Clinic
Hamilton Community Health Network INC.
Hamilton Community Health Network INC. was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is G0467, community health center visit, returning patient — 73% of everything it billed.
33Billing provider infoHAMILTON COMMUNITY HEALTH NETWORK INC.
CLIO, MI 48420
CLIO, MI 48420
33aNPI1922245299assigned 01/08/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.13M
24GClaims87,785
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#73 of 241
Median peer was paid$477K
This provider vs. median4.5×
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 | 14,701 | $263K | |
| 2019 | 19,917 | $290K | |
| 2020 | 12,999 | $307K | |
| 2021 | 12,342 | $382K | |
| 2022 | 11,631 | $345K | |
| 2023 | 9,644 | $306K | |
| 2024incomplete | 6,551 | $239K |
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 | 73% | 29,335 | 25,600 | $1.55M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 13,807 | 12,709 | $154K |
| 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 | 6.3% | 7,794 | 7,315 | $134K |
| 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 | 5.0% | 1,731 | 1,719 | $107K |
| 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 | 3.6% | 1,330 | 1,315 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 6,043 | 5,634 | $48K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 739 | 730 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 841 | 834 | $15K |
| 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% | 176 | 174 | $9K |
| 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% | 400 | 398 | $5K |
| 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% | 194 | 194 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 176 | 174 | $3K |
43 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 623 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 770 | $2K |
| 90715 | <1% | 132 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 569 | $1K |
| 90688 | <1% | 284 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 271 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 456 | $809.98 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 184 | $686.52 |
| 93000 | <1% | 304 | $678.40 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 338 | $562.63 |
| 81025 | <1% | 155 | $442.06 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 53 | $350.14 |
| 81002 | <1% | 348 | $313.92 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 53 | $313.17 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 200 | $301.85 |
| 99000 | <1% | 64 | $287.76 | |
| 90686 | <1% | 30 | $168.20 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $160.78 |
| 99406 | <1% | 27 | $108.20 | |
| 90707 | <1% | 13 | $55.00 | |
| 82962 | <1% | 105 | $51.49 | |
| 80305 | <1% | 21 | $20.86 | |
| 3074F | <1% | 4,053 | $0.15 | |
| 3008F | <1% | 5,552 | $0.11 | |
| 3079F | <1% | 2,539 | $0.11 | |
| 3078F | <1% | 2,466 | $0.06 | |
| 3050F | <1% | 165 | $0.03 | |
| 3077F | <1% | 991 | $0.03 | |
| 3080F | <1% | 1,038 | $0.03 | |
| 3044F | <1% | 900 | $0.03 | |
| 3075F | <1% | 986 | $0.02 | |
| 3049F | <1% | 303 | $0.01 | |
| 1159F | 0% | 201 | $0.00 | |
| 3725F | 0% | 219 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 87 | $0.00 |
| 3511F | 0% | 13 | $0.00 | |
| 90687 | 0% | 29 | $0.00 | |
| 1160F | 0% | 206 | $0.00 | |
| 3048F | 0% | 307 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 99443 | 0% | 19 | $0.00 | |
| 1036F | 0% | 106 | $0.00 | |
| 1126F | 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 officialPIERCE, CLARENCE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hamilton Community Health Network INC. | Burton, MI | $10.28M |
| Hamilton Community Health Network, INC. | Flint, MI | $8.71M |
| Hamilton Community Health Network INC. | Flint, MI | $5.73M |
| Hamilton Community Health Network INC. | Flint, MI | $1.49M |
| Hamilton Community Health Network, INC | Lapeer, MI | $1.18M |
| Hamilton Community Health Network INC. | Flint, MI | $885K |
| Hamilton Community Health Network INC. | Flint, MI | $847K |
| Hamilton Community Health Network INC | Flint, MI | $19K |
| Hamilton Community Health Network INC | Whitmore Lake, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.