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    OpenPayerNPI Medicare & MedicaidNorthwest Michigan Community Health Agency
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    Northwest Michigan Community Health Agency — Billing Profile & Reimbursement Data

    NPI 1932116191 · Charlevoix, MI · Public Health or Welfare Agency

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    Northwest Michigan Community Health Agency is a public health or welfare agency provider located in Charlevoix, Michigan. This profile covers 10 Medicare and 96 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthwest Michigan Community Health Agency
    Address220 W Garfield Ave
    CityCharlevoix
    StateMI
    ZIP49720
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedAugust 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5M
    Medicare$105.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.300$140$42.6K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…200$80$15.3K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…50$280$15K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.300$40$11.6K
    G0008Administration of influenza virus vaccine380$30$11.1K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…150$30$4.9K
    0134AN/A50$40$1.9K
    G0009Administration of pneumococcal vaccine50$30$1.6K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…20$30$660
    0124AN/A10$40$510

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322381,00070$140$13.4K
    90677551,29020$270$6.5K
    906941081,56050$70$5.8K
    90480721,52080$40$3.9K
    G0008383,44050$30$2.2K
    0124A44154020$40$1.2K
    9075619020$30$1.1K
    0134A4357020$40$1K
    9067411026020$30$980
    G0009611,49020$30$630

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    96 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99402At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…27,540$80$2.2M
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…14,270$40$585K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2,980$140$405.7K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5,480$60$301.4K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…2,230$80$176.2K
    S0215Non-emergency transportation; mileage, per mile720$190$138.6K
    H1000Prenatal care, at-risk assessment1,460$90$125.2K
    H2000Comprehensive multidisciplinary evaluation1,080$110$115.7K
    G9011Coordinated care fee, risk adjusted maintenance, level 52,670$40$106.7K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.9,010$10$90.1K

    Showing 1–10 of 96

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    96 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter61110480$530$1.5M
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…23401,230$60$495.3K
    99402At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…71401,890$80$453.8K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…6391,960870$100$376.5K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…162950610$80$328.2K
    S0215Non-emergency transportation; mileage, per mile761102,100$30$250.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,3214,7701,060$50$247.8K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…1232501,110$60$228.5K
    H2000Comprehensive multidisciplinary evaluation43150400$170$198.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.68780140$190$192.4K

    Showing 1–10 of 96

    • More pages

    Nearby Providers

    Other providers in the same ZIP code as Northwest Michigan Community Health Agency, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Michigan Community Health AgencyMIPublic Health or Welfare Agency$0$53.2M
    Munson Healthcare Charlevoix HospitalMICritical Access Hospital$0$8.3M
    Tova RogersMIDermatology Physician$156.7K$0
    Thomas De KorteMIPodiatrist$60.5K$16.5K
    Aaron WilkinMIChiropractor$27.5K$4K
    Michael JohnsonMICertified Registered Nurse Anesthetist$20.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Northwest Michigan Community Health Agency — 6 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Northwest Michigan Community Health Agency — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan