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

Bear Lake Community Health Center, INC.

Bear Lake Community Health Center, INC. was paid $3.79M by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.

33Billing provider infoBEAR LAKE COMMUNITY HEALTH CENTER, INC.
GARDEN CITY, UT 84028
33aNPI1689754475assigned 10/16/2006
28Total paid$3.79M
24GClaims45,646
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Utah

Rank by total paid#1 of 9
Median peer was paid$42K
This provider vs. median91×

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$50K$100K2018201920202021202220232024
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
20184,700$405K
20196,226$585K
20206,437$581K
202110,471$859K
202211,298$900K
20235,714$409K
2024incomplete800$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 77% 19,134 14,281 $2.90M
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 9.9% 7,620 6,660 $374K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.0% 10,778 9,470 $339K
D9999 Unspecified adjunctive procedure, by report 2.9% 863 692 $108K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.1% 2,681 1,170 $41K
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 <1% 726 542 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 26 26 $4K
36415 Collection of venous blood by venipuncture <1% 1,894 1,694 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 159 152 $3K
80305 <1% 316 269 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 324 306 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 21 17 $1K
24 more codes
D0120 Dental checkup, returning patient <1% 30 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 47 $1K
D1120 Dental cleaning, child <1% 25 $859.80
99203 Doctor's office visit, new patient (routine) <1% 16 $586.48
D1206 Topical application of fluoride varnish <1% 14 $380.20
D0274 Bitewings - four radiographic images <1% 43 $232.89
99000 <1% 23 $92.69
90837 Psychotherapy session, about an hour <1% 50 $15.00
36416 <1% 45 $6.01
96127 <1% 271 $0.21
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 129 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 27 $0.00
D0251 0% 16 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 13 $0.00
81002 0% 30 $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% 42 $0.00
90686 0% 73 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 15 $0.00
D0272 Bitewings - two radiographic images 0% 30 $0.00
1036F 0% 101 $0.00
90688 0% 14 $0.00
D0140 Limited oral evaluation - problem focused 0% 21 $0.00
90792 Psychiatric diagnostic evaluation with medical services 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 officialGARCIA, JORGE (CEO)
Same official

Other billing entities under GARCIA, JORGE

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