NPI: 1205805181 · WEST BRANCH, MI 48661 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,102 | $117K |
| 2019 | 5,219 | $121K |
| 2020 | 3,444 | $118K |
| 2021 | 4,835 | $118K |
| 2022 | 3,358 | $88K |
| 2023 | 2,600 | $75K |
| 2024 | 1,826 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 5,832 | 5,355 | $455K | |
| 90472 | 2,203 | 2,111 | $40K | |
| 99172 | 3,673 | 3,652 | $34K | |
| 90471 | 3,455 | 3,310 | $31K | |
| V5008 | Hearing screening | 3,150 | 3,124 | $29K |
| H2000 | Comp multidisipln evaluation | 185 | 183 | $19K |
| 83655 | 1,285 | 1,177 | $16K | |
| 0012A | 285 | 285 | $10K | |
| J1050 | Medroxyprogesterone acetate | 758 | 741 | $8K |
| 0011A | 332 | 332 | $8K | |
| G9011 | Mccd, risk adj, level 5 | 166 | 125 | $7K |
| D0191 | 226 | 222 | $6K | |
| 96372 | 592 | 588 | $5K | |
| 90651 | 360 | 306 | $5K | |
| H1000 | Prenatal care atrisk assessm | 55 | 55 | $4K |
| 0031A | 106 | 106 | $4K | |
| 0064A | 64 | 64 | $2K | |
| 90686 | 542 | 507 | $2K | |
| 0002A | 39 | 39 | $1K | |
| 0001A | 45 | 45 | $1K | |
| T1023 | Program intake assessment | 14 | 14 | $1K |
| 90715 | 292 | 248 | $1K | |
| 0071A | 16 | 14 | $529.90 | |
| 36416 | 97 | 97 | $492.74 | |
| 0072A | 13 | 13 | $492.05 | |
| 90632 | 13 | 12 | $400.00 | |
| 90734 | 289 | 239 | $386.55 | |
| 90688 | 65 | 60 | $374.64 | |
| 90480 | 12 | 12 | $299.94 | |
| 90670 | 327 | 294 | $215.33 | |
| 81025 | 28 | 27 | $192.51 | |
| 90707 | 30 | 30 | $73.00 | |
| A4267 | Male condom | 42 | 42 | $28.08 |
| 90633 | 493 | 440 | $0.00 | |
| 90685 | 144 | 128 | $0.00 | |
| 91300 | 123 | 114 | $0.00 | |
| 90710 | 21 | 13 | $0.00 | |
| 90700 | 13 | 13 | $0.00 | |
| 91301 | 640 | 639 | $0.00 | |
| 90744 | 13 | 13 | $0.00 | |
| 90677 | 13 | 13 | $0.00 | |
| 91307 | 64 | 56 | $0.00 | |
| 90619 | 16 | 16 | $0.00 | |
| 91306 | 64 | 64 | $0.00 | |
| 91303 | 105 | 105 | $0.00 | |
| 90698 | 70 | 69 | $0.00 | |
| 91305 | 14 | 14 | $0.00 |