Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $4.76M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is G0467, community health center visit, returning patient — 63% of everything it billed.
SAGINAW, MI 48601
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 39,809 | $775K | |
| 2019 | 32,412 | $665K | |
| 2020 | 24,057 | $564K | |
| 2021 | 27,158 | $654K | |
| 2022 | 27,705 | $656K | |
| 2023 | 35,252 | $769K | |
| 2024incomplete | 41,296 | $676K |
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 | 63% | 64,506 | 57,628 | $3.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 35,469 | 32,667 | $459K |
| 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 | 7.4% | 19,887 | 19,012 | $353K |
| 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 | 5.8% | 6,025 | 4,562 | $275K |
| 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 | 3.7% | 2,810 | 2,797 | $176K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.7% | 1,204 | 1,199 | $81K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,071 | 1,343 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,244 | 1,241 | $33K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,004 | 1,864 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 969 | 969 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,582 | 2,512 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,381 | 3,872 | $21K |
99 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,156 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,283 | $19K |
| 90651 | <1% | 320 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 512 | $14K |
| 90686 | <1% | 2,677 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 372 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 612 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,657 | $12K |
| 96160 | <1% | 2,573 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 643 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 376 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 244 | $6K |
| 99000 | <1% | 1,772 | $6K | |
| 82962 | <1% | 4,988 | $6K | |
| 81025 | <1% | 2,150 | $5K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 586 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 151 | $5K |
| 91320 | <1% | 42 | $4K | |
| 90715 | <1% | 399 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,077 | $4K |
| 90670 | <1% | 573 | $4K | |
| H0031 | Mental health assessment, by non-physician | <1% | 119 | $3K |
| 96127 | <1% | 2,282 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,491 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 809 | $2K |
| 90480 | <1% | 115 | $2K | |
| 90677 | <1% | 43 | $2K | |
| H0001 | Alcohol and/or drug assessment | <1% | 299 | $2K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 185 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 361 | $2K |
| 91322 | <1% | 66 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 74 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 122 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 250 | $2K |
| 81003 | <1% | 2,422 | $2K | |
| 90656 | <1% | 149 | $2K | |
| 90632 | <1% | 48 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | $1K |
| 99495 | <1% | 27 | $915.20 | |
| 0134A | <1% | 91 | $880.23 | |
| 90746 | <1% | 32 | $737.66 | |
| 0064A | <1% | 43 | $453.24 | |
| 82044 | <1% | 172 | $396.36 | |
| 85018 | <1% | 315 | $338.23 | |
| 99496 | <1% | 34 | $260.00 | |
| 0124A | <1% | 14 | $225.18 | |
| 81002 | <1% | 141 | $210.24 | |
| 0001A | <1% | 12 | $189.25 | |
| 99406 | <1% | 50 | $181.29 | |
| 90734 | <1% | 124 | $122.50 | |
| 81001 | <1% | 63 | $110.89 | |
| 36416 | <1% | 1,133 | $105.90 | |
| 80305 | <1% | 42 | $93.87 | |
| 93000 | <1% | 24 | $56.71 | |
| 69210 | <1% | 12 | $55.46 | |
| 86580 | <1% | 12 | $18.24 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $11.73 |
| 3044F | 0% | 2,776 | $0.00 | |
| 94760 | 0% | 378 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 597 | $0.00 |
| 3351F | 0% | 2,294 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 4,482 | $0.00 |
| 3075F | 0% | 1,928 | $0.00 | |
| 90723 | 0% | 175 | $0.00 | |
| 3080F | 0% | 584 | $0.00 | |
| 3008F | 0% | 7,411 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 41 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 103 | $0.00 |
| G0010 | Administration of hepatitis b vaccine | 0% | 14 | $0.00 |
| 91301 | 0% | 19 | $0.00 | |
| 3079F | 0% | 3,056 | $0.00 | |
| 3052F | 0% | 28 | $0.00 | |
| 90620 | 0% | 63 | $0.00 | |
| 3074F | 0% | 4,781 | $0.00 | |
| 91306 | 0% | 43 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 123 | $0.00 |
| 2000F | 0% | 139 | $0.00 | |
| 86701 | 0% | 44 | $0.00 | |
| 90647 | 0% | 24 | $0.00 | |
| 90461 | 0% | 644 | $0.00 | |
| 90710 | 0% | 153 | $0.00 | |
| 3077F | 0% | 836 | $0.00 | |
| 3078F | 0% | 3,906 | $0.00 | |
| 1160F | 0% | 2,406 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 36 | $0.00 |
| 3046F | 0% | 729 | $0.00 | |
| 90648 | 0% | 109 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 174 | $0.00 |
| 3051F | 0% | 106 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,691 | $0.00 |
| 3045F | 0% | 439 | $0.00 | |
| 90633 | 0% | 136 | $0.00 | |
| 1159F | 0% | 340 | $0.00 | |
| 91313 | 0% | 93 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 135 | $0.00 |
| 91300 | 0% | 14 | $0.00 | |
| 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 | 0% | 14 | $0.00 |
| 91312 | 0% | 23 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Great Lakes Bay Health Centers | Saginaw, MI | $10.37M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.90M |
| Great Lakes Bay Health Centers | Bay City, MI | $5.08M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.93M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.66M |
| Great Lakes Bay Health Centers | Bay City, MI | $4.14M |
| Great Lakes Bay Health Centers | Saginaw, MI | $3.74M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.76M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.61M |
| Great Lakes Bay Health Centers | Bridgeport, MI | $2.48M |
| Great Lakes Bay Health Centers | Owosso, MI | $2.43M |
| Great Lakes Bay Health Centers | Saginaw, MI | $2.34M |
| Great Lakes Bay Health Centers | Imlay City, MI | $1.71M |
| Great Lakes Bay Health Centers | Bay City, MI | $1.05M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.03M |
| Great Lakes Bay Health Centers | Saginaw, MI | $1.02M |
| Great Lakes Bay Health Centers | Bad Axe, MI | $962K |
| Great Lakes Bay Health Centers | Saginaw, MI | $909K |
| Great Lakes Bay Health Centers | Bad Axe, MI | $867K |
| Great Lakes Bay Health Centers | Imlay City, MI | $613K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.