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UPPER GREAT LAKES FAMILY HEALTH CENTER
UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI: 1104158690
· GWINN, MI 49841
· 207Q00000X
$1.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,387 |
$150K |
| 2019 |
6,054 |
$236K |
| 2020 |
5,751 |
$192K |
| 2021 |
5,704 |
$186K |
| 2022 |
4,887 |
$130K |
| 2023 |
10,387 |
$207K |
| 2024 |
7,739 |
$169K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
14,801 |
12,884 |
$618K |
| 99214 |
|
7,273 |
6,563 |
$237K |
| G0470 |
Fqhc visit, mh estab pt |
4,354 |
2,802 |
$132K |
| 99213 |
|
4,106 |
3,769 |
$112K |
| 90832 |
|
2,657 |
1,861 |
$92K |
| G0466 |
Fqhc visit new patient |
286 |
285 |
$20K |
| G0468 |
Fqhc visit, ippe or awv |
303 |
302 |
$15K |
| 90837 |
|
621 |
440 |
$10K |
| 87428 |
|
126 |
121 |
$5K |
| 90791 |
|
106 |
104 |
$5K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$4K |
| G0469 |
Fqhc visit, mh new pt |
55 |
42 |
$4K |
| 90471 |
|
643 |
636 |
$4K |
| 99212 |
|
166 |
161 |
$4K |
| 90686 |
|
256 |
255 |
$2K |
| 90834 |
|
55 |
40 |
$1K |
| 0012A |
|
26 |
26 |
$961.86 |
| 90472 |
|
40 |
40 |
$594.96 |
| 90656 |
|
22 |
22 |
$469.35 |
| 99309 |
|
940 |
916 |
$388.50 |
| 0011A |
|
20 |
20 |
$340.90 |
| 87880 |
|
40 |
39 |
$287.49 |
| 98966 |
|
33 |
30 |
$267.27 |
| 98967 |
|
14 |
13 |
$214.76 |
| 96127 |
|
63 |
63 |
$137.08 |
| 96372 |
|
34 |
28 |
$134.64 |
| 80305 |
|
13 |
13 |
$125.16 |
| 99308 |
|
723 |
718 |
$90.44 |
| 81002 |
|
13 |
12 |
$37.44 |
| 3078F |
|
1,818 |
1,673 |
$0.00 |
| 3077F |
|
103 |
99 |
$0.00 |
| 99204 |
|
89 |
89 |
$0.00 |
| S0281 |
Medical home, maintenance |
1,235 |
1,233 |
$0.00 |
| 3074F |
|
1,936 |
1,762 |
$0.00 |
| 3079F |
|
869 |
812 |
$0.00 |
| 3075F |
|
683 |
630 |
$0.00 |
| 1126F |
|
205 |
202 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 91301 |
|
58 |
58 |
$0.00 |
| 96110 |
|
17 |
17 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |