Clinic
Downriver Community Services, INC.
Downriver Community Services, INC. was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is G0467, community health center visit, returning patient — 89% of everything it billed.
33Billing provider infoDOWNRIVER COMMUNITY SERVICES, INC.
ALGONAC, MI 48001
ALGONAC, MI 48001
33aNPI1851399570assigned 07/08/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.29M
24GClaims43,700
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#88 of 241
Median peer was paid$477K
This provider vs. median2.7×
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.
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 | 5,710 | $190K | |
| 2019 | 6,369 | $194K | |
| 2020 | 4,258 | $145K | |
| 2021 | 5,271 | $140K | |
| 2022 | 8,273 | $198K | |
| 2023 | 7,161 | $220K | |
| 2024incomplete | 6,658 | $208K |
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 | 89% | 17,166 | 14,904 | $1.15M |
| 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 | 4.4% | 757 | 750 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 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 | 1.8% | 382 | 172 | $23K |
| 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 | 1.8% | 4,440 | 4,158 | $23K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 198 | 82 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 680 | 649 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,484 | 2,377 | $886.77 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 176 | 168 | $793.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 539 | 536 | $662.91 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 320 | 299 | $658.00 |
| 90686 | <1% | 147 | 144 | $399.79 |
19 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $363.95 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $213.86 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 149 | $209.04 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 54 | $97.46 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 64 | $87.15 |
| 99406 | <1% | 139 | $84.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $60.42 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 47 | $42.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $28.93 |
| 81003 | <1% | 73 | $9.35 | |
| 3075F | 0% | 410 | $0.00 | |
| 3074F | 0% | 2,085 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 73 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 3079F | 0% | 1,032 | $0.00 | |
| 3080F | 0% | 18 | $0.00 | |
| 3078F | 0% | 1,649 | $0.00 | |
| 3077F | 0% | 57 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 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 officialBARANOWSKI, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Downriver Community Services, INC. | Port Huron, MI | $2.41M |
| Downriver Community Services, INC. | New Haven, MI | $442K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.