Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

County of Tuscola Health Dept.

County of Tuscola Health Dept. was paid $600K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99402, — 39% of everything it billed.

33Billing provider infoCOUNTY OF TUSCOLA HEALTH DEPT.
CARO, MI 48723
33aNPI1669497053assigned 07/13/2006
28Total paid$600K
24GClaims39,221
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Michigan

Rank by total paid#17 of 58
Median peer was paid$221K
This provider vs. median2.7×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20188,992$103K
20197,913$93K
20203,623$78K
20215,779$106K
20224,657$55K
20234,457$81K
2024incomplete3,800$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99402 39% 3,039 2,896 $232K
90472 Immunization administration, each additional vaccine (list separately) 15% 4,838 4,803 $90K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12% 7,276 7,211 $69K
V5008 Hearing screening 5.7% 3,679 3,674 $34K
99172 3.6% 2,345 2,343 $22K
83655 3.5% 1,812 1,809 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.9% 1,370 1,355 $17K
90651 2.8% 1,086 1,081 $17K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2.5% 1,020 1,017 $15K
0012A 2.1% 359 358 $13K
0011A 1.8% 362 357 $11K
90686 1.4% 1,723 1,718 $9K
42 more codes
90715 1.1% 867 $7K
0001A 1.0% 163 $6K
0002A <1% 154 $6K
90632 <1% 115 $5K
90620 <1% 134 $3K
0071A <1% 65 $2K
0064A <1% 64 $2K
90677 <1% 217 $2K
90480 <1% 100 $2K
90734 <1% 929 $2K
90716 <1% 173 $2K
91322 <1% 13 $2K
0072A <1% 42 $2K
0124A <1% 38 $1K
90670 <1% 1,474 $1K
0004A <1% 30 $1K
90656 <1% 102 $751.59
90707 <1% 144 $646.39
0134A <1% 21 $638.73
86580 <1% 109 $505.78
90474 <1% 26 $318.50
S4993 Contraceptive pills for birth control <1% 15 $299.97
90710 <1% 362 $175.40
90473 <1% 24 $72.00
90672 <1% 37 $69.00
90696 0% 214 $0.00
90647 0% 731 $0.00
90723 0% 589 $0.00
90697 0% 41 $0.00
91301 0% 684 $0.00
91307 0% 106 $0.00
90680 0% 14 $0.00
91306 0% 55 $0.00
90698 0% 13 $0.00
90700 0% 272 $0.00
90633 0% 1,131 $0.00
90685 0% 271 $0.00
90681 0% 298 $0.00
90713 0% 12 $0.00
91300 0% 409 $0.00
91312 0% 38 $0.00
91313 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 officialTENBUSCH, GRETCHEN (HEALTH OFFICER)
Same official

Other billing entities under TENBUSCH, GRETCHEN

Full network →
ProviderLocationPaid
Huron County Health DepartmentBad Axe, MI$403K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.