Medicaid Provider Spending

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

GREAT LAKES BAY HEALTH CENTERS

NPI: 1235483900 · SAGINAW, MI 48602 · Clinic/Center · NPI assigned 11/02/2012

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

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

$537K
Total Medicaid Paid
29,431
Total Claims
27,593
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESINDET)
NPI Enumeration Date11/02/2012

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 BRIDGEPORT MI $2.76M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,929 $107K
2019 6,420 $92K
2020 1,520 $38K
2021 3,733 $80K
2022 4,784 $95K
2023 3,634 $71K
2024 3,411 $54K

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 9,169 8,341 $415K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,847 4,532 $54K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,380 3,235 $52K
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 61 59 $4K
83036 Hemoglobin; glycosylated (A1C) 574 567 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 135 128 $2K
82962 1,377 1,260 $2K
90686 275 271 $2K
V2020 Frames, purchases 27 27 $851.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 214 212 $753.36
96127 615 607 $752.70
92340 Fitting of spectacles, except for aphakia; monofocal 21 21 $411.81
99000 100 100 $390.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 69 67 $379.94
82044 111 111 $281.96
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 13 $161.24
90715 13 13 $155.51
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $144.96
36415 Collection of venous blood by venipuncture 122 122 $104.16
96160 90 85 $87.92
S0581 Nonstandard lens (list this code in addition to the basic code for the lens) 15 15 $57.60
90688 12 12 $53.52
90472 Immunization administration, each additional vaccine (list separately) 14 14 $42.00
81003 24 24 $13.31
36416 645 611 $7.06
3079F 433 426 $0.00
2000F 306 282 $0.00
3074F 832 793 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 26 25 $0.00
3075F 158 154 $0.00
G0008 Administration of influenza virus vaccine 59 59 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 617 590 $0.00
3008F 721 681 $0.00
94760 348 334 $0.00
3044F 53 53 $0.00
3351F 27 27 $0.00
3080F 15 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 14 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,304 2,139 $0.00
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 276 269 $0.00
G0444 Annual depression screening, 5 to 15 minutes 447 439 $0.00
3078F 586 567 $0.00
1160F 188 185 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 60 59 $0.00
1159F 13 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $0.00