Baldwin Family Health Care
Baldwin Family Health Care was paid $111K by Medicaid between Sep 2018 and Dec 2024, across 11 billing codes. Its largest line is 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 — 54% of everything it billed.
BALDWIN, MI 49304
Next to other Student Health Clinic/Center 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 | 150 | $7K | |
| 2019 | 641 | $26K | |
| 2020 | 250 | $10K | |
| 2022 | 447 | $18K | |
| 2024incomplete | 1,124 | $48K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 850 | 552 | $60K |
| 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 | 41% | 640 | 578 | $46K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.8% | 538 | 366 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 279 | 252 | $1K |
| 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% | 56 | 53 | $378.90 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 52 | 52 | $169.33 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $101.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | 48 | $72.45 |
| 90651 | 0% | 13 | 13 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 57 | 19 | $0.00 |
| 99173 | 0% | 64 | 64 | $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 |
|---|---|---|
| Baldwin Family Health Care | Baldwin, MI | $10.80M |
| Baldwin Family Health Care | Cadillac, MI | $5.71M |
| Baldwin Family Health Care | Baldwin, MI | $4.49M |
| Baldwin Family Health Care | Grant, MI | $3.10M |
| Baldwin Family Health Care | White Cloud, MI | $2.88M |
| Baldwin Family Health Care | Mc Bain, MI | $1.00M |
| Baldwin Family Health Care | Big Rapids, MI | $443K |
| Baldwin Family Health Care | Newaygo, MI | $136K |
| Baldwin Family Health Care | Baldwin, MI | $56K |
| Baldwin Family Health Care | Leroy, MI | $54K |
| Baldwin Family Health Care | Big Rapids, MI | $39K |
| Baldwin Family Health Care | Grant, MI | $33K |
| Baldwin Family Health Care | White Cloud, MI | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.