Clinic
Little Traverse Bay Bands of Odawa Indians
Little Traverse Bay Bands of Odawa Indians was paid $353K by Medicaid between Jan 2023 and Dec 2024, across 25 billing codes. Its largest line is G0467, community health center visit, returning patient — 44% of everything it billed.
33Billing provider infoLITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
PETOSKEY, MI 49770
PETOSKEY, MI 49770
33aNPI1871272583assigned 07/12/2023
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$353K
24GClaims6,926
24DCodes billed25
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#142 of 241
Median peer was paid$477K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 3,119 | $170K | |
| 2024incomplete | 3,807 | $183K |
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 | 44% | 2,341 | 1,830 | $155K |
| 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 | 14% | 388 | 189 | $51K |
| 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 | 14% | 558 | 556 | $50K |
| 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 | 9.4% | 804 | 726 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 932 | 822 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 174 | 156 | $10K |
| 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 | 2.7% | 139 | 138 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 84 | 83 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 197 | 177 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 57 | 57 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 297 | 141 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 228 | 202 | $1K |
13 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 62 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | $951.67 |
| 36415 | Collection of venous blood by venipuncture | <1% | 254 | $940.45 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $697.13 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $544.98 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 52 | $467.48 |
| 80305 | <1% | 34 | $198.17 | |
| 96127 | <1% | 47 | $130.14 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 54 | $102.39 |
| 81025 | <1% | 18 | $57.04 | |
| 87807 | <1% | 14 | $32.55 | |
| 81002 | <1% | 14 | $17.28 | |
| 81003 | <1% | 12 | $11.22 |
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 officialDUBOIS, CHRISTINA (ASSISTANT HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Little Traverse Bay Bands of Odawa Indians | Petoskey, MI | $8.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.