Physician
Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $1.57M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is G0467, community health center visit, returning patient — 56% of everything it billed.
33Billing provider infoUPPER GREAT LAKES FAMILY HEALTH CENTER
GWINN, MI 49841
GWINN, MI 49841
33aNPI1700103777assigned 04/29/2010
33bProvider typeFamily Medicine Physician
28Total paid$1.57M
24GClaims51,477
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#88 of 826
Median peer was paid$98K
This provider vs. median16×
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 HODGES, TREVOR controls 14+ 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 | 8,106 | $269K | |
| 2019 | 11,118 | $483K | |
| 2020 | 7,719 | $233K | |
| 2021 | 5,887 | $139K | |
| 2022 | 6,540 | $153K | |
| 2023 | 6,914 | $162K | |
| 2024incomplete | 5,193 | $131K |
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 | 56% | 19,565 | 16,253 | $874K |
| 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 | 18% | 6,807 | 6,349 | $282K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 6,039 | 4,999 | $123K |
| 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 | 6.8% | 1,708 | 999 | $107K |
| 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 | 3.6% | 596 | 593 | $57K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 2.3% | 737 | 733 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 296 | 287 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 774 | 706 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,912 | 1,889 | $10K |
| 90686 | <1% | 895 | 891 | $6K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 746 | 524 | $6K |
| 0012A | <1% | 97 | 97 | $4K |
37 more codes
| 99417 | Prolong home eval add 15m | <1% | 207 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 644 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 114 | $3K |
| 0011A | <1% | 87 | $2K | |
| 99334 | <1% | 726 | $2K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 25 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 371 | $1K |
| 87428 | <1% | 25 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 211 | $976.41 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $723.51 |
| 99326 | <1% | 59 | $618.48 | |
| 0064A | <1% | 15 | $529.90 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,363 | $467.89 |
| 98966 | <1% | 58 | $437.78 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $420.14 |
| 90656 | <1% | 17 | $379.95 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $150.81 |
| 96127 | <1% | 42 | $116.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $112.00 |
| 99335 | <1% | 165 | $106.18 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 261 | $103.60 |
| 99348 | <1% | 15 | $93.90 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 213 | $91.72 |
| 3078F | 0% | 1,579 | $0.00 | |
| 90746 | 0% | 79 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 30 | $0.00 |
| 99336 | 0% | 28 | $0.00 | |
| 3079F | 0% | 370 | $0.00 | |
| 3074F | 0% | 1,696 | $0.00 | |
| 1126F | 0% | 135 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 1,087 | $0.00 |
| 3075F | 0% | 204 | $0.00 | |
| 90632 | 0% | 90 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 57 | $0.00 |
| 91301 | 0% | 195 | $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% | 36 | $0.00 |
| 91306 | 0% | 15 | $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 officialHODGES, TREVOR (CEO)
| Provider | Location | Paid |
|---|---|---|
| Upper Great Lakes Family Health Center | Hancock, MI | $4.08M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.84M |
| Upper Great Lakes Family Health Center | Marquette, MI | $1.56M |
| Upper Great Lakes Family Health Center | Calumet, MI | $1.41M |
| Upper Great Lakes Family Health Center | Gwinn, MI | $1.27M |
| Upper Great Lakes Family Health Center | Houghton, MI | $955K |
| Upper Great Lakes Family Health Center | Calumet, MI | $947K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $350K |
| Upper Great Lakes Family Health Center | Menominee, MI | $337K |
| Upper Great Lakes Family Health Center | Ontonagon, MI | $167K |
| Upper Great Lakes Family Health Center | Iron River, MI | $164K |
| Upper Great Lakes Family Health Center | Hancock, MI | $32K |
| Upper Great Lakes Family Health Center | Iron River, MI | $31K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.