Clinic
Hamilton Community Health Network INC.
Hamilton Community Health Network INC. was paid $847K by Medicaid between Jan 2018 and Oct 2024, across 63 billing codes. Its largest line is G0467, community health center visit, returning patient — 67% of everything it billed.
33Billing provider infoHAMILTON COMMUNITY HEALTH NETWORK INC.
FLINT, MI 48502
FLINT, MI 48502
33aNPI1386624278assigned 01/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$847K
24GClaims27,829
24DCodes billed63
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#108 of 241
Median peer was paid$477K
This provider vs. median1.8×
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 | 1,916 | $126K | |
| 2019 | 8,252 | $196K | |
| 2020 | 8,855 | $251K | |
| 2021 | 6,434 | $200K | |
| 2022 | 2,003 | $53K | |
| 2023 | 338 | $21K | |
| 2024incomplete | 31 | $2.01 |
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 | 67% | 8,635 | 7,382 | $565K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 17% | 190 | 189 | $146K |
| 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 | 3.9% | 501 | 494 | $33K |
| 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 | 2.1% | 278 | 260 | $18K |
| 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 | 1.9% | 228 | 225 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 382 | 226 | $13K |
| D1110 | Prophylaxis - adult | 1.4% | 437 | 436 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 535 | 534 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 324 | 322 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 219 | 218 | $8K |
| 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% | 4,850 | 4,351 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 151 | 151 | $3K |
51 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 174 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 334 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,484 | $2K |
| 90651 | <1% | 14 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 549 | $340.97 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 48 | $275.46 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,049 | $153.05 |
| 90688 | <1% | 148 | $137.30 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 329 | $98.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $70.46 |
| 99000 | <1% | 28 | $52.50 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 51 | $49.33 |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 64 | $46.95 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 150 | $39.03 |
| 81025 | <1% | 57 | $14.26 | |
| 81002 | <1% | 243 | $10.61 | |
| 82962 | <1% | 81 | $10.55 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 56 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 52 | $0.00 |
| 1160F | 0% | 54 | $0.00 | |
| 3078F | 0% | 668 | $0.00 | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 68 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 24 | $0.00 |
| 90461 | 0% | 262 | $0.00 | |
| 3077F | 0% | 331 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90670 | 0% | 30 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 45 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 90715 | 0% | 14 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90707 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 1159F | 0% | 53 | $0.00 | |
| 3074F | 0% | 1,144 | $0.00 | |
| 3044F | 0% | 228 | $0.00 | |
| 3080F | 0% | 359 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 59 | $0.00 |
| 3079F | 0% | 661 | $0.00 | |
| 3048F | 0% | 31 | $0.00 | |
| 3075F | 0% | 223 | $0.00 | |
| 3008F | 0% | 1,662 | $0.00 | |
| 1126F | 0% | 23 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 16 | $0.00 |
| 3049F | 0% | 15 | $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% | 14 | $0.00 |
| 1036F | 0% | 37 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90632 | 0% | 15 | $0.00 | |
| 90686 | 0% | 29 | $0.00 | |
| 1125F | 0% | 14 | $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 officialPIERCE, CLARENCE (CEO)
Parent organizationHAMILTON COMMUNITY HEALTH NETWORK, INC.
| Provider | Location | Paid |
|---|---|---|
| Hamilton Community Health Network INC. | Burton, MI | $10.28M |
| Hamilton Community Health Network, INC. | Flint, MI | $8.71M |
| Hamilton Community Health Network INC. | Flint, MI | $5.73M |
| Hamilton Community Health Network INC. | Clio, MI | $2.13M |
| Hamilton Community Health Network INC. | Flint, MI | $1.49M |
| Hamilton Community Health Network, INC | Lapeer, MI | $1.18M |
| Hamilton Community Health Network INC. | Flint, MI | $885K |
| Hamilton Community Health Network INC | Flint, MI | $19K |
| Hamilton Community Health Network INC | Whitmore Lake, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.