Clinic
Sterling Area Health Center
Sterling Area Health Center was paid $2.26M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is G0467, community health center visit, returning patient — 48% of everything it billed.
33Billing provider infoSTERLING AREA HEALTH CENTER
STERLING, MI 48659
STERLING, MI 48659
33aNPI1477538239assigned 12/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.26M
24GClaims123,925
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#68 of 241
Median peer was paid$477K
This provider vs. median4.7×
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 | 19,193 | $364K | |
| 2019 | 20,173 | $372K | |
| 2020 | 8,075 | $240K | |
| 2021 | 15,466 | $354K | |
| 2022 | 23,642 | $381K | |
| 2023 | 20,731 | $321K | |
| 2024incomplete | 16,645 | $232K |
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 | 48% | 21,733 | 18,954 | $1.08M |
| 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 | 15% | 6,516 | 6,380 | $350K |
| 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 | 12% | 5,238 | 3,613 | $262K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 12,586 | 11,504 | $143K |
| 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 | 3.7% | 4,971 | 4,805 | $84K |
| 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 | 2.6% | 1,033 | 1,032 | $58K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 3,011 | 2,325 | $48K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 991 | 988 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 1,228 | 1,224 | $27K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 526 | 445 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,431 | 2,212 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 813 | 771 | $15K |
76 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 744 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,393 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 584 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,631 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 340 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 396 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,969 | $8K |
| 90686 | <1% | 1,675 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 577 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 259 | $5K |
| 0011A | <1% | 116 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 295 | $3K |
| 0012A | <1% | 93 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 302 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 119 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 481 | $2K |
| 92551 | <1% | 1,136 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 28 | $2K |
| 0064A | <1% | 63 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 110 | $2K |
| D1120 | Dental cleaning, child | <1% | 42 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 321 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 52 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 32 | $1K |
| 90677 | <1% | 57 | $1K | |
| 81025 | <1% | 370 | $1K | |
| 90656 | <1% | 103 | $1K | |
| 0134A | <1% | 45 | $988.03 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 919 | $850.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 89 | $487.50 |
| 0094A | <1% | 13 | $454.40 | |
| 96160 | <1% | 768 | $394.94 | |
| 81002 | <1% | 440 | $342.84 | |
| 90670 | <1% | 499 | $210.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 27 | $194.96 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 25 | $150.53 |
| 90836 | <1% | 14 | $143.82 | |
| 90473 | <1% | 25 | $30.00 | |
| 96127 | <1% | 13 | $27.70 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $8.71 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $6.84 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 299 | $0.70 |
| 1220F | 0% | 5,739 | $0.00 | |
| 1036F | 0% | 3,135 | $0.00 | |
| 3079F | 0% | 2,402 | $0.00 | |
| 1034F | 0% | 855 | $0.00 | |
| 3075F | 0% | 1,048 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,033 | $0.00 |
| 1000F | 0% | 4,550 | $0.00 | |
| 3080F | 0% | 122 | $0.00 | |
| 1125F | 0% | 608 | $0.00 | |
| 1126F | 0% | 1,076 | $0.00 | |
| 3074F | 0% | 7,474 | $0.00 | |
| 1031F | 0% | 165 | $0.00 | |
| 90723 | 0% | 173 | $0.00 | |
| 91301 | 0% | 254 | $0.00 | |
| 94760 | 0% | 79 | $0.00 | |
| 90697 | 0% | 25 | $0.00 | |
| 91306 | 0% | 23 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 1160F | 0% | 837 | $0.00 | |
| 1159F | 0% | 6,339 | $0.00 | |
| 3078F | 0% | 6,508 | $0.00 | |
| 3077F | 0% | 534 | $0.00 | |
| 3085F | 0% | 339 | $0.00 | |
| 90461 | 0% | 157 | $0.00 | |
| 1158F | 0% | 352 | $0.00 | |
| 90633 | 0% | 49 | $0.00 | |
| 90648 | 0% | 268 | $0.00 | |
| 91313 | 0% | 18 | $0.00 | |
| 4551F | 0% | 106 | $0.00 | |
| 2028F | 0% | 27 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90710 | 0% | 13 | $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 officialWYPYSKI, WILLIAM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sterling Area Health Center | West Branch, MI | $552K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.