Clinic
Downriver Community Services, INC.
Downriver Community Services, INC. was paid $4.86M by Medicaid between Jan 2018 and Dec 2024, across 121 billing codes. Its largest line is G0467, community health center visit, returning patient — 61% of everything it billed.
33Billing provider infoDOWNRIVER COMMUNITY SERVICES, INC.
NEW HAVEN, MI 48048
NEW HAVEN, MI 48048
33aNPI1679571392assigned 07/08/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.86M
24GClaims192,435
24DCodes billed121
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#32 of 241
Median peer was paid$477K
This provider vs. median10×
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 | 27,807 | $741K | |
| 2019 | 29,486 | $757K | |
| 2020 | 22,143 | $592K | |
| 2021 | 27,178 | $622K | |
| 2022 | 28,937 | $677K | |
| 2023 | 32,896 | $810K | |
| 2024incomplete | 23,988 | $662K |
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 | 61% | 43,056 | 39,856 | $2.98M |
| 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 | 8.3% | 4,972 | 4,948 | $401K |
| 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 | 4.8% | 3,356 | 1,521 | $231K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 1,655 | 1,608 | $142K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,457 | 1,456 | $125K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 2,173 | 2,167 | $123K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 929 | 704 | $115K |
| D1110 | Prophylaxis - adult | 2.3% | 1,953 | 1,949 | $113K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 923 | 503 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 19,941 | 18,848 | $84K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 630 | 443 | $62K |
| 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 | 1.2% | 10,595 | 10,253 | $61K |
109 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,113 | $32K |
| D1120 | Dental cleaning, child | <1% | 722 | $28K |
| D1206 | Topical application of fluoride varnish | <1% | 948 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 159 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,982 | $21K |
| D0274 | Bitewings - four radiographic images | <1% | 836 | $20K |
| 59426 | <1% | 17 | $18K | |
| 90837 | Psychotherapy session, about an hour | <1% | 2,197 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,891 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,420 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,380 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,995 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,639 | $8K |
| 90651 | <1% | 513 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,459 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,221 | $7K |
| D2950 | <1% | 40 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 540 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,892 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 961 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 940 | $5K |
| 90670 | <1% | 1,371 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 941 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 26 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 414 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,745 | $3K |
| 90686 | <1% | 2,378 | $3K | |
| 0012A | <1% | 130 | $3K | |
| 0011A | <1% | 140 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 332 | $2K |
| 99385 | <1% | 253 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,281 | $2K |
| 0002A | <1% | 58 | $2K | |
| 0001A | <1% | 55 | $2K | |
| 99406 | <1% | 926 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 129 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 356 | $1K |
| 0064A | <1% | 35 | $1K | |
| 81025 | <1% | 998 | $1K | |
| 87634 | <1% | 180 | $988.21 | |
| 82962 | <1% | 2,063 | $823.62 | |
| 81002 | <1% | 1,979 | $758.10 | |
| 85018 | <1% | 2,738 | $704.42 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 273 | $697.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 225 | $694.77 |
| 99381 | <1% | 66 | $693.76 | |
| 90656 | <1% | 117 | $559.32 | |
| D1354 | <1% | 46 | $540.23 | |
| 0071A | <1% | 14 | $529.26 | |
| 90715 | <1% | 274 | $488.86 | |
| 0072A | <1% | 12 | $452.60 | |
| 80305 | <1% | 130 | $344.09 | |
| 90619 | <1% | 109 | $313.68 | |
| 90677 | <1% | 138 | $298.04 | |
| 90632 | <1% | 23 | $256.90 | |
| 99383 | <1% | 25 | $202.00 | |
| 99384 | <1% | 51 | $202.00 | |
| 90474 | <1% | 299 | $194.25 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 132 | $191.94 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 87 | $175.92 |
| 93000 | <1% | 109 | $166.82 | |
| 90621 | <1% | 90 | $140.84 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 71 | $114.50 |
| 81003 | <1% | 218 | $85.61 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $85.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $68.40 |
| 87807 | <1% | 18 | $43.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $33.91 |
| 92551 | <1% | 20 | $19.62 | |
| 83014 | <1% | 12 | $7.23 | |
| 0502F | <1% | 363 | $0.19 | |
| 3074F | <1% | 9,426 | $0.03 | |
| 0500F | <1% | 51 | $0.02 | |
| 3078F | 0% | 8,527 | $0.00 | |
| 3077F | 0% | 2,038 | $0.00 | |
| 3046F | 0% | 420 | $0.00 | |
| 90633 | 0% | 608 | $0.00 | |
| 90710 | 0% | 165 | $0.00 | |
| 90707 | 0% | 110 | $0.00 | |
| 3045F | 0% | 92 | $0.00 | |
| 90734 | 0% | 218 | $0.00 | |
| 90681 | 0% | 183 | $0.00 | |
| 91300 | 0% | 147 | $0.00 | |
| 3051F | 0% | 139 | $0.00 | |
| 90700 | 0% | 71 | $0.00 | |
| 99173 | 0% | 27 | $0.00 | |
| 90685 | 0% | 39 | $0.00 | |
| D0603 | 0% | 284 | $0.00 | |
| 3079F | 0% | 5,061 | $0.00 | |
| 3075F | 0% | 3,829 | $0.00 | |
| 3080F | 0% | 1,699 | $0.00 | |
| 3044F | 0% | 1,315 | $0.00 | |
| D1330 | 0% | 581 | $0.00 | |
| 36416 | 0% | 742 | $0.00 | |
| 90698 | 0% | 200 | $0.00 | |
| 90716 | 0% | 120 | $0.00 | |
| 90647 | 0% | 524 | $0.00 | |
| 91306 | 0% | 35 | $0.00 | |
| 90620 | 0% | 55 | $0.00 | |
| 90723 | 0% | 161 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 59 | $0.00 |
| 91307 | 0% | 29 | $0.00 | |
| 99386 | 0% | 25 | $0.00 | |
| D0602 | 0% | 39 | $0.00 | |
| 91301 | 0% | 282 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 53 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| 90744 | 0% | 29 | $0.00 | |
| 90680 | 0% | 34 | $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 officialBRANOWSKI, MICHAEL (CEO)