NPI: 1124052816 · PETOSKEY, MI 49770 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,576 | $684K |
| 2019 | 5,173 | $899K |
| 2020 | 6,086 | $990K |
| 2021 | 8,423 | $1.30M |
| 2022 | 8,771 | $2.09M |
| 2023 | 7,411 | $1.78M |
| 2024 | 4,018 | $1.06M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0470 | Fqhc visit, mh estab pt | 10,994 | 4,422 | $4.61M |
| G0467 | Fqhc visit, estab pt | 8,562 | 7,461 | $3.54M |
| G0468 | Fqhc visit, ippe or awv | 877 | 868 | $303K |
| D1110 | 317 | 316 | $128K | |
| D0140 | 159 | 155 | $68K | |
| 90837 | 4,910 | 2,391 | $42K | |
| 99214 | 3,876 | 3,624 | $28K | |
| 99213 | 3,492 | 3,199 | $18K | |
| 90832 | 2,354 | 1,397 | $16K | |
| 90834 | 948 | 758 | $8K | |
| 0012A | 146 | 146 | $5K | |
| D0150 | 15 | 15 | $5K | |
| D0120 | 51 | 51 | $4K | |
| 0011A | 150 | 150 | $3K | |
| D1206 | 247 | 247 | $3K | |
| 0002A | 63 | 63 | $2K | |
| 0064A | 57 | 57 | $2K | |
| 0001A | 58 | 58 | $2K | |
| D0274 | 171 | 171 | $2K | |
| 90471 | 818 | 812 | $2K | |
| 99215 | Prolong outpt/office vis | 137 | 130 | $2K |
| 90853 | 416 | 163 | $2K | |
| 99212 | 241 | 204 | $744.20 | |
| 36415 | 1,216 | 1,183 | $658.68 | |
| 0031A | 24 | 24 | $623.56 | |
| 90688 | 311 | 311 | $556.85 | |
| D1120 | 13 | 13 | $535.00 | |
| D0220 | 144 | 140 | $504.60 | |
| 0134A | 13 | 12 | $487.89 | |
| 90472 | 73 | 73 | $395.37 | |
| 90791 | 14 | 13 | $350.20 | |
| 83036 | 296 | 290 | $338.50 | |
| 87804 | 62 | 30 | $134.98 | |
| 96372 | 69 | 66 | $85.38 | |
| 82962 | 145 | 140 | $59.58 | |
| 81003 | 332 | 318 | $57.34 | |
| 87880 | 54 | 52 | $53.05 | |
| Q3014 | Telehealth facility fee | 148 | 141 | $49.72 |
| 80305 | 28 | 27 | $20.86 | |
| 81002 | 12 | 12 | $5.76 | |
| 82947 | 13 | 13 | $3.26 | |
| 90686 | 22 | 22 | $0.01 | |
| 91300 | 131 | 104 | $0.00 | |
| 4064F | 207 | 203 | $0.00 | |
| 3089F | 160 | 147 | $0.00 | |
| 91313 | 13 | 12 | $0.00 | |
| 3077F | 13 | 12 | $0.00 | |
| 91305 | 15 | 15 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 1,419 | 875 | $0.00 |
| 2000F | 42 | 36 | $0.00 | |
| 91301 | 300 | 294 | $0.00 | |
| 3008F | 29 | 28 | $0.00 | |
| 91303 | 24 | 24 | $0.00 | |
| 91306 | 57 | 57 | $0.00 |