Medicaid Provider Spending

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

THUNDER BAY COMMUNITY HEALTH SERVICE, INC

NPI: 1821228958 · ONAWAY, MI 49765 · Federally Qualified Health Center (FQHC) · NPI assigned 07/23/2009

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

Authorized official BATES, RICHARD controls 20+ related entities in our dataset. Read more

$551K
Total Medicaid Paid
18,023
Total Claims
13,766
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBATES, RICHARD (INTERIM CEO)
NPI Enumeration Date07/23/2009

Related Entities

Other providers sharing the same authorized official: BATES, RICHARD

ProviderCityStateTotal Paid
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ROGERS CITY MI $2.45M
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ONAWAY MI $2.24M
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HILLMAN MI $983K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $791K
PALMETTO REHABILITATION SPECIALISTS, LLC FORT MILL SC $455K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC INDIAN RIVER MI $329K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC JOHANNESBURG MI $321K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $277K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC FAIRVIEW MI $253K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC MIO MI $235K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ROGERS CITY MI $218K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC FAIRVIEW MI $139K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC ATLANTA MI $126K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC INDIAN RIVER MI $93K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HALE MI $90K
CHEBOYGAN AREA HIGH SCHOOL - COUNSELING ROOM CHEBOYGAN MI $71K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC LEWISTON MI $48K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC CHEBOYGAN MI $43K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC HILLMAN MI $32K
THUNDER BAY COMMUNITY HEALTH SERVICE, INC. VANDERBILT MI $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,916 $88K
2019 2,744 $84K
2020 1,991 $57K
2021 2,330 $69K
2022 2,753 $88K
2023 3,088 $93K
2024 2,201 $72K

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 5,497 4,397 $219K
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 3,125 1,808 $130K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,703 2,300 $59K
90832 Psychotherapy, 30 minutes with patient 2,775 1,640 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,225 1,091 $42K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 176 175 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 994 944 $7K
87428 237 221 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 74 74 $3K
D1120 Prophylaxis - child 65 65 $2K
D1351 Sealant - per tooth 111 39 $2K
90791 Psychiatric diagnostic evaluation 40 40 $2K
D1206 Topical application of fluoride varnish 66 66 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 74 66 $1K
D0150 Comprehensive oral evaluation - new or established patient 23 23 $989.00
D0272 Bitewings - two radiographic images 36 36 $885.90
G0008 Administration of influenza virus vaccine 123 123 $780.76
D0120 Periodic oral evaluation - established patient 26 26 $700.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 81 80 $589.53
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 23 22 $468.00
D0274 Bitewings - four radiographic images 12 12 $430.00
81002 243 228 $378.54
90472 Immunization administration, each additional vaccine (list separately) 13 13 $354.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $245.30
90460 Immunization administration through 18 years of age via any route, first or only component 38 36 $147.00
87807 14 13 $108.50
90688 200 199 $50.25