Medicaid Provider Spending

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

DOWNRIVER COMMUNITY SERVICES, INC.

NPI: 1851399570 · ALGONAC, MI 48001 · Federally Qualified Health Center (FQHC) · NPI assigned 07/08/2005

$1.29M
Total Medicaid Paid
43,700
Total Claims
39,265
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARANOWSKI, MICHAEL (CEO)
NPI Enumeration Date07/08/2005

Related Entities

Other providers sharing the same authorized official: BARANOWSKI, MICHAEL

ProviderCityStateTotal Paid
DOWNRIVER COMMUNITY SERVICES, INC. PORT HURON MI $2.41M
DOWNRIVER COMMUNITY SERVICES, INC. NEW HAVEN MI $442K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,710 $190K
2019 6,369 $194K
2020 4,258 $145K
2021 5,271 $140K
2022 8,273 $198K
2023 7,161 $220K
2024 6,658 $208K

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 17,166 14,904 $1.15M
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 757 750 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,457 9,438 $32K
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 382 172 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,440 4,158 $23K
90837 Psychotherapy, 53 minutes with patient 198 82 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 680 649 $2K
36415 Collection of venous blood by venipuncture 2,484 2,377 $886.77
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 176 168 $793.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 539 536 $662.91
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 320 299 $658.00
90686 147 144 $399.79
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $363.95
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $213.86
83036 Hemoglobin; glycosylated (A1C) 149 149 $209.04
90834 Psychotherapy, 45 minutes with patient 54 25 $97.46
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 64 63 $87.15
99406 139 132 $84.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $60.42
90472 Immunization administration, each additional vaccine (list separately) 47 46 $42.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $28.93
81003 73 67 $9.35
3075F 410 385 $0.00
3074F 2,085 1,950 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 73 62 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
3079F 1,032 973 $0.00
3080F 18 18 $0.00
3078F 1,649 1,562 $0.00
3077F 57 52 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00