Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $613K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is G0467, community health center visit, returning patient — 70% of everything it billed.
IMLAY CITY, MI 48444
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,248 | $64K | |
| 2019 | 2,766 | $71K | |
| 2020 | 2,486 | $61K | |
| 2021 | 3,872 | $103K | |
| 2022 | 4,631 | $111K | |
| 2023 | 5,093 | $114K | |
| 2024incomplete | 5,530 | $89K |
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 | 70% | 9,026 | 7,834 | $428K |
| 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 | 12% | 3,261 | 2,965 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 3,916 | 3,612 | $60K |
| 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% | 467 | 454 | $25K |
| 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 | 1.1% | 102 | 94 | $7K |
| 99000 | <1% | 859 | 813 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 469 | 439 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 86 | 81 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,728 | 1,636 | $2K |
| 90686 | <1% | 137 | 133 | $846.44 | |
| H0031 | Mental health assessment, by non-physician | <1% | 69 | 68 | $831.05 |
| 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% | 28 | 28 | $735.56 |
23 more codes
| 82962 | <1% | 743 | $725.67 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 271 | $692.52 |
| 96127 | <1% | 523 | $465.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $409.88 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 55 | $332.63 |
| 96160 | <1% | 61 | $262.12 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $111.88 |
| 81001 | <1% | 14 | $22.75 | |
| 1160F | 0% | 363 | $0.00 | |
| 3078F | 0% | 613 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | $0.00 |
| 1159F | 0% | 42 | $0.00 | |
| 1125F | 0% | 186 | $0.00 | |
| 3008F | 0% | 987 | $0.00 | |
| 3074F | 0% | 665 | $0.00 | |
| 3351F | 0% | 48 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 68 | $0.00 |
| 3075F | 0% | 228 | $0.00 | |
| 1126F | 0% | 646 | $0.00 | |
| 36416 | 0% | 430 | $0.00 | |
| 3079F | 0% | 298 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 19 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Great Lakes Bay Health Centers | Saginaw, MI | $10.37M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.90M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.08M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.93M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.76M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.66M |
| Great Lakes Bay Health Centers | Bay City, MI | $4.14M |
| Great Lakes Bay Health Centers | Saginaw, MI | $3.74M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.76M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.61M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.48M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.43M |
| Great Lakes Bay Health Centers | Saginaw, MI | $2.34M |
| Great Lakes Bay Health Centers | Imlay City, MI | $1.71M |
| Great Lakes Bay Health Centers | Bay City, MI | $1.05M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.03M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.02M |
| Great Lakes Bay Health Centers | Bad Axe, MI | $962K |
| Great Lakes Bay Health Centers | Saginaw, MI | $909K |
| Great Lakes Bay Health Centers | Bad Axe, MI | $867K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.