Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › MUSKEGON › MGH FAMILY HEALTH CENTER

MGH FAMILY HEALTH CENTER

NPI: 1255331583 · MUSKEGON, MI 49444 · Federally Qualified Health Center (FQHC) · NPI assigned 07/28/2005

$24.36M
Total Medicaid Paid
1,030,624
Total Claims
910,794
Beneficiaries
228
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOGLESBY, DANIEL (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/28/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 253,085 $4.93M
2019 234,623 $4.78M
2020 100,676 $2.25M
2021 158,810 $3.47M
2022 119,414 $2.95M
2023 85,309 $3.13M
2024 78,707 $2.85M

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 131,226 107,329 $8.16M
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 24,702 12,932 $1.61M
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 23,039 22,539 $1.46M
D1110 Prophylaxis - adult 14,554 14,448 $1.41M
99402 15,835 12,555 $1.35M
D7140 Extraction, erupted tooth or exposed root 13,044 6,984 $1.25M
D0140 Limited oral evaluation - problem focused 11,242 10,979 $1.04M
D0120 Periodic oral evaluation - established patient 9,477 9,437 $582K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,685 3,165 $498K
D0150 Comprehensive oral evaluation - new or established patient 6,290 6,254 $497K
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 5,434 5,367 $413K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,944 43,058 $369K
D2150 Silver amalgam - two surfaces, primary or permanent 2,879 2,400 $340K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,022 2,530 $331K
D5110 341 338 $329K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,614 61,430 $326K
H2000 Comprehensive multidisciplinary evaluation 2,583 2,567 $279K
D1120 Prophylaxis - child 7,035 6,971 $269K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,003 1,595 $267K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,454 1,354 $231K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,991 2,968 $217K
D1206 Topical application of fluoride varnish 8,461 8,388 $202K
D2331 1,406 1,196 $183K
D0274 Bitewings - four radiographic images 9,867 9,815 $153K
D0330 Panoramic radiographic image 5,726 5,682 $147K
D2335 883 784 $145K
D2160 913 835 $125K
D2140 1,245 1,054 $123K
H0006 Alcohol and/or drug services; case management 2,035 721 $119K
D0210 Intraoral - complete series of radiographic images 2,098 1,988 $113K
D2332 744 665 $112K
D2330 948 751 $106K
90832 Psychotherapy, 30 minutes with patient 15,894 9,323 $97K
D0220 Intraoral - periapical first radiographic image 11,973 11,622 $92K
H1000 Prenatal care, at-risk assessment 951 945 $81K
G9002 Coordinated care fee, maintenance rate 5,943 4,377 $52K
D0272 Bitewings - two radiographic images 2,604 2,592 $48K
90834 Psychotherapy, 45 minutes with patient 3,740 2,669 $46K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,032 3,920 $43K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,278 4,184 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,727 1,655 $42K
99442 3,558 3,182 $42K
90837 Psychotherapy, 53 minutes with patient 2,541 1,710 $41K
D1351 Sealant - per tooth 1,397 240 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,528 3,462 $39K
90651 1,352 1,338 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,154 3,114 $33K
90791 Psychiatric diagnostic evaluation 2,671 2,630 $33K
D4346 388 388 $31K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 393 381 $29K
D5214 66 66 $28K
D4355 212 210 $26K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,857 2,774 $25K
99215 Prolong outpt/office vis 2,116 1,972 $25K
D5120 101 101 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,488 6,545 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,653 1,645 $24K
99000 4,360 3,225 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,310 2,268 $22K
59426 30 29 $21K
99441 2,552 2,325 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,752 15,375 $20K
90472 Immunization administration, each additional vaccine (list separately) 7,505 7,380 $20K
H0005 Alcohol and/or drug services; group counseling by a clinician 439 217 $17K
99443 1,198 1,131 $17K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit 194 192 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,722 2,654 $15K
96154 220 91 $15K
D4341 118 56 $14K
D0230 Intraoral - periapical each additional radiographic image 3,082 2,256 $13K
99406 9,686 9,249 $13K
83036 Hemoglobin; glycosylated (A1C) 9,864 9,756 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,226 7,676 $12K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 12 12 $12K
90636 658 643 $12K
82962 15,466 14,012 $12K
0012A 342 341 $12K
81025 7,195 6,934 $12K
H0001 Alcohol and/or drug assessment 81 80 $11K
0011A 376 376 $11K
D0190 2,916 2,808 $11K
D0191 581 569 $8K
90632 1,428 1,404 $8K
90688 4,458 4,357 $8K
36415 Collection of venous blood by venipuncture 14,927 14,050 $8K
