Clinic
NPI deactivated
Hamilton Community Health Network INC.
Hamilton Community Health Network INC. was paid $10.28M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is G0467, community health center visit, returning patient — 58% of everything it billed.
33Billing provider infoHAMILTON COMMUNITY HEALTH NETWORK INC.
BURTON, MI 48529
BURTON, MI 48529
33aNPI1720152275assigned 11/17/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.28M
24GClaims357,632
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#10 of 241
Median peer was paid$477K
This provider vs. median22×
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 | 54,331 | $1.47M | |
| 2019 | 78,773 | $1.48M | |
| 2020 | 44,032 | $1.27M | |
| 2021 | 41,767 | $1.41M | |
| 2022 | 47,064 | $1.53M | |
| 2023 | 49,094 | $1.63M | |
| 2024incomplete | 42,571 | $1.49M |
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 | 58% | 110,421 | 87,542 | $5.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 75,817 | 63,708 | $894K |
| 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 | 3.8% | 5,827 | 5,789 | $396K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 4,101 | 2,213 | $390K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 3,226 | 3,220 | $369K |
| D1110 | Prophylaxis - adult | 3.3% | 2,921 | 2,918 | $344K |
| 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 | 2.4% | 4,216 | 4,150 | $249K |
| 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 | 2.4% | 4,422 | 3,685 | $246K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 2,129 | 2,123 | $228K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 1,982 | 1,942 | $206K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 22,808 | 19,740 | $163K |
| 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 | 1.2% | 6,985 | 6,583 | $121K |
110 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 667 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 514 | $82K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,366 | $81K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,110 | $47K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,060 | $36K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,793 | $33K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,560 | $33K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,795 | $32K |
| 90651 | <1% | 546 | $23K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 950 | $23K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,617 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 855 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 1,332 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 693 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 805 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 605 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,638 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,885 | $10K |
| 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% | 171 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,745 | $9K |
| 90688 | <1% | 1,207 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,375 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 315 | $6K |
| 81025 | <1% | 2,793 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 45 | $6K |
| 90632 | <1% | 220 | $6K | |
| 90715 | <1% | 696 | $5K | |
| 90620 | <1% | 173 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 30 | $5K |
| 99000 | <1% | 659 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 453 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 435 | $4K |
| 91322 | <1% | 85 | $4K | |
| 81002 | <1% | 3,162 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 607 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 574 | $3K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,593 | $3K |
| 90732 | <1% | 49 | $3K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 597 | $2K |
| 11721 | <1% | 335 | $2K | |
| D2330 | <1% | 15 | $2K | |
| 90480 | <1% | 101 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 275 | $2K |
| 90707 | <1% | 310 | $2K | |
| 96156 | <1% | 163 | $2K | |
| 90670 | <1% | 473 | $1K | |
| 82962 | <1% | 1,339 | $1K | |
| 0064A | <1% | 52 | $948.05 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $946.71 |
| 90716 | <1% | 284 | $836.00 | |
| 90686 | <1% | 567 | $798.58 | |
| 90656 | <1% | 44 | $581.10 | |
| D2331 | <1% | 15 | $566.25 | |
| 90746 | <1% | 14 | $536.48 | |
| 90714 | <1% | 28 | $371.17 | |
| 11055 | <1% | 37 | $320.34 | |
| 99442 | <1% | 529 | $303.41 | |
| 99385 | <1% | 18 | $298.11 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | $246.78 |
| 90734 | <1% | 149 | $220.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $116.88 |
| 99441 | <1% | 211 | $111.74 | |
| 99384 | <1% | 14 | $99.37 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 16 | $72.93 |
| 87210 | <1% | 32 | $72.30 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 49 | $61.35 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $60.60 |
| 90474 | <1% | 23 | $48.00 | |
| 99443 | <1% | 69 | $45.15 | |
| 83655 | <1% | 15 | $30.09 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $28.50 |
| 3044F | 0% | 3,696 | $0.00 | |
| 3048F | 0% | 2,124 | $0.00 | |
| 3008F | 0% | 13,329 | $0.00 | |
| 3049F | 0% | 1,251 | $0.00 | |
| 3075F | 0% | 2,846 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 90698 | 0% | 40 | $0.00 | |
| 90619 | 0% | 63 | $0.00 | |
| 3079F | 0% | 5,332 | $0.00 | |
| 3080F | 0% | 3,677 | $0.00 | |
| 3074F | 0% | 9,058 | $0.00 | |
| 1125F | 0% | 122 | $0.00 | |
| 90680 | 0% | 36 | $0.00 | |
| 3052F | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 124 | $0.00 |
| 1036F | 0% | 274 | $0.00 | |
| 90723 | 0% | 16 | $0.00 | |
| 90647 | 0% | 19 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 20 | $0.00 |
| 1126F | 0% | 103 | $0.00 | |
| 3725F | 0% | 120 | $0.00 | |
| 90461 | 0% | 1,789 | $0.00 | |
| 1159F | 0% | 600 | $0.00 | |
| 3050F | 0% | 1,032 | $0.00 | |
| 90633 | 0% | 273 | $0.00 | |
| 3078F | 0% | 6,337 | $0.00 | |
| 3077F | 0% | 3,455 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 229 | $0.00 |
| 3046F | 0% | 478 | $0.00 | |
| 3045F | 0% | 353 | $0.00 | |
| 90700 | 0% | 135 | $0.00 | |
| 3051F | 0% | 16 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 18 | $0.00 |
| 99173 | 0% | 12 | $0.00 | |
| 3511F | 0% | 13 | $0.00 | |
| 90713 | 0% | 41 | $0.00 | |
| 1160F | 0% | 564 | $0.00 | |
| 90687 | 0% | 42 | $0.00 | |
| 2028F | 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. | Flint, MI | $8.71M |
| 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.