Clinic
NPI deactivated
Hamilton Community Health Network, INC.
Hamilton Community Health Network, INC. was paid $8.71M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is G0467, community health center visit, returning patient — 42% of everything it billed.
33Billing provider infoHAMILTON COMMUNITY HEALTH NETWORK, INC.
FLINT, MI 48505
FLINT, MI 48505
33aNPI1700950235assigned 11/17/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.71M
24GClaims297,743
24DCodes billed147
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#15 of 241
Median peer was paid$477K
This provider vs. median18×
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
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 | 61,129 | $1.59M | |
| 2019 | 65,199 | $1.49M | |
| 2020 | 36,667 | $1.20M | |
| 2021 | 33,040 | $1.18M | |
| 2022 | 37,622 | $1.14M | |
| 2023 | 31,510 | $1.00M | |
| 2024incomplete | 32,576 | $1.11M |
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 | 42% | 71,821 | 62,406 | $3.68M |
| D7140 | Extraction, erupted tooth or exposed root | 7.7% | 7,290 | 3,961 | $674K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 5,868 | 5,796 | $462K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 36,098 | 32,932 | $437K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 4,283 | 4,252 | $385K |
| D1110 | Prophylaxis - adult | 4.3% | 4,027 | 4,003 | $379K |
| 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 | 3.2% | 4,536 | 4,519 | $280K |
| 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 | 3.1% | 4,688 | 4,632 | $272K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 2,955 | 2,877 | $262K |
| 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 | 2.5% | 13,636 | 12,967 | $220K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 1,619 | 1,178 | $171K |
| 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 | 1.9% | 3,652 | 3,306 | $167K |
135 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 1,036 | $135K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 3,635 | $105K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,458 | $80K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,203 | $73K |
| D0274 | Bitewings - four radiographic images | <1% | 2,777 | $56K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 432 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,780 | $45K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,024 | $43K |
| 90651 | <1% | 796 | $41K | |
| V2020 | Frames, purchases | <1% | 1,910 | $41K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 3,471 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,325 | $36K |
| D1120 | Dental cleaning, child | <1% | 847 | $33K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 2,466 | $32K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,240 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,428 | $30K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,705 | $28K |
| 59426 | <1% | 92 | $26K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,380 | $24K |
| D1206 | Topical application of fluoride varnish | <1% | 1,070 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,150 | $23K |
| 90632 | <1% | 621 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,324 | $17K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 1,373 | $17K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 648 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 554 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,964 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,025 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 592 | $13K |
| 90715 | <1% | 1,300 | $13K | |
| 92341 | <1% | 838 | $12K | |
| 90688 | <1% | 1,469 | $11K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 397 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,427 | $9K |
| 90671 | <1% | 222 | $8K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,455 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 624 | $7K |
| 90746 | <1% | 228 | $7K | |
| 90750 | <1% | 163 | $7K | |
| 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% | 135 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 278 | $6K |
| 91322 | <1% | 97 | $5K | |
| 81025 | <1% | 2,129 | $5K | |
| D4355 | <1% | 54 | $5K | |
