Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $164K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is G0467, community health center visit, returning patient — 61% of everything it billed.
IRON RIVER, MI 49935
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 | 1,162 | $37K | |
| 2019 | 1,084 | $36K | |
| 2020 | 1,114 | $31K | |
| 2021 | 688 | $21K | |
| 2022 | 31 | $1K | |
| 2023 | 760 | $22K | |
| 2024incomplete | 960 | $16K |
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 | 61% | 3,070 | 2,806 | $100K |
| 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 | 31% | 1,532 | 1,458 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 610 | 580 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72 | 67 | $2K |
| 90686 | <1% | 30 | 30 | $215.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | 31 | $96.00 |
| 3074F | 0% | 215 | 209 | $0.00 | |
| 3080F | 0% | 13 | 12 | $0.00 | |
| 3079F | 0% | 60 | 58 | $0.00 | |
| 3078F | 0% | 166 | 160 | $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
| Provider | Location | Paid |
|---|---|---|
| Upper Great Lakes Family Health Center | Hancock, MI | $4.08M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.84M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.57M |
| Upper Great Lakes Family Health Center | Marquette, MI | $1.56M |
| Upper Great Lakes Family Health Center | Calumet, MI | $1.41M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.27M |
| Upper Great Lakes Family Health Center | Houghton, MI | $955K |
| Upper Great Lakes Family Health Center | Calumet, MI | $947K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $350K |
| Upper Great Lakes Family Health Center | Menominee, MI | $337K |
| Upper Great Lakes Family Health Center | Ontonagon, MI | $167K |
| Upper Great Lakes Family Health Center | Hancock, MI | $32K |
| Upper Great Lakes Family Health Center | Iron River, MI | $31K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.