Thunder Bay Community Health Service, INC
Thunder Bay Community Health Service, INC was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is G0467, community health center visit, returning patient — 53% of everything it billed.
ROGERS CITY, MI 49779
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,320 | $329K | |
| 2019 | 12,996 | $337K | |
| 2020 | 11,219 | $309K | |
| 2021 | 11,994 | $347K | |
| 2022 | 12,738 | $386K | |
| 2023 | 13,424 | $420K | |
| 2024incomplete | 9,123 | $325K |
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 | 53% | 30,948 | 26,178 | $1.30M |
| 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 | 14% | 7,448 | 4,854 | $348K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 18,353 | 15,860 | $312K |
| 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 | 5.8% | 5,671 | 5,345 | $142K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.5% | 2,730 | 2,016 | $87K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 2,620 | 1,902 | $65K |
| 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 | 1.3% | 554 | 550 | $31K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 995 | 989 | $19K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 457 | 450 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 851 | 740 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,324 | 2,195 | $15K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 710 | 707 | $14K |
42 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 799 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 207 | $8K |
| 87428 | <1% | 461 | $8K | |
| 80306 | <1% | 1,064 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 177 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 324 | $6K |
| 90688 | <1% | 711 | $5K | |
| G0008 | Administration of influenza virus vaccine | <1% | 775 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 120 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 231 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 533 | $4K |
| V2020 | Frames, purchases | <1% | 168 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 376 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 287 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $1K |
| 92015 | Determination of refractive state | <1% | 355 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 334 | $1K |
| 0012A | <1% | 36 | $1K | |
| 0011A | <1% | 37 | $969.59 | |
| 0031A | <1% | 24 | $832.70 | |
| 81025 | <1% | 254 | $727.26 | |
| 0001A | <1% | 18 | $681.30 | |
| 81002 | <1% | 502 | $610.04 | |
| 0064A | <1% | 12 | $454.20 | |
| 0002A | <1% | 12 | $454.20 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $423.90 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $423.22 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $420.14 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 242 | $398.33 |
| 90658 | <1% | 14 | $210.32 | |
| 96160 | <1% | 123 | $201.32 | |
| 99000 | <1% | 14 | $141.68 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $99.68 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $96.78 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 18 | $19.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 14 | $15.40 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 2,602 | $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% | 39 | $0.00 |
| 91301 | 0% | 36 | $0.00 | |
| 91303 | 0% | 21 | $0.00 | |
| 90461 | 0% | 67 | $0.00 | |
| 91300 | 0% | 42 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.