Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $1.02M by Medicaid between Jan 2018 and Oct 2024, across 111 billing codes. Its largest line is G0467, community health center visit, returning patient — 40% of everything it billed.
SAGINAW, MI 48607
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 | 1,127 | $42K | |
| 2019 | 15,354 | $396K | |
| 2020 | 24,812 | $538K | |
| 2021 | 6,611 | $21K | |
| 2022 | 7,316 | $15K | |
| 2023 | 8,554 | $8K | |
| 2024incomplete | 2,836 | $63.24 |
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 | 40% | 13,995 | 12,228 | $410K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 7,337 | 6,692 | $139K |
| 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 | 10% | 3,277 | 2,441 | $107K |
| 59426 | 4.3% | 53 | 53 | $44K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 1,522 | 1,140 | $43K |
| 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 | 3.2% | 2,193 | 2,104 | $32K |
| 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 | 2.5% | 548 | 548 | $25K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 2.1% | 24 | 24 | $21K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.9% | 282 | 282 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,087 | 969 | $15K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 742 | 704 | $15K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 1.3% | 15 | 15 | $14K |
99 more codes
| 90837 | Psychotherapy session, about an hour | 1.2% | 256 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 197 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 177 | $9K |
| 90732 | <1% | 124 | $8K | |
| 59430 | <1% | 83 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 199 | $8K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 133 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 181 | $7K |
| 96160 | <1% | 417 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 89 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 174 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,028 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 94 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 65 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 722 | $3K |
| 90651 | <1% | 71 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 153 | $3K |
| 96127 | <1% | 2,160 | $3K | |
| 90686 | <1% | 662 | $3K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 233 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 433 | $3K |
| 90715 | <1% | 150 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 133 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 57 | $2K |
| 99384 | <1% | 27 | $1K | |
| 81025 | <1% | 334 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 135 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $1K |
| 90632 | <1% | 39 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 200 | $984.40 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 61 | $829.60 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 57 | $725.57 |
| 58300 | <1% | 19 | $663.29 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $649.96 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $642.04 |
| 90670 | <1% | 182 | $624.77 | |
| D1110 | Prophylaxis - adult | <1% | 15 | $561.60 |
| 59025 | Fetal non-stress test | <1% | 30 | $515.66 |
| 76830 | Ultrasound, transvaginal | <1% | 45 | $478.96 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 241 | $422.37 |
| 93000 | <1% | 61 | $389.91 | |
| 97035 | <1% | 53 | $309.20 | |
| D0120 | Dental checkup, returning patient | <1% | 13 | $268.80 |
| 82044 | <1% | 66 | $225.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $204.68 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $170.94 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 328 | $147.99 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 98 | $146.94 |
| 92015 | Determination of refractive state | <1% | 309 | $101.21 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 27 | $97.45 |
| 99406 | <1% | 15 | $67.76 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 175 | $43.22 |
| 99000 | <1% | 432 | $38.64 | |
| 81001 | <1% | 19 | $36.76 | |
| 90473 | <1% | 24 | $33.00 | |
| 90474 | <1% | 27 | $27.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 16 | $26.46 |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $21.60 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 26 | $13.86 |
| G0008 | Administration of influenza virus vaccine | <1% | 101 | $7.00 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 20,418 | $0.01 |
| 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 | 0% | 79 | $0.00 |
| 90734 | 0% | 56 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 623 | $0.00 |
| 91313 | 0% | 27 | $0.00 | |
| 3078F | 0% | 169 | $0.00 | |
| 1160F | 0% | 204 | $0.00 | |
| 90681 | 0% | 66 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 253 | $0.00 |
| 90700 | 0% | 56 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 66 | $0.00 |
| 90648 | 0% | 125 | $0.00 | |
| 92341 | 0% | 87 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 1159F | 0% | 27 | $0.00 | |
| 1158F | 0% | 12 | $0.00 | |
| 0502F | 0% | 117 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 3074F | 0% | 196 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 186 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 39 | $0.00 |
| 3351F | 0% | 210 | $0.00 | |
| 3008F | 0% | 222 | $0.00 | |
| 0503F | 0% | 13 | $0.00 | |
| 90723 | 0% | 115 | $0.00 | |
| 36416 | 0% | 405 | $0.00 | |
| 3075F | 0% | 28 | $0.00 | |
| 0500F | 0% | 13 | $0.00 | |
| 90620 | 0% | 29 | $0.00 | |
| 2000F | 0% | 18 | $0.00 | |
| 3079F | 0% | 95 | $0.00 | |
| 97010 | 0% | 68 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 82962 | 0% | 25 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 90696 | 0% | 12 | $0.00 | |
| 1170F | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Great Lakes Bay Health Centers | Saginaw, MI | $10.37M |
| 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 | 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.