NPI: 1215438015 · CHEBOYGAN, MI 49721 · Federally Qualified Health Center (FQHC) · NPI assigned 02/27/2018
Authorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more
| Authorized Official | SPENCER, NANCY (CEO) |
| NPI Enumeration Date | 02/27/2018 |
Other providers sharing the same authorized official: SPENCER, NANCY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,574 | $74K |
| 2019 | 7,134 | $146K |
| 2020 | 2,596 | $66K |
| 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 | 6,668 | 4,346 | $109K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,447 | 1,682 | $49K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,368 | 944 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 913 | 700 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 559 | 465 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 416 | 320 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 173 | 137 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,774 | 1,356 | $6K |
| 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 | 106 | 98 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 197 | 172 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 314 | 226 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 105 | 93 | $959.70 |
| 87280 | 71 | 69 | $444.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 53 | 53 | $329.00 |
| 90473 | 109 | 109 | $225.00 | |
| 90461 | 952 | 752 | $0.00 | |
| 90670 | 223 | 164 | $0.00 | |
| 90710 | 117 | 84 | $0.00 | |
| 90633 | 68 | 57 | $0.00 | |
| 3351F | 84 | 77 | $0.00 | |
| 90688 | 13 | 13 | $0.00 | |
| 90680 | 59 | 41 | $0.00 | |
| 90686 | 453 | 245 | $0.00 | |
| 90698 | 62 | 41 | $0.00 |