Baldwin Family Health Care
Baldwin Family Health Care was paid $443K by Medicaid between Feb 2020 and Sep 2024, across 13 billing codes. Its largest line is G0467, community health center visit, returning patient — 56% of everything it billed.
BIG RAPIDS, MI 49307
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 | |
|---|---|---|---|
| 2020 | 1,388 | $55K | |
| 2021 | 2,435 | $86K | |
| 2022 | 3,294 | $113K | |
| 2023 | 3,111 | $122K | |
| 2024incomplete | 1,849 | $67K |
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 | 56% | 3,914 | 3,417 | $249K |
| 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 | 26% | 2,275 | 1,246 | $115K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7.1% | 1,303 | 702 | $32K |
| 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 | 4.0% | 1,675 | 1,555 | $18K |
| 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 | 3.8% | 219 | 216 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,665 | 1,505 | $11K |
| 80305 | <1% | 858 | 713 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | 13 | $76.08 |
| 90686 | <1% | 16 | 16 | $64.56 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 13 | $60.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | 20 | $45.97 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 15 | 14 | $0.00 |
1 more codes
| 90834 | Psychotherapy session, about 45 minutes | 0% | 84 | $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 |
|---|---|---|
| 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 | White Cloud, MI | $2.88M |
| Baldwin Family Health Care | Mc Bain, MI | $1.00M |
| 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.