Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Northwest Michigan Community Health Agency

Public Health or Welfare·Charlevoix, MI·NPI: 1336174770SharePrint ReportML Risk: 83%

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $222K is at the below 25th percentile among 17 Public Health or Welfare providers.

Total Paid

$222K

$221,583

Total Claims

2,979

Beneficiaries

2,482

1.2 claims/patient

Avg Cost/Claim

$74

🔍 Analysis

Provider Overview

Northwest Michigan Community Health Agency is a Public Health or Welfare provider based in Charlevoix, MI. From the 2018–2024 period, this provider received $222K in Medicaid payments across 3K claims serving 2K beneficiaries.

91% growthsince first billing year

Yearly Spending

2018
$171K
-79%
2019
$35K
-56%
2022
$15K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (99402) accounts for 76% of total spending.

99402Top 25%

$169K

2,160 claims · 76.3%

Your Cost: $78.32/claim|Median: $31.79
2.5× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$18K

180 claims · 8.0%

Your Cost: $99.07/claim|Median: $114.71
0.9× median
H1000Top 25%

Prenatal care, at-risk assessment

$16K

206 claims · 7.4%

Your Cost: $79.91/claim|Median: $50.36
1.6× median
G9011Normal range

$15K

386 claims · 7.0%

Your Cost: $40.00/claim|Median: $39.92
1.0× median
S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$3K

47 claims · 1.2%

Your Cost: $56.92/claim|Median: $21.33
2.7× median