Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BALDWIN FAMILY HEALTH CARE

NPI: 1689783698 · BALDWIN, MI 49304 · Internal Medicine Physician · NPI assigned 08/30/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TATKO, JULIE controls 13+ related entities in our dataset. Read more

$4.49M
Total Medicaid Paid
145,823
Total Claims
122,029
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTATKO, JULIE (CEO)
NPI Enumeration Date08/30/2006

Related Entities

Other providers sharing the same authorized official: TATKO, JULIE

ProviderCityStateTotal Paid
BALDWIN FAMILY HEALTH CARE BALDWIN MI $10.80M
BALDWIN FAMILY HEALTH CARE CADILLAC MI $5.71M
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 BIG RAPIDS MI $443K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,093 $664K
2019 21,289 $606K
2020 14,162 $431K
2021 15,277 $469K
2022 21,803 $666K
2023 28,131 $903K
2024 22,068 $748K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 49,736 43,073 $3.03M
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 16,348 9,149 $1.05M
G0466 Federally 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 2,570 2,541 $183K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,243 22,070 $72K
H0004 Behavioral health counseling and therapy, per 15 minutes 12,606 7,112 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,567 16,171 $37K
V2020 Frames, purchases 308 302 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 115 114 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 179 178 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 766 763 $4K
99215 Prolong outpt/office vis 974 948 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,187 2,009 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 481 471 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,315 3,264 $3K
90472 Immunization administration, each additional vaccine (list separately) 1,608 1,582 $3K
H0031 Mental health assessment, by non-physician 858 847 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 509 509 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 79 78 $2K
90651 133 133 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 40 40 $2K
90686 1,263 1,254 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 291 281 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 311 311 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 636 619 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 398 395 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 233 233 $1K
0011A 43 43 $950.78
0012A 27 27 $855.15
90632 64 62 $825.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 610 598 $765.57
G9001 Coordinated care fee, initial rate 37 36 $729.90
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 564 545 $695.12
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 138 131 $668.08
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 313 284 $666.24
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 155 153 $658.86
J1040 Injection, methylprednisolone acetate, 80 mg 56 55 $558.92
83036 Hemoglobin; glycosylated (A1C) 719 715 $442.17
81003 1,604 1,525 $396.82
J1885 Injection, ketorolac tromethamine, per 15 mg 284 259 $389.24
71046 Radiologic examination, chest; 2 views 221 205 $356.50
81025 388 377 $335.03
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $309.04
G9002 Coordinated care fee, maintenance rate 79 73 $283.32
90656 47 47 $268.20
90715 181 180 $199.75
94060 13 13 $170.35
90707 17 16 $162.00
90746 33 32 $67.06
90682 18 18 $60.98
85018 69 67 $51.96
90834 Psychotherapy, 45 minutes with patient 598 368 $48.73
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $42.39
80305 57 55 $41.72
90853 Group psychotherapy (other than of a multiple-family group) 37 30 $29.32
80061 Lipid panel 14 14 $27.38
92015 Determination of refractive state 490 483 $11.29
81002 34 31 $5.50
90662 38 37 $1.34
G0008 Administration of influenza virus vaccine 151 150 $0.18
99173 518 515 $0.00
S0621 Routine ophthalmological examination including refraction; established patient 70 70 $0.00
90832 Psychotherapy, 30 minutes with patient 82 71 $0.00
90734 51 51 $0.00
90670 41 40 $0.00
90633 13 13 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 54 52 $0.00
99495 12 12 $0.00
S0620 Routine ophthalmological examination including refraction; new patient 32 32 $0.00
90677 12 12 $0.00
90619 34 34 $0.00
90647 14 14 $0.00
90620 13 13 $0.00