K | |
| 2022 | 3,251 | $755K | |
| 2023 | 4,765 | $1.01M | |
| 2024incomplete | 3,710 | $918K |
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 | 62% | 6,463 | 5,339 | $2.62M |
| 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 | 27% | 2,302 | 1,622 | $1.15M |
| 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 | 4.4% | 563 | 562 | $189K |
| 99402 | 2.9% | 1,633 | 1,185 | $123K | |
| 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% | 2,150 | 1,947 | $34K |
| 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% | 3,297 | 2,972 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 226 | 224 | $24K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,138 | 806 | $20K |
| D1110 | Prophylaxis - adult | <1% | 52 | 52 | $9K |
| 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% | 23 | 16 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 209 | 192 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 134 | 134 | $6K |
32 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $6K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 48 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 133 | $2K |
| 0012A | <1% | 74 | $2K | |
| 0064A | <1% | 39 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 127 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 293 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 93 | $1K |
| 0031A | <1% | 28 | $1K | |
| 0011A | <1% | 65 | $987.80 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 28 | $963.08 |
| 36415 | Collection of venous blood by venipuncture | <1% | 349 | $584.12 |
| 90480 | <1% | 12 | $479.76 | |
| 90686 | <1% | 81 | $465.20 | |
| 99000 | <1% | 39 | $360.64 | |
| 96127 | <1% | 286 | $242.76 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 43 | $218.15 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 38 | $177.43 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $48.09 |
| 90656 | <1% | 12 | $22.35 | |
| 1159F | 0% | 495 | $0.00 | |
| 3078F | 0% | 142 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 32 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 25 | $0.00 |
| 91306 | 0% | 39 | $0.00 | |
| 1125F | 0% | 162 | $0.00 | |
| 1126F | 0% | 82 | $0.00 | |
| 91303 | 0% | 12 | $0.00 | |
| 3074F | 0% | 226 | $0.00 | |
| 91301 | 0% | 156 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 91 | $0.00 |
| 3079F | 0% | 16 | $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 officialMILLS, JOEL (MEDICAL BILLING CLERK)