Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREAT LAKES BAY HEALTH CENTERS

NPI: 1215055306 · BRIDGEPORT, MI 48722 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more

$2.76M
Total Medicaid Paid
132,693
Total Claims
123,375
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESIDENT)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: GALONSKA, LISA

ProviderCityStateTotal Paid
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $10.37M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.90M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.08M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.93M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.76M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.66M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $4.14M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $3.74M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.61M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.48M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.43M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $2.34M
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $1.71M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $1.05M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.03M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.02M
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $962K
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $909K
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $867K
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $613K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,252 $456K
2019 17,045 $399K
2020 12,089 $305K
2021 17,788 $447K
2022 18,318 $406K
2023 23,503 $423K
2024 21,698 $321K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 38,188 34,064 $1.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,019 20,330 $276K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,528 10,186 $204K
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 3,277 2,627 $158K
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 1,786 1,779 $102K
J1050 Injection, medroxyprogesterone acetate, 1 mg 405 399 $28K
90837 Psychotherapy, 53 minutes with patient 406 327 $14K
90834 Psychotherapy, 45 minutes with patient 720 659 $12K
96160 2,381 2,367 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,482 2,471 $11K
90686 1,681 1,677 $10K
90832 Psychotherapy, 30 minutes with patient 845 764 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,804 1,665 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 489 487 $8K
83036 Hemoglobin; glycosylated (A1C) 1,875 1,863 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 249 249 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 240 240 $5K
90472 Immunization administration, each additional vaccine (list separately) 743 740 $5K
99000 1,315 1,247 $5K
82962 3,482 3,297 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 98 $4K
96127 2,638 2,624 $3K
0064A 140 140 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 199 194 $2K
99215 Prolong outpt/office vis 52 51 $2K
91320 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 434 431 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 66 66 $1K
90715 93 93 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 43 43 $1K
81025 294 291 $879.50
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 35 35 $826.70
90656 56 56 $824.37
H0001 Alcohol and/or drug assessment 120 116 $621.00
81003 664 653 $546.94
90651 12 12 $545.06
0134A 41 41 $541.00
J1885 Injection, ketorolac tromethamine, per 15 mg 355 312 $533.63
H0004 Behavioral health counseling and therapy, per 15 minutes 69 65 $402.66
0011A 14 13 $378.50
90480 12 12 $378.00
11721 117 117 $313.94
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 80 43 $275.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 57 49 $259.12
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 63 49 $237.80
0094A 25 25 $190.87
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 40 $167.80
82044 27 27 $61.92
G0008 Administration of influenza virus vaccine 308 308 $53.76
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19 19 $41.07
36416 1,483 1,376 $28.86
36415 Collection of venous blood by venipuncture 18 18 $24.80
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,144 1,071 $0.06
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 445 431 $0.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 382 374 $0.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required 235 218 $0.02
3044F 414 411 $0.00
1126F 636 624 $0.00
3080F 1,109 1,065 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2,000 1,716 $0.00
3079F 2,468 2,372 $0.00
91301 47 46 $0.00
3351F 2,104 2,095 $0.00
3075F 1,857 1,795 $0.00
3074F 3,512 3,339 $0.00
1125F 371 357 $0.00
94760 402 386 $0.00
2000F 351 315 $0.00
91306 119 119 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 530 528 $0.00
3008F 4,213 3,890 $0.00
3078F 3,193 3,017 $0.00
3045F 171 171 $0.00
90461 134 132 $0.00
3046F 131 130 $0.00
3077F 1,433 1,355 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 162 162 $0.00
G0444 Annual depression screening, 5 to 15 minutes 874 851 $0.00
1160F 1,312 1,205 $0.00
90734 27 27 $0.00
91313 44 44 $0.00
1159F 205 195 $0.00
90670 14 14 $0.00
G0127 Trimming of dystrophic nails, any number 53 53 $0.00