Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Bangor › NPI 1992818835
Clinic

Intercare Community Health Network

Intercare Community Health Network was paid $4.67M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is G0467, community health center visit, returning patient — 38% of everything it billed.

33Billing provider infoINTERCARE COMMUNITY HEALTH NETWORK
BANGOR, MI 49013
33aNPI1992818835assigned 08/16/2006
28Total paid$4.67M
24GClaims120,926
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Michigan

Rank by total paid#35 of 241
Median peer was paid$477K
This provider vs. median9.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HENDERSHOTT, VELMA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201819,792$732K
201922,130$839K
202012,431$541K
202117,824$678K
202216,224$632K
202317,158$655K
2024incomplete15,367$591K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 24,477 21,566 $1.78M
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 10.0% 6,135 4,324 $467K
D7140 Extraction, erupted tooth or exposed root 9.0% 4,613 2,263 $419K
D0140 Limited oral evaluation - problem focused 6.8% 3,840 3,714 $317K
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 6.7% 3,767 3,739 $313K
D1110 Prophylaxis - adult 4.1% 2,170 2,153 $192K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.6% 1,307 982 $169K
D0150 Comprehensive oral evaluation - new or established patient 2.9% 1,998 1,991 $137K
D1120 Dental cleaning, childProphylaxis - child 2.6% 3,023 3,019 $123K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.0% 3,108 3,097 $94K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.9% 895 670 $90K
D1206 Topical application of fluoride varnish 1.9% 3,722 3,714 $88K
81 more codes
90832 Psychotherapy session, about 30 minutes 1.6% 4,413 $73K
G0466 Community health center visit, new patient 1.3% 684 $61K
D1351 Sealant - per tooth 1.2% 2,027 $56K
D0274 Bitewings - four radiographic images 1.1% 1,848 $50K
99213 Doctor's office visit, returning patient (routine) <1% 15,128 $36K
D0210 Intraoral - complete series of radiographic images <1% 831 $34K
D0220 Intraoral - periapical first radiographic image <1% 3,745 $32K
90834 Psychotherapy session, about 45 minutes <1% 1,722 $28K
99214 Doctor's office visit, returning patient (more involved) <1% 7,951 $24K
D0272 Bitewings - two radiographic images <1% 522 $11K
D0191 <1% 629 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 37 $6K
D4355 <1% 41 $5K
D0145 Oral evaluation for a patient under three years of age <1% 158 $4K
D1354 <1% 169 $4K
D0230 Intraoral - periapical each additional radiographic image <1% 1,011 $4K
D1208 Topical application of fluoride, excluding varnish <1% 172 $4K
90853 Group psychotherapy (other than of a multiple-family group) <1% 213 $3K
D0270 <1% 433 $3K
0011A <1% 101 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,705 $3K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,637 $2K
D2330 <1% 26 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 279 $2K
0012A <1% 60 $2K
90837 Psychotherapy session, about an hour <1% 96 $1K
80305 <1% 3,211 $1K
0001A <1% 31 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 223 $1K
90656 <1% 195 $983.40
90686 <1% 1,600 $939.63
H0038 Self-help/peer services, per 15 minutes <1% 67 $837.50
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 132 $812.53
90480 <1% 28 $799.60
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 177 $789.96
90651 <1% 75 $787.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 544 $759.15
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 13 $747.00
H0031 Mental health assessment, by non-physician <1% 199 $729.68
90620 <1% 40 $728.80
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 156 $536.88
0002A <1% 14 $529.90
90746 <1% 292 $496.00
0031A <1% 14 $492.05
81025 <1% 1,571 $426.05
83036 Hemoglobin; glycosylated (A1C) <1% 1,238 $355.62
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 297 $330.03
0003A <1% 13 $302.80
90677 <1% 122 $298.04
90632 <1% 181 $234.56
90715 <1% 102 $198.34
91322 <1% 26 $145.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 80 $126.59
99204 Doctor's office visit, new patient (more involved) <1% 25 $96.47
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 246 $82.26
92551 <1% 107 $62.62
H0001 Alcohol and/or drug assessment <1% 12 $61.48
99203 Doctor's office visit, new patient (routine) <1% 17 $60.02
81002 <1% 375 $45.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 36 $13.12
85018 <1% 30 $4.93
99406 <1% 160 $0.07
D9991 0% 41 $0.00
3046F 0% 24 $0.00
90633 0% 25 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 41 $0.00
90670 0% 14 $0.00
91300 0% 16 $0.00
D1330 0% 912 $0.00
94760 0% 1,015 $0.00
3044F 0% 86 $0.00
99495 0% 25 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 0% 62 $0.00
90647 0% 53 $0.00
36416 0% 35 $0.00
91301 0% 119 $0.00
90619 0% 26 $0.00
90474 0% 16 $0.00
90723 0% 42 $0.00
99381 0% 16 $0.00
90680 0% 16 $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 officialHENDERSHOTT, VELMA (PRESIDENT CEO)
Same official

Other billing entities under HENDERSHOTT, VELMA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.