Baldwin Family Health Care
Baldwin Family Health Care was paid $2.88M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is G0467, community health center visit, returning patient — 74% of everything it billed.
33Billing provider infoBALDWIN FAMILY HEALTH CARE
WHITE CLOUD, MI 49349
WHITE CLOUD, MI 49349
33aNPI1558470567assigned 08/30/2006
33bProvider typeOptometrist
28Total paid$2.88M
24GClaims92,677
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#11 of 497
Median peer was paid$21K
This provider vs. median137×
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.
Entity ProliferationAuthorized official TATKO, JULIE controls 13+ related entities in our dataset. Read more
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 | 21,368 | $616K | |
| 2019 | 18,075 | $540K | |
| 2020 | 12,506 | $378K | |
| 2021 | 15,746 | $475K | |
| 2022 | 12,197 | $393K | |
| 2023 | 7,373 | $269K | |
| 2024incomplete | 5,412 | $206K |
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 | 74% | 35,658 | 30,497 | $2.13M |
| 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 | 16% | 6,982 | 3,855 | $464K |
| 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 | 3.9% | 1,495 | 1,454 | $112K |
| 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 | 2.1% | 15,352 | 14,018 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 11,858 | 10,723 | $33K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 4,959 | 2,830 | $21K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 3,100 | 2,943 | $11K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 633 | 559 | $10K |
| V2020 | Frames, purchases | <1% | 278 | 277 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 881 | 796 | $4K |
| 92015 | Determination of refractive state | <1% | 2,151 | 2,124 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,230 | 2,206 | $3K |
37 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 585 | $2K |
| 0012A | <1% | 62 | $2K | |
| 90686 | <1% | 1,081 | $2K | |
| 0011A | <1% | 66 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 363 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 188 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,195 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 380 | $1K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 57 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 177 | $924.17 |
| H0031 | Mental health assessment, by non-physician | <1% | 206 | $912.10 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 610 | $887.68 |
| 0031A | <1% | 24 | $834.85 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 178 | $664.58 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 284 | $490.89 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 66 | $434.56 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 202 | $298.11 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $248.48 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | $227.64 |
| 90651 | <1% | 26 | $216.36 | |
| 92341 | <1% | 64 | $203.62 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 143 | $200.79 |
| 90715 | <1% | 19 | $142.60 | |
| 81002 | <1% | 378 | $132.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 147 | $101.20 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $55.39 |
| 81025 | <1% | 13 | $26.13 | |
| 85018 | <1% | 25 | $1.96 | |
| G0008 | Administration of influenza virus vaccine | 0% | 157 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 37 | $0.00 |
| 90670 | 0% | 29 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 13 | $0.00 |
| 90734 | 0% | 49 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| 90662 | 0% | 12 | $0.00 | |
| 90682 | 0% | 33 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $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 officialTATKO, JULIE (CEO)
Parent organizationBALDWIN FAMILY HEALTH CARE INC
| Provider | Location | Paid |
|---|---|---|
| Baldwin Family Health Care | Baldwin, MI | $10.80M |
| Baldwin Family Health Care | Cadillac, MI | $5.71M |
| Baldwin Family Health Care | Baldwin, MI | $4.49M |
| Baldwin Family Health Care | Grant, MI | $3.10M |
| Baldwin Family Health Care | Mc Bain, MI | $1.00M |
| Baldwin Family Health Care | Big Rapids, MI | $443K |
| Baldwin Family Health Care | Newaygo, MI | $136K |
| Baldwin Family Health Care | Baldwin, MI | $111K |
| Baldwin Family Health Care | Baldwin, MI | $56K |
| Baldwin Family Health Care | Leroy, MI | $54K |
| Baldwin Family Health Care | Big Rapids, MI | $39K |
| Baldwin Family Health Care | Grant, MI | $33K |
| Baldwin Family Health Care | White Cloud, MI | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.