Clinic
Sterling Area Health Center
Sterling Area Health Center was paid $401K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is G0467, community health center visit, returning patient — 44% of everything it billed.
33Billing provider infoSTERLING AREA HEALTH CENTER
PRESCOTT, MI 48756
PRESCOTT, MI 48756
33aNPI1881679645assigned 12/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$401K
24GClaims24,645
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#137 of 241
Median peer was paid$477K
This provider vs. median0.8×
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 | 1,104 | $15K | |
| 2019 | 839 | $8K | |
| 2021 | 1,832 | $25K | |
| 2022 | 7,312 | $120K | |
| 2023 | 8,828 | $159K | |
| 2024incomplete | 4,730 | $74K |
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% | 4,023 | 3,639 | $175K |
| 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 | 26% | 1,938 | 1,373 | $104K |
| 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 | 7.2% | 566 | 559 | $29K |
| 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 | 6.8% | 1,486 | 1,425 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 1,870 | 1,760 | $24K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.3% | 693 | 529 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 516 | 452 | $8K |
| 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 | 1.5% | 109 | 109 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 127 | 125 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 157 | 145 | $4K |
| 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% | 53 | 53 | $687.23 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 114 | 114 | $619.04 |
19 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 320 | $468.99 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 42 | $407.86 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $202.00 |
| 90686 | <1% | 13 | $152.24 | |
| 96127 | <1% | 13 | $2.77 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 54 | $0.10 |
| 1159F | 0% | 2,616 | $0.00 | |
| 3078F | 0% | 1,607 | $0.00 | |
| 1220F | 0% | 2,029 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 434 | $0.00 |
| 1034F | 0% | 385 | $0.00 | |
| 1036F | 0% | 902 | $0.00 | |
| 1000F | 0% | 1,452 | $0.00 | |
| 3074F | 0% | 2,141 | $0.00 | |
| 3079F | 0% | 717 | $0.00 | |
| 1125F | 0% | 95 | $0.00 | |
| 3075F | 0% | 116 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 31 | $0.00 |
| 1031F | 0% | 14 | $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 officialRUSHLOW, ROGER (CEO)
Parent organizationSTERLING AREA HEALTH CENTER