COUNTY OF GRAND TRAVERSE
NPI: 1174670459
· TRAVERSE CITY, MI 49686
· Clinic/Center
· NPI assigned 01/05/2007
$266K
Total Medicaid Paid
Provider Details
| Authorized Official | CARLSON, ERIN (ACCOUNTANT) |
| Parent Organization | GRAND TRAVERSE COUNTY |
| NPI Enumeration Date | 01/05/2007 |
Related Entities
Other providers sharing the same authorized official: CARLSON, ERIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,782 |
$43K |
| 2019 |
5,106 |
$40K |
| 2020 |
1,757 |
$16K |
| 2021 |
6,102 |
$97K |
| 2022 |
2,029 |
$20K |
| 2023 |
3,559 |
$26K |
| 2024 |
2,681 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
1,016 |
1,016 |
$37K |
| 0001A |
|
1,066 |
1,066 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,507 |
3,445 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,712 |
1,687 |
$29K |
| V5008 |
Hearing screening |
2,898 |
2,880 |
$27K |
| 36416 |
|
4,454 |
4,444 |
$26K |
| 99172 |
|
2,465 |
2,439 |
$23K |
| 85018 |
|
4,730 |
4,714 |
$10K |
| 90686 |
|
896 |
895 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
83 |
51 |
$6K |
| 90632 |
|
92 |
92 |
$5K |
| 0071A |
|
128 |
128 |
$5K |
| 0031A |
|
108 |
108 |
$4K |
| 0072A |
|
107 |
107 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
59 |
38 |
$3K |
| 90651 |
|
132 |
132 |
$2K |
| 0004A |
|
29 |
29 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
24 |
$989.65 |
| 86580 |
|
166 |
140 |
$798.97 |
| 90715 |
|
170 |
170 |
$760.44 |
| 0124A |
|
18 |
18 |
$707.46 |
| 90480 |
|
13 |
13 |
$519.74 |
| 90707 |
|
13 |
13 |
$462.90 |
| 90656 |
|
45 |
45 |
$265.62 |
| 96160 |
|
150 |
127 |
$173.94 |
| 90619 |
|
59 |
59 |
$156.84 |
| 96127 |
|
37 |
27 |
$98.09 |
| 90734 |
|
117 |
117 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 91300 |
|
2,155 |
1,915 |
$0.00 |
| 90710 |
|
51 |
51 |
$0.00 |
| 91312 |
|
18 |
18 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |
| 91303 |
|
102 |
102 |
$0.00 |
| 91307 |
|
241 |
226 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90647 |
|
24 |
24 |
$0.00 |