Great Lakes Bay Health Centers
Great Lakes Bay Health Centers was paid $5.90M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is G0467, community health center visit, returning patient — 50% of everything it billed.
BAY CITY, MI 48706
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 | 41,437 | $802K | |
| 2019 | 35,182 | $724K | |
| 2020 | 26,054 | $577K | |
| 2021 | 43,287 | $1.03M | |
| 2022 | 44,837 | $1.04M | |
| 2023 | 42,982 | $940K | |
| 2024incomplete | 46,385 | $790K |
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 | 50% | 74,056 | 67,406 | $2.98M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 39,180 | 36,651 | $775K |
| 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 | 8.2% | 16,933 | 16,460 | $486K |
| 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 | 5.4% | 8,243 | 6,235 | $319K |
| 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 | 4.5% | 5,262 | 5,234 | $265K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 3,888 | 3,876 | $146K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 2,245 | 2,243 | $93K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 3,050 | 3,005 | $75K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 2,982 | 2,333 | $75K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 3,347 | 2,845 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,296 | 1,291 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,088 | 4,908 | $56K |
112 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 782 | $54K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,609 | $47K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,248 | $40K |
| 96160 | <1% | 4,368 | $39K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 945 | $32K |
| 90651 | <1% | 1,060 | $30K | |
| 90686 | <1% | 4,344 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,063 | $22K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,567 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 757 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 366 | $17K |
| 90750 | <1% | 177 | $17K | |
| 90715 | <1% | 1,108 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,058 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,235 | $10K |
| 96127 | <1% | 6,367 | $10K | |
| 82962 | <1% | 5,248 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 291 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 560 | $7K |
| 90670 | <1% | 2,280 | $7K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 705 | $7K |
| 99383 | <1% | 132 | $5K | |
| 99381 | <1% | 186 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 70 | $4K |
| 99000 | <1% | 672 | $4K | |
| H0001 | Alcohol and/or drug assessment | <1% | 319 | $3K |
| 0134A | <1% | 152 | $3K | |
| 99384 | <1% | 65 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 422 | $3K |
| H0031 | Mental health assessment, by non-physician | <1% | 110 | $3K |
| 81025 | <1% | 684 | $2K | |
| 90677 | <1% | 184 | $2K | |
| 91322 | <1% | 53 | $2K | |
| 90632 | <1% | 66 | $2K | |
| 0064A | <1% | 86 | $2K | |
| 82044 | <1% | 724 | $2K | |
| 81003 | <1% | 1,741 | $2K | |
| 90620 | <1% | 103 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $2K |
| 90734 | <1% | 497 | $2K | |
| 0124A | <1% | 93 | $1K | |
| 90656 | <1% | 143 | $1K | |
| 90480 | <1% | 72 | $1K | |
| 91320 | <1% | 14 | $1K | |
| 90716 | <1% | 306 | $1K | |
| 90473 | <1% | 462 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 22 | $903.36 |
| 93000 | <1% | 143 | $814.56 | |
| 85610 | <1% | 223 | $792.50 | |
| 90714 | <1% | 45 | $791.83 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 534 | $754.28 |
| 99495 | <1% | 16 | $637.00 | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 71 | $497.45 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 19 | $482.44 |
| 0071A | <1% | 14 | $454.20 | |
| 90619 | <1% | 86 | $308.54 | |
| 90621 | <1% | 12 | $243.80 | |
| 0054A | <1% | 17 | $225.18 | |
| 90732 | <1% | 13 | $208.00 | |
| 82570 | <1% | 116 | $197.34 | |
| 96381 | <1% | 13 | $170.44 | |
| 90707 | <1% | 347 | $130.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 69 | $84.41 |
| 81002 | <1% | 41 | $83.52 | |
| 36416 | <1% | 2,613 | $70.60 | |
| 97802 | <1% | 291 | $30.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 541 | $29.70 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 91 | $0.02 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 15 | $0.02 |
| 3052F | <1% | 203 | $0.01 | |
| 90633 | 0% | 1,349 | $0.00 | |
| 90681 | 0% | 793 | $0.00 | |
| 3051F | 0% | 612 | $0.00 | |
| 91313 | 0% | 151 | $0.00 | |
| 91312 | 0% | 96 | $0.00 | |
| 90710 | 0% | 207 | $0.00 | |
| 3078F | 0% | 4,148 | $0.00 | |
| 1159F | 0% | 314 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 3,890 | $0.00 |
| 90648 | 0% | 1,163 | $0.00 | |
| 90700 | 0% | 248 | $0.00 | |
| 3046F | 0% | 653 | $0.00 | |
| 90461 | 0% | 1,402 | $0.00 | |
| 3077F | 0% | 776 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 121 | $0.00 |
| 91300 | 0% | 96 | $0.00 | |
| 90687 | 0% | 12 | $0.00 | |
| 3045F | 0% | 352 | $0.00 | |
| 1160F | 0% | 2,516 | $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% | 47 | $0.00 |
| 3351F | 0% | 763 | $0.00 | |
| 3079F | 0% | 2,403 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 382 | $0.00 |
| 90723 | 0% | 1,799 | $0.00 | |
| 90696 | 0% | 175 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 202 | $0.00 |
| 94760 | 0% | 19 | $0.00 | |
| 3074F | 0% | 4,494 | $0.00 | |
| 3008F | 0% | 8,020 | $0.00 | |
| 3044F | 0% | 1,649 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 0% | 4,490 | $0.00 |
| 3080F | 0% | 430 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 80 | $0.00 |
| 90647 | 0% | 637 | $0.00 | |
| 1125F | 0% | 97 | $0.00 | |
| 3075F | 0% | 1,709 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 91306 | 0% | 98 | $0.00 | |
| 3061F | 0% | 16 | $0.00 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 0% | 38 | $0.00 |
| 3060F | 0% | 29 | $0.00 | |
| 91301 | 0% | 12 | $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 | $5.08M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.93M |
| Great Lakes Bay Health Centers | Saginaw, MI | $4.76M |
| 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.