Baldwin Family Health Care
Baldwin Family Health Care was paid $56K by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is G0467, community health center visit, returning patient — 98% of everything it billed.
BALDWIN, MI 49304
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 | 42 | $2K | |
| 2019 | 323 | $13K | |
| 2020 | 200 | $4K | |
| 2021 | 416 | $14K | |
| 2022 | 229 | $8K | |
| 2023 | 205 | $8K | |
| 2024incomplete | 145 | $7K |
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 | 98% | 1,022 | 984 | $55K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 197 | 195 | $504.57 |
| 92015 | Determination of refractive state | <1% | 288 | 286 | $374.37 |
| 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% | 41 | 41 | $236.54 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 12 | 12 | $49.33 |
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 |
|---|---|---|
| Baldwin Family Health Care | Baldwin, MI | $10.80M |
| Baldwin Family Health Care | Cadillac, MI | $5.71M |
| Baldwin Family Health Care | Baldwin, MI | $4.49M |
| Baldwin Family Health Care | Grant, MI | $3.10M |
| Baldwin Family Health Care | White Cloud, MI | $2.88M |
| Baldwin Family Health Care | Mc Bain, MI | $1.00M |
| Baldwin Family Health Care | Big Rapids, MI | $443K |
| Baldwin Family Health Care | Newaygo, MI | $136K |
| Baldwin Family Health Care | Baldwin, MI | $111K |
| Baldwin Family Health Care | Leroy, MI | $54K |
| Baldwin Family Health Care | Big Rapids, MI | $39K |
| Baldwin Family Health Care | Grant, MI | $33K |
| Baldwin Family Health Care | White Cloud, MI | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.