Medicaid Provider Spending

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

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

NPI: 1508804246 · ONAWAY, MI 49765 · Federally Qualified Health Center (FQHC) · NPI assigned 06/03/2006

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

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

$2.24M
Total Medicaid Paid
67,775
Total Claims
57,872
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBATES, RICHARD (INTERIM CEO)
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: BATES, RICHARD

ProviderCityStateTotal Paid
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ROGERS CITY MI $2.45M
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 10,513 $273K
2019 10,825 $335K
2020 9,194 $286K
2021 8,611 $279K
2022 9,445 $314K
2023 9,529 $347K
2024 9,658 $410K

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 21,085 18,082 $845K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,326 10,067 $215K
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 5,554 3,446 $198K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,025 6,548 $189K
90837 Psychotherapy, 53 minutes with patient 4,124 2,664 $182K
D7140 Extraction, erupted tooth or exposed root 1,532 779 $131K
D0140 Limited oral evaluation - problem focused 1,315 1,292 $69K
D1110 Prophylaxis - adult 909 909 $69K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 491 390 $61K
D0150 Comprehensive oral evaluation - new or established patient 829 829 $60K
D2391 Resin-based composite - one surface, posterior, primary or permanent 365 264 $34K
D0120 Periodic oral evaluation - established patient 1,031 1,030 $33K
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 384 384 $22K
D0220 Intraoral - periapical first radiographic image 1,638 1,601 $16K
D0330 Panoramic radiographic image 315 315 $15K
D0274 Bitewings - four radiographic images 548 548 $11K
D1120 Prophylaxis - child 276 276 $11K
D1206 Topical application of fluoride varnish 397 397 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,240 1,197 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 611 562 $7K
D0210 Intraoral - complete series of radiographic images 231 226 $6K
87428 325 318 $6K
99215 Prolong outpt/office vis 133 120 $5K
90688 454 453 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 28 27 $4K
90834 Psychotherapy, 45 minutes with patient 129 118 $3K
G0008 Administration of influenza virus vaccine 547 542 $3K
0012A 69 69 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 50 50 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 117 117 $2K
83036 Hemoglobin; glycosylated (A1C) 453 453 $2K
0011A 64 64 $2K
0064A 42 42 $2K
80306 438 388 $2K
D1354 92 39 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 177 174 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 30 30 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 174 163 $883.33
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 29 29 $873.48
0031A 19 19 $681.30
D0230 Intraoral - periapical each additional radiographic image 106 68 $625.95
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $556.80
81002 436 420 $548.42
90791 Psychiatric diagnostic evaluation 13 12 $450.48
90658 24 24 $407.06
90715 13 13 $266.77
D0272 Bitewings - two radiographic images 14 14 $212.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 26 $209.69
D0270 17 17 $190.56
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $168.00
99000 13 12 $148.17
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $99.84
J1885 Injection, ketorolac tromethamine, per 15 mg 29 24 $58.84
36415 Collection of venous blood by venipuncture 43 41 $38.52
81025 12 12 $14.26
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 14 14 $12.04
99406 12 12 $8.12
96160 170 169 $2.18
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2,098 1,835 $0.00
91301 34 34 $0.00
91303 15 15 $0.00