Northern Pines Health Center, PC

Northern Pines Health Center, PC was paid $660K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.

33Billing provider infoNORTHERN PINES HEALTH CENTER, PC
BUCKLEY, MI 49620

33aNPI1578547071assigned 11/30/2005

33bProvider typePreferred Provider Organization

28Total paid$660K

24GClaims26,642

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in Michigan

Rank by total paid#2 of 6

Median peer was paid$96K

This provider vs. median6.9×

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	5,274	$123K
2019	3,909	$92K
2020	3,927	$99K
2021	4,146	$101K
2022	3,719	$90K
2023	3,269	$87K
2024incomplete	2,398	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	92%	13,561	11,429	$606K
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	3.5%	4,031	3,696	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	5,273	4,810	$23K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	510	459	$1K
0012A		<1%	29	29	$1K
90686		<1%	268	266	$962.73
0011A		<1%	26	26	$924.35
98966		<1%	1,334	1,206	$726.57
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	110	110	$678.68
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	92	91	$671.06
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	358	296	$308.62
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	110	109	$271.88

14 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	$270.33
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	$218.37
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	117	$159.52
90656		<1%	12	$146.40
87428		<1%	27	$120.72
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	33	$23.28
G9002	Coordinated care fee, maintenance rate	<1%	279	$0.48
G9008	Coordinated care fee, physician coordinated care oversight services	<1%	190	$0.21
G9007	Coordinated care fee, scheduled team conference	<1%	121	$0.03
S0257	Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)	0%	20	$0.00
91301		0%	55	$0.00
99173		0%	32	$0.00
99215	Doctor's office visit, returning patient (complex)	0%	13	$0.00
81002		0%	16	$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 officialHEWITT, MITZIE (OWNER)