Medicaid Provider Spending

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

STERLING AREA HEALTH CENTER

NPI: 1255712873 · HALE, MI 48739 · Federally Qualified Health Center (FQHC) · NPI assigned 06/10/2015

$443K
Total Medicaid Paid
36,608
Total Claims
33,497
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALTEN, JAMES (PRESIDENT & CEO)
Parent OrganizationSTERLING AREA HEALTH CENTER
NPI Enumeration Date06/10/2015

Related Entities

Other providers sharing the same authorized official: BALTEN, JAMES

ProviderCityStateTotal Paid
STERLING AREA HEALTH CENTER ALGER MI $3.69M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $5K
2020 835 $30K
2021 6,287 $110K
2022 11,721 $127K
2023 11,467 $113K
2024 6,118 $58K

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 4,571 4,103 $207K
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 2,145 1,303 $88K
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 989 984 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,716 2,494 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,510 1,448 $31K
90832 Psychotherapy, 30 minutes with patient 959 660 $14K
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 135 134 $7K
96160 233 233 $3K
90834 Psychotherapy, 45 minutes with patient 154 136 $3K
90837 Psychotherapy, 53 minutes with patient 80 62 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 49 49 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 272 272 $2K
36415 Collection of venous blood by venipuncture 726 720 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 55 54 $538.25
90686 75 75 $496.48
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $276.56
90472 Immunization administration, each additional vaccine (list separately) 37 37 $270.90
92551 55 55 $202.46
1220F 1,496 1,349 $0.00
1036F 1,652 1,571 $0.00
1125F 533 517 $0.00
1126F 307 302 $0.00
3074F 2,620 2,476 $0.00
1000F 2,881 2,699 $0.00
3079F 1,001 976 $0.00
H0049 Alcohol and/or drug screening 705 695 $0.00
1034F 1,158 1,074 $0.00
3075F 740 717 $0.00
3080F 91 84 $0.00
1031F 17 13 $0.00
4551F 2,551 2,423 $0.00
3078F 2,488 2,362 $0.00
1159F 2,658 2,496 $0.00
3085F 636 626 $0.00
3077F 300 285 $0.00