Baldwin Family Health Care
Baldwin Family Health Care was paid $5.71M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is G0467, community health center visit, returning patient — 70% of everything it billed.
CADILLAC, MI 49601
Next to other Family Medicine Physician 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 | 31,267 | $871K | |
| 2019 | 31,563 | $885K | |
| 2020 | 27,239 | $826K | |
| 2021 | 26,928 | $832K | |
| 2022 | 29,159 | $885K | |
| 2023 | 26,240 | $855K | |
| 2024incomplete | 15,593 | $559K |
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 | 70% | 63,928 | 55,834 | $3.98M |
| 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 | 17% | 15,486 | 8,743 | $994K |
| 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 | 3.9% | 3,037 | 3,018 | $220K |
| 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 | 2.5% | 26,788 | 24,582 | $144K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 28,608 | 26,114 | $114K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.7% | 11,056 | 6,234 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,463 | 1,458 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,104 | 1,102 | $14K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,749 | 3,715 | $13K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,067 | 1,064 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,941 | 6,867 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,080 | 1,061 | $11K |
59 more codes
| 90632 | <1% | 939 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 868 | $8K |
| 90651 | <1% | 311 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 776 | $6K |
| 90670 | <1% | 1,072 | $5K | |
| 90686 | <1% | 2,807 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 592 | $4K |
| 90620 | <1% | 308 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,402 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,507 | $2K |
| 90715 | <1% | 603 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 360 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 143 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 365 | $2K |
| 90746 | <1% | 83 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 353 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 541 | $1K |
| 80305 | <1% | 940 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 87 | $1K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,131 | $986.86 |
| 0012A | <1% | 26 | $919.04 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 225 | $899.65 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,304 | $891.68 |
| 90707 | <1% | 149 | $825.45 | |
| 0031A | <1% | 31 | $785.39 | |
| 81002 | <1% | 1,493 | $724.10 | |
| G9001 | Coordinated care fee, initial rate | <1% | 262 | $486.79 |
| 0011A | <1% | 23 | $407.38 | |
| 90732 | <1% | 12 | $323.25 | |
| 90656 | <1% | 62 | $312.90 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 194 | $269.76 |
| 81025 | <1% | 153 | $204.30 | |
| 90473 | <1% | 83 | $134.41 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 271 | $108.56 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $100.64 |
| 74018 | <1% | 12 | $79.25 | |
| 87807 | <1% | 61 | $68.16 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $48.95 |
| 81003 | <1% | 115 | $34.73 | |
| 82962 | <1% | 28 | $10.56 | |
| 98966 | <1% | 258 | $0.99 | |
| 98967 | <1% | 46 | $0.20 | |
| 90633 | 0% | 376 | $0.00 | |
| 90734 | 0% | 182 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 208 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 47 | $0.00 |
| 90681 | 0% | 26 | $0.00 | |
| 90685 | 0% | 65 | $0.00 | |
| 90710 | 0% | 68 | $0.00 | |
| 90672 | 0% | 60 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90750 | 0% | 45 | $0.00 | |
| 90723 | 0% | 654 | $0.00 | |
| 90647 | 0% | 627 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 98 | $0.00 |
| 90677 | 0% | 14 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90696 | 0% | 42 | $0.00 | |
| 90619 | 0% | 27 | $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 |
|---|---|---|
| Baldwin Family Health Care | Baldwin, MI | $10.80M |
| 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 | Baldwin, MI | $56K |
| 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.