| 81002 | <1% | 4,888 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 29 | $5K |
| 82962 | <1% | 4,349 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 256 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 385 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 137 | $4K |
| 51798 | <1% | 1,536 | $3K | |
| 90732 | <1% | 66 | $3K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 320 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 273 | $3K |
| 59430 | <1% | 69 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 497 | $3K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 507 | $3K |
| 92015 | Determination of refractive state | <1% | 442 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 77 | $2K |
| D1351 | Sealant - per tooth | <1% | 83 | $2K |
| 99381 | <1% | 92 | $2K | |
| 90620 | <1% | 65 | $2K | |
| 90670 | <1% | 1,154 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,063 | $2K |
| 90480 | <1% | 100 | $2K | |
| 92002 | <1% | 204 | $2K | |
| D0191 | <1% | 143 | $2K | |
| 90656 | <1% | 102 | $2K | |
| 96156 | <1% | 94 | $1K | |
| 90707 | <1% | 646 | $1K | |
| 90686 | <1% | 452 | $1K | |
| 99383 | <1% | 44 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 175 | $1K |
| 90716 | <1% | 610 | $1K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 96 | $938.88 |
| 99000 | <1% | 192 | $886.43 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 140 | $874.34 |
| 0064A | <1% | 70 | $842.92 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 629 | $811.42 |
| 90734 | <1% | 216 | $625.40 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $392.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $384.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $383.85 |
| 87210 | <1% | 185 | $369.76 | |
| 72110 | <1% | 12 | $215.71 | |
| 99385 | <1% | 12 | $198.74 | |
| 99382 | <1% | 13 | $186.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 108 | $168.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $117.63 |
| 92083 | <1% | 13 | $109.35 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 40 | $80.75 |
| 72100 | <1% | 12 | $56.22 | |
| 83655 | <1% | 20 | $50.15 | |
| V2756 | Eye glass case | <1% | 1,263 | $47.25 |
| 86580 | <1% | 14 | $38.00 | |
| 93000 | <1% | 12 | $36.64 | |
| 99441 | <1% | 56 | $31.68 | |
| 99442 | <1% | 27 | $30.90 | |
| 90744 | <1% | 371 | $29.89 | |
| 90633 | 0% | 607 | $0.00 | |
| 3725F | 0% | 277 | $0.00 | |
| 90700 | 0% | 460 | $0.00 | |
| 90461 | 0% | 2,581 | $0.00 | |
| 3077F | 0% | 2,993 | $0.00 | |
| 90713 | 0% | 126 | $0.00 | |
| 3078F | 0% | 4,177 | $0.00 | |
| 2022F | 0% | 895 | $0.00 | |
| 3046F | 0% | 107 | $0.00 | |
| 3045F | 0% | 138 | $0.00 | |
| 3050F | 0% | 297 | $0.00 | |
| 4001F | 0% | 18 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 108 | $0.00 |
| 1159F | 0% | 363 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 38 | $0.00 |
| 90662 | 0% | 13 | $0.00 | |
| 1160F | 0% | 369 | $0.00 | |
| 0502F | 0% | 207 | $0.00 | |
| 3079F | 0% | 4,855 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 244 | $0.00 |
| 90698 | 0% | 820 | $0.00 | |
| 3049F | 0% | 526 | $0.00 | |
| 3008F | 0% | 9,042 | $0.00 | |
| 3075F | 0% | 2,358 | $0.00 | |
| 3044F | 0% | 1,998 | $0.00 | |
| 3048F | 0% | 919 | $0.00 | |
| 3080F | 0% | 3,184 | $0.00 | |
| 3074F | 0% | 6,885 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 241 | $0.00 |
| 90619 | 0% | 127 | $0.00 | |
| 90680 | 0% | 185 | $0.00 | |
| 1036F | 0% | 291 | $0.00 | |
| 1126F | 0% | 61 | $0.00 | |
| 1034F | 0% | 13 | $0.00 | |
| 1125F | 0% | 86 | $0.00 | |
| 4000F | 0% | 12 | $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 officialPIERCE, CLARENCE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hamilton Community Health Network INC. | Burton, MI | $10.28M |
| Hamilton Community Health Network INC. | Flint, MI | $5.73M |
| Hamilton Community Health Network INC. | Clio, MI | $2.13M |
| Hamilton Community Health Network INC. | Flint, MI | $1.49M |
| Hamilton Community Health Network, INC | Lapeer, MI | $1.18M |
| Hamilton Community Health Network INC. | Flint, MI | $885K |
| Hamilton Community Health Network INC. | Flint, MI | $847K |
| Hamilton Community Health Network INC | Flint, MI | $19K |
| Hamilton Community Health Network INC | Whitmore Lake, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.