Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPPER GREAT LAKES FAMILY HEALTH CENTER

NPI: 1801214218 · MENOMINEE, MI 49858 · Federally Qualified Health Center (FQHC) · NPI assigned 04/02/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more

$337K
Total Medicaid Paid
12,566
Total Claims
10,724
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHODGES, TREVOR (CEO)
NPI Enumeration Date04/02/2014

Related Entities

Other providers sharing the same authorized official: HODGES, TREVOR

ProviderCityStateTotal Paid
UPPER GREAT LAKES FAMILY HEALTH CENTER HANCOCK MI $4.08M
UPPER GREAT LAKES FAMILY HEALTH CENTER GWINN MI $1.84M
UPPER GREAT LAKES FAMILY HEALTH CENTER GWINN MI $1.57M
UPPER GREAT LAKES FAMILY HEALTH CENTER MARQUETTE MI $1.56M
UPPER GREAT LAKES FAMILY HEALTH CENTER CALUMET MI $1.41M
UPPER GREAT LAKES FAMILY HEALTH CENTER GWINN MI $1.27M
UPPER GREAT LAKES FAMILY HEALTH CENTER HOUGHTON MI $955K
UPPER GREAT LAKES FAMILY HEALTH CENTER CALUMET MI $947K
UPPER GREAT LAKES FAMILY HEALTH CENTER LAKE LINDEN MI $350K
UPPER GREAT LAKES FAMILY HEALTH CENTER ONTONAGON MI $167K
UPPER GREAT LAKES FAMILY HEALTH CENTER IRON RIVER MI $164K
UPPER GREAT LAKES FAMILY HEALTH CENTER HANCOCK MI $32K
UPPER GREAT LAKES FAMILY HEALTH CENTER IRON RIVER MI $31K
UPPER GREAT LAKES FAMILY HEALTH CENTER LAKE LINDEN MI $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,614 $46K
2019 1,956 $62K
2020 1,545 $37K
2021 1,509 $44K
2022 1,937 $56K
2023 2,088 $56K
2024 1,917 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally 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 5,218 4,305 $179K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,910 2,540 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,724 1,514 $32K
G0466 Federally 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 53 53 $3K
36415 Collection of venous blood by venipuncture 759 677 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 62 60 $1K
80305 90 66 $803.11
0012A 12 12 $416.35
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 165 162 $314.04
0011A 12 12 $178.45
99000 57 50 $117.82
3078F 584 491 $0.00
90746 13 13 $0.00
3074F 689 568 $0.00
3079F 161 144 $0.00
90686 25 25 $0.00
91301 32 32 $0.00