NPI: 1215055306 · BRIDGEPORT, MI 48722 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 03/27/2007 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total 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 |
| 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 | 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 |