Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $4.93M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is G0467, community health center visit, returning patient — 54% of everything it billed.
SAGINAW, MI 48602
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 | 26,505 | $570K | |
| 2019 | 18,183 | $438K | |
| 2020 | 13,814 | $409K | |
| 2021 | 18,716 | $521K | |
| 2022 | 20,565 | $594K | |
| 2023 | 41,775 | $1.15M | |
| 2024incomplete | 57,898 | $1.25M |
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 | 54% | 50,769 | 44,802 | $2.64M |
| 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% | 11,445 | 7,802 | $683K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 23,982 | 22,468 | $319K |
| 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 | 5.0% | 12,603 | 12,160 | $247K |
| 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 | 4.7% | 3,966 | 3,933 | $231K |
| 59426 | 4.0% | 241 | 236 | $195K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.8% | 1,962 | 1,952 | $139K |
| 59430 | <1% | 551 | 548 | $46K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 3,159 | 2,350 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,115 | 4,700 | $42K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,169 | 2,716 | $40K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,849 | 1,352 | $35K |
112 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 878 | $21K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 581 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 850 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,680 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 517 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,293 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,092 | $13K |
| 99000 | <1% | 2,643 | $12K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,328 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 874 | $9K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 990 | $8K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 627 | $8K |
| 81025 | <1% | 2,600 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,234 | $7K |
| 96160 | <1% | 1,323 | $7K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 272 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 190 | $6K |
| 90686 | <1% | 1,023 | $6K | |
| 76830 | Ultrasound, transvaginal | <1% | 319 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 120 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 103 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 413 | $5K |
| 90651 | <1% | 24 | $4K | |
| 90715 | <1% | 233 | $4K | |
| 59025 | Fetal non-stress test | <1% | 557 | $4K |
| 82962 | <1% | 3,519 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 255 | $4K |
| 92015 | Determination of refractive state | <1% | 1,324 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 73 | $3K |
| 96127 | <1% | 1,862 | $2K | |
| 91320 | <1% | 20 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 43 | $1K |
| 0064A | <1% | 59 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 277 | $1K |
| 90656 | <1% | 92 | $1K | |
| 81003 | <1% | 1,556 | $1K | |
| 90677 | <1% | 83 | $1K | |
| H0001 | Alcohol and/or drug assessment | <1% | 139 | $1K |
| 97162 | <1% | 72 | $1K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 87 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 40 | $897.16 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 60 | $727.65 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 93 | $679.38 |
| 90480 | <1% | 21 | $611.03 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 617 | $601.45 |
| 99385 | <1% | 12 | $551.49 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 15 | $472.40 |
| 0011A | <1% | 12 | $340.65 | |
| 97161 | <1% | 37 | $320.55 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 61 | $310.50 |
| V2020 | Frames, purchases | <1% | 18 | $281.80 |
| 92133 | <1% | 182 | $267.75 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 24 | $263.88 |
| 95251 | <1% | 73 | $204.97 | |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | <1% | 23 | $203.70 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 15 | $202.10 |
| 82044 | <1% | 104 | $198.87 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 40 | $193.37 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 49 | $159.93 |
| 0134A | <1% | 13 | $150.12 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 38 | $145.59 |
| 76801 | <1% | 12 | $140.26 | |
| 85018 | <1% | 110 | $130.82 | |
| 81001 | <1% | 40 | $83.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $80.00 |
| 36416 | <1% | 1,003 | $77.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $52.50 |
| 81002 | <1% | 28 | $48.96 | |
| 92134 | <1% | 29 | $25.77 | |
| 82570 | <1% | 14 | $17.16 | |
| 3008F | <1% | 8,112 | $14.91 | |
| 80305 | <1% | 12 | $10.43 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,049 | $0.03 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 196 | $0.02 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 382 | $0.01 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 443 | $0.01 |
| 90461 | 0% | 118 | $0.00 | |
| 3078F | 0% | 5,059 | $0.00 | |
| 0502F | 0% | 2,424 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,020 | $0.00 |
| 3045F | 0% | 98 | $0.00 | |
| 3051F | 0% | 80 | $0.00 | |
| 3077F | 0% | 1,013 | $0.00 | |
| 1160F | 0% | 2,594 | $0.00 | |
| 3046F | 0% | 135 | $0.00 | |
| 2022F | 0% | 121 | $0.00 | |
| 1159F | 0% | 294 | $0.00 | |
| 90670 | 0% | 24 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 59 | $0.00 |
| 91313 | 0% | 23 | $0.00 | |
| 3351F | 0% | 1,296 | $0.00 | |
| 1125F | 0% | 83 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 1,810 | $0.00 |
| 3075F | 0% | 1,730 | $0.00 | |
| 3074F | 0% | 6,122 | $0.00 | |
| 0500F | 0% | 339 | $0.00 | |
| 3079F | 0% | 3,053 | $0.00 | |
| 3044F | 0% | 802 | $0.00 | |
| 3080F | 0% | 791 | $0.00 | |
| 3072F | 0% | 111 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 82 | $0.00 |
| 1126F | 0% | 479 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 39 | $0.00 |
| 2000F | 0% | 374 | $0.00 | |
| 91306 | 0% | 48 | $0.00 | |
| 91301 | 0% | 57 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| 2023F | 0% | 43 | $0.00 | |
| 3060F | 0% | 13 | $0.00 | |
| 90647 | 0% | 29 | $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 |
|---|---|---|
| Great Lakes Bay Health Centers | Saginaw, MI | $10.37M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.90M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.08M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.76M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.66M |
| Great Lakes Bay Health Centers | Bay City, MI | $4.14M |
| Great Lakes Bay Health Centers | Saginaw, MI | $3.74M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.76M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.61M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.48M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.43M |
| Great Lakes Bay Health Centers | Saginaw, MI | $2.34M |
| Great Lakes Bay Health Centers | Imlay City, MI | $1.71M |
| Great Lakes Bay Health Centers | Bay City, MI | $1.05M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.03M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.02M |
| Great Lakes Bay Health Centers | Bad Axe, MI | $962K |
| Great Lakes Bay Health Centers | Saginaw, MI | $909K |
| Great Lakes Bay Health Centers | Bad Axe, MI | $867K |
| Great Lakes Bay Health Centers | Imlay City, MI | $613K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.