Clinic
Upper Great Lakes Family Health Center
Upper Great Lakes Family Health Center was paid $955K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is G0467, community health center visit, returning patient — 43% of everything it billed.
33Billing provider infoUPPER GREAT LAKES FAMILY HEALTH CENTER
HOUGHTON, MI 49931
HOUGHTON, MI 49931
33aNPI1811325103assigned 10/23/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$955K
24GClaims33,656
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#103 of 241
Median peer was paid$477K
This provider vs. median2.0×
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.
Entity ProliferationAuthorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,676 | $169K | |
| 2019 | 3,634 | $134K | |
| 2020 | 3,759 | $98K | |
| 2021 | 4,901 | $139K | |
| 2022 | 5,147 | $147K | |
| 2023 | 6,765 | $154K | |
| 2024incomplete | 4,774 | $115K |
Box 24 · Service lines
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 | 43% | 13,415 | 11,691 | $410K |
| 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 | 27% | 5,829 | 5,334 | $261K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,291 | 3,896 | $108K |
| 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 | 4.4% | 597 | 419 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 480 | 460 | $38K |
| 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 | 3.3% | 632 | 632 | $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 | 1.4% | 305 | 305 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 603 | 586 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 151 | 151 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 207 | 201 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 788 | 776 | $6K |
| 90686 | <1% | 439 | 438 | $4K |
26 more codes
| 0011A | <1% | 122 | $4K | |
| 0012A | <1% | 83 | $3K | |
| 87428 | <1% | 30 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $1K |
| 0064A | <1% | 20 | $719.15 | |
| 98928 | <1% | 17 | $690.77 | |
| 0002A | <1% | 13 | $492.05 | |
| 0134A | <1% | 13 | $480.09 | |
| 0001A | <1% | 12 | $454.20 | |
| 90656 | <1% | 16 | $343.39 | |
| 99000 | <1% | 34 | $12.88 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 265 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 77 | $0.00 |
| 3074F | 0% | 1,547 | $0.00 | |
| 3079F | 0% | 850 | $0.00 | |
| 3075F | 0% | 583 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 116 | $0.00 |
| 91301 | 0% | 211 | $0.00 | |
| 91306 | 0% | 14 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 3078F | 0% | 1,400 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 280 | $0.00 |
| 3077F | 0% | 122 | $0.00 | |
| 99307 | 0% | 13 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $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 officialHODGES, TREVOR (CEO)
| Provider | Location | 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 | Calumet, MI | $947K |
| Upper Great Lakes Family Health Center | Lake Linden, MI | $350K |
| Upper Great Lakes Family Health Center | Menominee, MI | $337K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.