Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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District Health Department No. 4

District Health Department No. 4 was paid $905K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99402, — 54% of everything it billed.

33Billing provider infoDISTRICT HEALTH DEPARTMENT NO. 4
ALPENA, MI 49707
33aNPI1760443584assigned 03/31/2006
28Total paid$905K
24GClaims30,999
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Michigan

Rank by total paid#10 of 58
Median peer was paid$221K
This provider vs. median4.1×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,845$182K
20195,482$136K
20202,603$96K
20215,391$144K
20223,353$121K
20234,754$160K
2024incomplete2,571$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99402 54% 6,261 5,961 $485K
G9011 Coordinated care fee, risk adjusted maintenance, level 5 14% 3,252 3,252 $130K
H1000 Prenatal care, at-risk assessment 5.6% 599 595 $50K
V5008 Hearing screening 4.0% 3,897 3,884 $36K
36416 3.7% 3,605 3,548 $33K
99172 3.5% 3,425 3,424 $32K
0012A 2.4% 598 598 $22K
0011A 2.3% 636 636 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.6% 1,525 1,502 $15K
H2000 Comprehensive multidisciplinary evaluation 1.3% 122 122 $12K
D1206 Topical application of fluoride varnish 1.1% 307 303 $10K
D0191 1.0% 348 348 $9K
24 more codes
90472 Immunization administration, each additional vaccine (list separately) <1% 479 $8K
S0215 Non-emergency transportation; mileage, per mile <1% 155 $8K
85018 <1% 3,087 $7K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 64 $6K
D0190 <1% 299 $5K
0001A <1% 132 $4K
0002A <1% 121 $4K
90686 <1% 339 $3K
90632 <1% 31 $2K
90746 <1% 14 $886.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 29 $696.24
0064A <1% 12 $454.20
90715 <1% 25 $301.76
90707 <1% 14 $231.45
90620 <1% 13 $169.60
90656 <1% 14 $156.45
81025 <1% 14 $12.46
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 12 $3.07
91300 0% 262 $0.00
83655 0% 32 $0.00
90633 0% 12 $0.00
90734 0% 14 $0.00
91306 0% 12 $0.00
91301 0% 1,238 $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 officialBRUNING, JOHN (ADMINISTRATIVE HEALTH OFFICER)