NPI: 1194855155 · GRAND RAPIDS, MI 49503 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57,626 | $1.09M |
| 2019 | 56,474 | $1.15M |
| 2020 | 27,501 | $710K |
| 2021 | 40,768 | $804K |
| 2022 | 53,945 | $1.03M |
| 2023 | 64,025 | $1.51M |
| 2024 | 64,109 | $1.94M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 35,328 | 28,878 | $3.06M | |
| 90716 | 8,478 | 8,459 | $536K | |
| 90472 | 17,643 | 17,575 | $512K | |
| H2000 | Comp multidisipln evaluation | 4,610 | 4,587 | $488K |
| 90651 | 4,749 | 4,747 | $478K | |
| V5008 | Hearing screening | 43,292 | 42,020 | $403K |
| 99172 | 37,471 | 36,091 | $349K | |
| 90471 | 25,127 | 24,940 | $262K | |
| 83655 | 18,515 | 18,476 | $197K | |
| D1206 | 7,409 | 7,387 | $185K | |
| 90632 | 2,985 | 2,982 | $172K | |
| 90620 | 2,138 | 2,134 | $139K | |
| 91320 | 1,641 | 1,641 | $138K | |
| 85018 | 65,652 | 65,494 | $137K | |
| 90715 | 6,809 | 6,793 | $136K | |
| 90707 | 4,557 | 4,542 | $129K | |
| D0190 | 7,360 | 7,336 | $109K | |
| 90739 | 1,103 | 1,100 | $108K | |
| 90636 | 980 | 974 | $99K | |
| 90480 | 2,796 | 2,795 | $64K | |
| 90686 | 9,257 | 9,240 | $54K | |
| T1023 | Program intake assessment | 607 | 604 | $53K |
| H1000 | Prenatal care atrisk assessm | 418 | 416 | $37K |
| 87591 | 1,037 | 987 | $31K | |
| 87491 | 1,036 | 990 | $31K | |
| 90746 | 704 | 700 | $31K | |
| 90713 | 5,661 | 5,651 | $25K | |
| 90734 | 3,137 | 3,132 | $25K | |
| 0001A | 1,068 | 1,065 | $22K | |
| 0002A | 956 | 955 | $22K | |
| 90671 | 481 | 481 | $21K | |
| 90750 | 139 | 139 | $19K | |
| 36415 | 4,189 | 4,105 | $16K | |
| 90677 | 233 | 233 | $16K | |
| 0124A | 715 | 714 | $15K | |
| 87806 | 661 | 655 | $14K | |
| 86580 | 1,698 | 1,688 | $9K | |
| 0071A | 357 | 357 | $8K | |
| 90656 | 897 | 896 | $7K | |
| 90670 | 2,214 | 2,209 | $7K | |
| 90714 | 410 | 410 | $6K | |
| 0072A | 255 | 255 | $6K | |
| 0051A | 263 | 263 | $5K | |
| 0052A | 262 | 262 | $5K | |
| 81005 | 2,752 | 2,751 | $5K | |
| 90474 | 490 | 490 | $5K | |
| 0054A | 240 | 240 | $5K | |
| 0121A | 218 | 218 | $5K | |
| 0004A | 197 | 197 | $4K | |
| 99204 | 38 | 38 | $4K | |
| 0012A | 157 | 156 | $4K | |
| 84703 | 515 | 515 | $3K | |
| 0011A | 172 | 172 | $3K | |
| 0081A | 112 | 112 | $2K | |
| 86592 | 599 | 594 | $2K | |
| 99211 | 142 | 137 | $2K | |
| 36416 | 444 | 444 | $2K | |
| 90473 | 419 | 419 | $1K | |
| 0151A | 72 | 72 | $1K | |
| 0134A | 62 | 62 | $1K | |
| 0082A | 51 | 51 | $1K | |
| 0154A | 47 | 47 | $1K | |
| 90682 | 18 | 18 | $990.00 | |
| 0171A | 48 | 48 | $913.98 | |
| 90744 | 2,841 | 2,837 | $789.00 | |
| 90672 | 177 | 177 | $695.00 | |
| 71045 | 124 | 124 | $621.04 | |
| 86481 | 141 | 141 | $505.47 | |
| 90660 | 159 | 159 | $483.00 | |
| 0111A | 19 | 19 | $362.37 | |
| 96372 | 16 | 16 | $64.12 | |
| 91319 | 532 | 532 | $0.00 | |
| 90680 | 575 | 575 | $0.00 | |
| 91318 | 485 | 485 | $0.00 | |
| 90698 | 2,090 | 2,087 | $0.00 | |
| 91305 | 840 | 822 | $0.00 | |
| 91301 | 310 | 308 | $0.00 | |
| 91307 | 758 | 730 | $0.00 | |
| 91315 | 165 | 165 | $0.00 | |
| 91317 | 114 | 113 | $0.00 | |
| 90381 | 15 | 15 | $0.00 | |
| 90633 | 5,054 | 5,047 | $0.00 | |
| 91312 | 1,006 | 1,005 | $0.00 | |
| 90700 | 2,793 | 2,786 | $0.00 | |
| 91311 | 38 | 38 | $0.00 | |
| 91308 | 244 | 235 | $0.00 | |
| 90648 | 121 | 120 | $0.00 | |
| 91300 | 2,137 | 2,019 | $0.00 | |
| 90611 | 79 | 79 | $0.00 | |
| 90649 | 770 | 765 | $0.00 | |
| 90687 | 230 | 229 | $0.00 | |
| 90685 | 462 | 461 | $0.00 | |
| 91313 | 62 | 62 | $0.00 |