Physician
Baldwin Family Health Care
Baldwin Family Health Care was paid $4.49M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is G0467, community health center visit, returning patient — 68% of everything it billed.
33Billing provider infoBALDWIN FAMILY HEALTH CARE
BALDWIN, MI 49304
BALDWIN, MI 49304
33aNPI1689783698assigned 08/30/2006
33bProvider typeInternal Medicine Physician
28Total paid$4.49M
24GClaims145,823
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#23 of 816
Median peer was paid$70K
This provider vs. median64×
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.
Entity ProliferationAuthorized official TATKO, JULIE controls 13+ related entities in our dataset. Read more
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 | 23,093 | $664K | |
| 2019 | 21,289 | $606K | |
| 2020 | 14,162 | $431K | |
| 2021 | 15,277 | $469K | |
| 2022 | 21,803 | $666K | |
| 2023 | 28,131 | $903K | |
| 2024incomplete | 22,068 | $748K |
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 | 68% | 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 | 24% | 16,348 | 9,149 | $1.05M |
| 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 | 4.1% | 2,570 | 2,541 | $183K |
| 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 | 1.6% | 24,243 | 22,070 | $72K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 12,606 | 7,112 | $45K |
| 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% | 17,567 | 16,171 | $37K |
| V2020 | Frames, purchases | <1% | 308 | 302 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 115 | 114 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 179 | 178 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 766 | 763 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 974 | 948 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,187 | 2,009 | $3K |
60 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 481 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,315 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,608 | $3K |
| H0031 | Mental health assessment, by non-physician | <1% | 858 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 509 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 79 | $2K |
| 90651 | <1% | 133 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 40 | $2K |
| 90686 | <1% | 1,263 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 291 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 311 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 636 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 398 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 233 | $1K |
| 0011A | <1% | 43 | $950.78 | |
| 0012A | <1% | 27 | $855.15 | |
| 90632 | <1% | 64 | $825.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 610 | $765.57 |
| G9001 | Coordinated care fee, initial rate | <1% | 37 | $729.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 564 | $695.12 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 138 | $668.08 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 313 | $666.24 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 155 | $658.86 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 56 | $558.92 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 719 | $442.17 |
| 81003 | <1% | 1,604 | $396.82 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 284 | $389.24 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 221 | $356.50 |
| 81025 | <1% | 388 | $335.03 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $309.04 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 79 | $283.32 |
| 90656 | <1% | 47 | $268.20 | |
| 90715 | <1% | 181 | $199.75 | |
| 94060 | <1% | 13 | $170.35 | |
| 90707 | <1% | 17 | $162.00 | |
| 90746 | <1% | 33 | $67.06 | |
| 90682 | <1% | 18 | $60.98 | |
| 85018 | <1% | 69 | $51.96 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 598 | $48.73 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $42.39 |
| 80305 | <1% | 57 | $41.72 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 37 | $29.32 |
| 80061 | Lipid panel | <1% | 14 | $27.38 |
| 92015 | Determination of refractive state | <1% | 490 | $11.29 |
| 81002 | <1% | 34 | $5.50 | |
| 90662 | <1% | 38 | $1.34 | |
| G0008 | Administration of influenza virus vaccine | <1% | 151 | $0.18 |
| 99173 | 0% | 518 | $0.00 | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 70 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 82 | $0.00 |
| 90734 | 0% | 51 | $0.00 | |
| 90670 | 0% | 41 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 54 | $0.00 |
| 99495 | 0% | 12 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 32 | $0.00 |
| 90677 | 0% | 12 | $0.00 | |
| 90619 | 0% | 34 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 90620 | 0% | 13 | $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 officialTATKO, JULIE (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.