Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $10.37M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is G0467, community health center visit, returning patient — 60% of everything it billed.
SAGINAW, MI 48601
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 | 100,845 | $2.16M | |
| 2019 | 70,747 | $1.43M | |
| 2020 | 52,001 | $1.22M | |
| 2021 | 59,258 | $1.45M | |
| 2022 | 56,942 | $1.36M | |
| 2023 | 65,918 | $1.45M | |
| 2024incomplete | 75,213 | $1.31M |
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 | 60% | 129,623 | 111,504 | $6.27M |
| 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 | 7.9% | 16,762 | 12,177 | $824K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 54,309 | 49,201 | $718K |
| 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 | 5.2% | 29,972 | 28,578 | $542K |
| 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% | 5,428 | 5,351 | $327K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,851 | 4,793 | $133K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 1,871 | 1,869 | $131K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 7,028 | 6,989 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 15,791 | 14,875 | $122K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,767 | 3,723 | $96K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,721 | 3,585 | $86K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 6,024 | 5,130 | $84K |
158 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,781 | $80K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 3,858 | $79K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,685 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,088 | $57K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,460 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,837 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,189 | $40K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,296 | $35K |
| 92015 | Determination of refractive state | <1% | 7,348 | $29K |
| V2020 | Frames, purchases | <1% | 2,050 | $29K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,008 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,522 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,019 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,477 | $17K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 2,117 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,448 | $15K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,230 | $14K |
| 99000 | <1% | 2,259 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,013 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 551 | $13K |
| 90686 | <1% | 6,489 | $13K | |
| 90651 | <1% | 1,277 | $13K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 343 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,607 | $11K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,360 | $9K |
| 92341 | <1% | 638 | $8K | |
| 92083 | <1% | 637 | $8K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 337 | $7K |
| 81025 | <1% | 2,908 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,322 | $7K |
| 96127 | <1% | 5,477 | $6K | |
| 82962 | <1% | 5,913 | $6K | |
| 96160 | <1% | 1,745 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 482 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 877 | $6K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 314 | $6K |
| 90837 | Psychotherapy session, about an hour | <1% | 201 | $5K |
| 99381 | <1% | 139 | $5K | |
| 91320 | <1% | 56 | $4K | |
| 90480 | <1% | 190 | $4K | |
| 99188 | <1% | 1,390 | $4K | |
| 90715 | <1% | 891 | $4K | |
| 90677 | <1% | 230 | $4K | |
| 90734 | <1% | 956 | $4K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 452 | $4K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 223 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 824 | $3K |
| 72110 | <1% | 249 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 423 | $3K |
| 90670 | <1% | 3,178 | $3K | |
| 73564 | <1% | 248 | $3K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 422 | $2K |
| 90746 | <1% | 97 | $2K | |
| 90656 | <1% | 271 | $2K | |
| 99496 | <1% | 58 | $2K | |
| 92133 | <1% | 1,034 | $2K | |
| D0190 | <1% | 320 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 289 | $2K |
| 81003 | <1% | 3,188 | $2K | |
| 92250 | <1% | 280 | $2K | |
| 99408 | <1% | 691 | $2K | |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | <1% | 608 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 51 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 63 | $1K |
| 92134 | <1% | 517 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 211 | $1K |
| 90632 | <1% | 60 | $1K | |
| 99383 | <1% | 24 | $1K | |
| 90473 | <1% | 527 | $1K | |
| 85610 | <1% | 479 | $1K | |
| 99409 | <1% | 380 | $1K | |
| 91322 | <1% | 41 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 927 | $858.26 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 163 | $847.98 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,437 | $780.01 |
| 90750 | <1% | 12 | $742.00 | |
| 0064A | <1% | 48 | $724.68 | |
| 93000 | <1% | 277 | $660.22 | |
| 90620 | <1% | 144 | $560.94 | |
| 90707 | <1% | 125 | $555.40 | |
| 99495 | <1% | 12 | $449.95 | |
| 81001 | <1% | 311 | $448.70 | |
| 73030 | <1% | 47 | $364.88 | |
| 0001A | <1% | 27 | $311.92 | |
| 36416 | <1% | 2,731 | $275.34 | |
| 0071A | <1% | 25 | $263.03 | |
| 0134A | <1% | 35 | $225.18 | |
| 0124A | <1% | 13 | $187.65 | |
| 90716 | <1% | 119 | $176.20 | |
| 85018 | <1% | 169 | $174.32 | |
| 82044 | <1% | 63 | $154.92 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | $149.72 |
| 73565 | <1% | 13 | $140.07 | |
| 76514 | <1% | 65 | $134.39 | |
| 98926 | <1% | 22 | $103.00 | |
| 99382 | <1% | 12 | $93.36 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 97 | $88.26 |
| 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 | <1% | 41 | $72.76 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 24 | $63.00 |
| 81002 | <1% | 24 | $31.68 | |
| G0008 | Administration of influenza virus vaccine | <1% | 534 | $29.12 |
| 82948 | <1% | 18 | $8.36 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 446 | $0.01 |
| 1160F | 0% | 3,539 | $0.00 | |
| 90710 | 0% | 1,704 | $0.00 | |
| 3051F | 0% | 244 | $0.00 | |
| 90700 | 0% | 856 | $0.00 | |
| 3046F | 0% | 957 | $0.00 | |
| 3077F | 0% | 1,448 | $0.00 | |
| 90681 | 0% | 1,146 | $0.00 | |
| 90633 | 0% | 2,048 | $0.00 | |
| 90648 | 0% | 1,292 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 4,087 | $0.00 |
| 90713 | 0% | 75 | $0.00 | |
| 3078F | 0% | 7,115 | $0.00 | |
| 3045F | 0% | 396 | $0.00 | |
| 91300 | 0% | 27 | $0.00 | |
| 2022F | 0% | 1,550 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 460 | $0.00 |
| 91313 | 0% | 33 | $0.00 | |
| 90461 | 0% | 2,480 | $0.00 | |
| 91312 | 0% | 57 | $0.00 | |
| 1159F | 0% | 449 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 43 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 15 | $0.00 |
| 90662 | 0% | 25 | $0.00 | |
| 1158F | 0% | 14 | $0.00 | |
| 94760 | 0% | 372 | $0.00 | |
| 3072F | 0% | 1,241 | $0.00 | |
| 3044F | 0% | 2,024 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 505 | $0.00 |
| 90647 | 0% | 1,466 | $0.00 | |
| 3080F | 0% | 1,052 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 7,401 | $0.00 |
| 3079F | 0% | 3,337 | $0.00 | |
| 3351F | 0% | 2,646 | $0.00 | |
| 90723 | 0% | 2,547 | $0.00 | |
| 90696 | 0% | 597 | $0.00 | |
| 90744 | 0% | 21 | $0.00 | |
| 91306 | 0% | 54 | $0.00 | |
| 2023F | 0% | 155 | $0.00 | |
| 1125F | 0% | 422 | $0.00 | |
| 3008F | 0% | 9,962 | $0.00 | |
| 2000F | 0% | 85 | $0.00 | |
| 3074F | 0% | 7,913 | $0.00 | |
| 3075F | 0% | 2,147 | $0.00 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 0% | 39 | $0.00 |
| 91301 | 0% | 32 | $0.00 | |
| G0477 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | 0% | 16 | $0.00 |
| 3052F | 0% | 13 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 282 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 86 | $0.00 |
| 91307 | 0% | 15 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 1170F | 0% | 14 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 12 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 1126F | 0% | 17 | $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 | 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 |
| Great Lakes Bay Health Centers | Imlay City, MI | $613K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.