UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI: 1053948265
· MARQUETTE, MI 49855
· 261QF0400X
$1.56M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,915 |
$115K |
| 2021 |
6,646 |
$271K |
| 2022 |
8,244 |
$393K |
| 2023 |
12,002 |
$464K |
| 2024 |
14,374 |
$319K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
12,245 |
10,220 |
$1.00M |
| 99214 |
|
6,899 |
6,064 |
$273K |
| 99213 |
|
4,725 |
4,064 |
$81K |
| 80305 |
|
5,327 |
4,573 |
$42K |
| 90832 |
|
666 |
510 |
$29K |
| 90837 |
|
252 |
162 |
$22K |
| G0466 |
Fqhc visit new patient |
428 |
422 |
$21K |
| G0470 |
Fqhc visit, mh estab pt |
1,435 |
857 |
$21K |
| S0280 |
Medical home, initial plan |
61 |
61 |
$18K |
| H0004 |
Alcohol and/or drug services |
355 |
258 |
$16K |
| 99202 |
|
237 |
231 |
$7K |
| 96372 |
|
590 |
551 |
$5K |
| 90791 |
|
40 |
40 |
$4K |
| H0001 |
Alcohol and/or drug assess |
21 |
21 |
$4K |
| 90834 |
|
69 |
56 |
$3K |
| 99203 |
|
54 |
54 |
$3K |
| 98966 |
|
320 |
316 |
$3K |
| 99204 |
|
35 |
35 |
$1K |
| 81025 |
|
302 |
284 |
$1K |
| 90686 |
|
78 |
74 |
$1K |
| 90471 |
|
116 |
113 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 99212 |
|
73 |
73 |
$1K |
| 90656 |
|
35 |
35 |
$737.55 |
| 36415 |
|
42 |
42 |
$277.78 |
| 81002 |
|
29 |
27 |
$69.12 |
| 96127 |
|
21 |
21 |
$47.68 |
| 3077F |
|
394 |
377 |
$0.00 |
| 3078F |
|
2,737 |
2,539 |
$0.00 |
| 3079F |
|
2,192 |
2,042 |
$0.00 |
| 3075F |
|
1,045 |
992 |
$0.00 |
| 3074F |
|
3,736 |
3,370 |
$0.00 |
| S0281 |
Medical home, maintenance |
364 |
364 |
$0.00 |
| 3080F |
|
145 |
137 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
97 |
87 |
$0.00 |