90853 Group psychotherapy (other than of a multiple-family group) 450 187 $8K
90746 1,235 1,207 $7K
90715 1,811 1,786 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,547 2,416 $6K
99381 574 552 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,628 1,612 $5K
T1012 Alcohol and/or substance abuse services, skills development 448 170 $5K
85018 9,220 9,033 $5K
0064A 147 147 $5K
92558 5,100 4,978 $5K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 53 53 $5K
83655 1,711 1,659 $5K
96160 1,747 1,709 $4K
90670 2,372 2,321 $4K
D2394 27 26 $4K
87428 1,470 1,424 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,314 2,256 $4K
96127 8,782 8,586 $4K
90620 400 397 $4K
81003 1,515 1,467 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 168 157 $3K
82274 627 609 $3K
98966 807 690 $3K
81002 4,210 4,024 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,120 1,098 $3K
90756 481 468 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 563 552 $2K
D2950 14 14 $2K
36416 18,604 17,075 $2K
80305 1,174 847 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,169 1,106 $2K
D1208 Topical application of fluoride, excluding varnish 85 85 $2K
90658 133 133 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,177 1,077 $2K
0134A 60 60 $2K
90750 202 201 $2K
99417 Prolong home eval add 15m 131 81 $1K
90716 504 490 $1K
G9001 Coordinated care fee, initial rate 91 87 $1K
90734 879 861 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 323 323 $1K
88142 1,100 1,060 $1K
99354 98 74 $1K
D4910 13 13 $1K
99383 147 140 $1K
86318 315 311 $787.98
99188 879 835 $771.80
86328 29 28 $763.98
90473 1,221 1,189 $710.76
69210 168 151 $692.74
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 192 191 $683.29
90707 519 505 $675.65
90677 55 55 $625.88
99355 102 74 $550.70
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 17,935 17,212 $412.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 68 61 $379.81
99495 28 28 $379.41
93000 173 169 $367.66
D0270 85 85 $365.86
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 58 50 $364.10
D0999 Unspecified diagnostic procedure, by report 13 12 $331.64
99050 1,007 988 $313.61
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 147 132 $272.39
98967 55 49 $237.35
99385 12 12 $198.74
J3411 Injection, thiamine hcl, 100 mg 53 47 $180.30
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 191 178 $162.51
90474 66 66 $147.00
99174 2,709 2,651 $141.68
99384 13 13 $101.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,926 2,810 $97.39
99382 40 38 $93.36
87252 32 31 $86.32
80053 Comprehensive metabolic panel 88 72 $80.92
2014F 18,732 17,643 $68.10
80061 Lipid panel 93 78 $51.28
S9470 Nutritional counseling, dietitian visit 44,835 40,767 $51.11
H2011 Crisis intervention service, per 15 minutes 77 72 $50.25
83014 142 134 $49.74
90686 935 930 $45.16
92551 154 148 $35.34
20610 15 13 $34.07
J0696 Injection, ceftriaxone sodium, per 250 mg 38 37 $33.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 2,450 2,351 $18.25
99072 1,754 1,587 $12.88
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 258 248 $9.00
S9451 Exercise classes, non-physician provider, per session 42,827 38,888 $0.63
99173 3,318 3,238 $0.24
3079F 23,593 20,972 $0.01
3074F 39,698 33,621 $0.01
90633 1,335 1,301 $0.00
3077F 7,348 6,525 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 7,719 7,286 $0.00
3078F 29,170 25,171 $0.00
99051 1,051 1,025 $0.00
3085F 2,230 2,126 $0.00
3045F 507 488 $0.00
90710 449 440 $0.00
S3005 Performance measurement, evaluation of patient self assessment, depression 1,675 1,653 $0.00
3046F 946 917 $0.00
G0444 Annual depression screening, 5 to 15 minutes 1,123 1,084 $0.00
90685 283 265 $0.00
2028F 885 873 $0.00
91313 61 61 $0.00
90461 171 171 $0.00
3051F 164 163 $0.00
D1999 144 142 $0.00
90700 59 54 $0.00
90662 27 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,589 6,303 $0.00
H0038 Self-help/peer services, per 15 minutes 2,259 1,239 $0.00
1000F 6,825 6,496 $0.00
99070 505 505 $0.00
H0049 Alcohol and/or drug screening 1,629 1,582 $0.00
3075F 11,744 10,768 $0.00
D0601 1,237 1,208 $0.00
90680 1,192 1,151 $0.00
3080F 6,046 5,381 $0.00
G0010 Administration of hepatitis b vaccine 278 274 $0.00
90723 1,415 1,379 $0.00
3044F 2,183 2,144 $0.00
90696 422 415 $0.00
G0008 Administration of influenza virus vaccine 428 427 $0.00
D1320 367 361 $0.00
D0603 988 968 $0.00
1005F 912 881 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 83 81 $0.00
90647 1,222 1,187 $0.00
4000F 5,522 4,768 $0.00
1220F 157 153 $0.00
91306 146 146 $0.00
D0602 365 358 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 44 39 $0.00
90698 221 219 $0.00
90619 66 66 $0.00
91301 197 197 $0.00
D9440 127 126 $0.00
D1330 246 236 $0.00
91305 36 33 $0.00
90697 160 160 $0.00
58300 14 13 $0.00
59430 13 12 $0.00
3052F 75 75 $0.00