Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

NPI: 1477591691 · ROGERS CITY, MI 49779 · Federally Qualified Health Center (FQHC) · NPI assigned 06/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BATES, RICHARD controls 20+ related entities in our dataset. Read more

$2.45M
Total Medicaid Paid
84,814
Total Claims
72,327
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBATES, RICHARD (INTERIM CEO)
NPI Enumeration Date06/02/2006

Related Entities

Other providers sharing the same authorized official: BATES, RICHARD

ProviderCityStateTotal Paid
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ONAWAY MI $2.24M
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HILLMAN MI $983K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $791K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ONAWAY MI $551K
PALMETTO REHABILITATION SPECIALISTS, LLC FORT MILL SC $455K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC INDIAN RIVER MI $329K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC JOHANNESBURG MI $321K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $277K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC FAIRVIEW MI $253K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC MIO MI $235K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ROGERS CITY MI $218K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC FAIRVIEW MI $139K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ATLANTA MI $126K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC INDIAN RIVER MI $93K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HALE MI $90K
CHEBOYGAN AREA HIGH SCHOOL - COUNSELING ROOM CHEBOYGAN MI $71K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC LEWISTON MI $48K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $43K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HILLMAN MI $32K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC. VANDERBILT MI $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,123 $325K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 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 7,448 4,854 $348K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,353 15,860 $312K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,671 5,345 $142K
90837 Psychotherapy, 53 minutes with patient 2,730 2,016 $87K
90834 Psychotherapy, 45 minutes with patient 2,620 1,902 $65K
G0466 Federally 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 554 550 $31K
S0621 Routine ophthalmological examination including refraction; established patient 995 989 $19K
90791 Psychiatric diagnostic evaluation 457 450 $16K
90832 Psychotherapy, 30 minutes with patient 851 740 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,324 2,195 $15K
S0620 Routine ophthalmological examination including refraction; new patient 710 707 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 799 763 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 207 207 $8K
87428 461 452 $8K
80306 1,064 949 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 177 177 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 324 323 $6K
90688 711 708 $5K
G0008 Administration of influenza virus vaccine 775 773 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 120 120 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 231 227 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 533 504 $4K
V2020 Frames, purchases 168 166 $3K
83036 Hemoglobin; glycosylated (A1C) 376 374 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 287 250 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $1K
92015 Determination of refractive state 355 353 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 334 332 $1K
0012A 36 36 $1K
0011A 37 37 $969.59
0031A 24 24 $832.70
81025 254 240 $727.26
0001A 18 17 $681.30
81002 502 483 $610.04
0064A 12 12 $454.20
0002A 12 12 $454.20
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $423.90
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $423.22
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $420.14
J1885 Injection, ketorolac tromethamine, per 15 mg 242 223 $398.33
90658 14 14 $210.32
96160 123 123 $201.32
99000 14 14 $141.68
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $99.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $96.78
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18 17 $19.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 12 $15.40
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2,602 2,309 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 39 30 $0.00
91301 36 36 $0.00
91303 21 21 $0.00
90461 67 65 $0.00
91300 42 34 $0.00