Clinic
Pokagon Band of Potawatomi Indians
Pokagon Band of Potawatomi Indians was paid $11.47M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is G0467, community health center visit, returning patient — 47% of everything it billed.
33Billing provider infoPOKAGON BAND OF POTAWATOMI INDIANS
DOWAGIAC, MI 49047
DOWAGIAC, MI 49047
33aNPI1497833271assigned 11/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.47M
24GClaims70,652
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#6 of 241
Median peer was paid$477K
This provider vs. median24×
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 | 6,455 | $812K | |
| 2019 | 7,549 | $1.14M | |
| 2020 | 7,287 | $1.21M | |
| 2021 | 9,773 | $1.80M | |
| 2022 | 14,177 | $2.43M | |
| 2023 | 17,765 | $2.90M | |
| 2024incomplete | 7,646 | $1.17M |
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 | 47% | 14,408 | 10,839 | $5.35M |
| 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 | 29% | 8,925 | 4,605 | $3.37M |
| D1110 | Prophylaxis - adult | 3.9% | 2,280 | 2,276 | $446K |
| 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 | 3.9% | 1,673 | 1,653 | $443K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 1,095 | 1,060 | $318K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 2,343 | 2,329 | $287K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,157 | 1,155 | $262K |
| 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 | 1.7% | 886 | 501 | $198K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 1,098 | 437 | $160K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 814 | 611 | $152K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 752 | 542 | $122K |
| 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% | 313 | 309 | $89K |
54 more codes
| D1120 | Dental cleaning, child | <1% | 1,490 | $63K |
| D1206 | Topical application of fluoride varnish | <1% | 3,244 | $49K |
| D0330 | Panoramic radiographic image | <1% | 1,206 | $33K |
| D2740 | Crown - porcelain/ceramic | <1% | 45 | $30K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 858 | $22K |
| D0274 | Bitewings - four radiographic images | <1% | 669 | $15K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,127 | $10K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 7,359 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,601 | $8K |
| D2331 | <1% | 32 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 193 | $4K |
| D2330 | <1% | 19 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,405 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,332 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 229 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 415 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 932 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 330 | $1K |
| D1351 | Sealant - per tooth | <1% | 50 | $1K |
| 0064A | <1% | 30 | $847.85 | |
| 90480 | <1% | 52 | $809.74 | |
| 0134A | <1% | 45 | $793.17 | |
| D0270 | <1% | 71 | $592.51 | |
| 0071A | <1% | 17 | $533.55 | |
| 0072A | <1% | 14 | $435.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 669 | $341.84 |
| 91322 | <1% | 48 | $280.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $202.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $195.72 |
| 90686 | <1% | 363 | $186.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 357 | $142.24 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 112 | $105.19 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $102.42 |
| 98940 | <1% | 20 | $100.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | $100.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 189 | $82.26 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $82.02 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $80.39 |
| G0008 | Administration of influenza virus vaccine | <1% | 153 | $42.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 112 | $16.68 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $13.91 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $13.69 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $12.86 |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $8.74 |
| 81003 | 0% | 63 | $0.00 | |
| D0350 | 0% | 384 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 57 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 54 | $0.00 |
| 90746 | 0% | 13 | $0.00 | |
| D1330 | 0% | 895 | $0.00 | |
| 97124 | 0% | 54 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 117 | $0.00 |
| D3120 | 0% | 178 | $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 officialGATTIES, PRISCILLA (DIRECTOR OF HEALTH SERVICES)