NPI: 1184054892 · OWOSSO, MI 48867 · Federally Qualified Health Center (FQHC) · NPI assigned 11/15/2013
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (INTERUM PRESIDENT) |
| NPI Enumeration Date | 11/15/2013 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,525 | $261K |
| 2019 | 13,279 | $289K |
| 2020 | 11,288 | $280K |
| 2021 | 14,130 | $376K |
| 2022 | 19,401 | $473K |
| 2023 | 22,684 | $451K |
| 2024 | 19,736 | $305K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 33,589 | 29,391 | $1.35M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18,533 | 16,701 | $352K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11,352 | 10,635 | $314K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 3,842 | 3,016 | $175K |
| G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,705 | 1,690 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,031 | 1,912 | $25K |
| 90791 | Psychiatric diagnostic evaluation | 314 | 309 | $14K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 409 | 401 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,038 | 1,997 | $12K |
| 90834 | Psychotherapy, 45 minutes with patient | 621 | 465 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,675 | 1,587 | $8K |
| 90832 | Psychotherapy, 30 minutes with patient | 604 | 540 | $8K |
| 90686 | 1,132 | 1,120 | $8K | |
| 96160 | 887 | 879 | $8K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 356 | 353 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 199 | 196 | $7K |
| 96127 | 4,764 | 4,665 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 506 | 506 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 112 | 111 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 111 | 111 | $3K |
| 90746 | 89 | 89 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 50 | 50 | $3K |
| 99000 | 402 | 397 | $3K | |
| 90632 | 81 | 81 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 464 | 456 | $2K |
| 90837 | Psychotherapy, 53 minutes with patient | 60 | 32 | $1K |
| 99215 | Prolong outpt/office vis | 46 | 46 | $1K |
| 81025 | 271 | 264 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 233 | 231 | $884.40 |
| 90656 | 61 | 61 | $826.95 | |
| 0134A | 48 | 48 | $826.81 | |
| 81003 | 609 | 587 | $689.21 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 58 | 57 | $648.73 |
| 90651 | 24 | 24 | $602.32 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 12 | $458.80 |
| 0064A | 14 | 14 | $378.50 | |
| 90715 | 27 | 27 | $370.95 | |
| H0001 | Alcohol and/or drug assessment | 12 | 12 | $331.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 43 | 42 | $314.87 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $252.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 140 | 137 | $226.50 |
| 99406 | 30 | 29 | $89.10 | |
| 82962 | 35 | 33 | $56.91 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 252 | 223 | $26.92 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 14 | 14 | $17.94 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 132 | 131 | $0.01 |
| 3075F | 1,425 | 1,368 | $0.00 | |
| 3351F | 1,957 | 1,931 | $0.00 | |
| 3080F | 667 | 629 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 382 | 378 | $0.00 |
| 3008F | 3,432 | 3,110 | $0.00 | |
| 3074F | 4,020 | 3,697 | $0.00 | |
| 3079F | 2,703 | 2,545 | $0.00 | |
| 36416 | 317 | 296 | $0.00 | |
| 1126F | 385 | 375 | $0.00 | |
| 3044F | 71 | 70 | $0.00 | |
| 1125F | 418 | 392 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 891 | 806 | $0.00 |
| 94760 | 204 | 190 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 81 | 80 | $0.00 |
| 2000F | 40 | 39 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 13 | 12 | $0.00 |
| 3077F | 764 | 718 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1,322 | 1,281 | $0.00 |
| 91313 | 47 | 47 | $0.00 | |
| 3078F | 2,820 | 2,643 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,478 | 1,451 | $0.00 |
| 1159F | 133 | 126 | $0.00 | |
| 1160F | 1,346 | 1,178 | $0.00 | |
| 90461 | 127 | 124 | $0.00 |