NPI: 1265441877 · WHITE CLOUD, MI 49349 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36,416 | $1.14M |
| 2019 | 34,083 | $1.09M |
| 2020 | 17,626 | $718K |
| 2021 | 26,122 | $748K |
| 2022 | 22,227 | $866K |
| 2023 | 26,066 | $979K |
| 2024 | 23,093 | $813K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 42,518 | 36,125 | $3.47M | |
| 90832 | 7,806 | 4,805 | $324K | |
| H2000 | Comp multidisipln evaluation | 3,020 | 3,010 | $318K |
| 90834 | 4,796 | 3,221 | $262K | |
| H1000 | Prenatal care atrisk assessm | 2,053 | 2,043 | $171K |
| 90837 | 1,502 | 1,038 | $125K | |
| V5008 | Hearing screening | 11,707 | 11,597 | $108K |
| 90791 | 730 | 729 | $105K | |
| 99172 | 11,303 | 10,697 | $105K | |
| 99213 | 2,241 | 2,047 | $101K | |
| 90471 | 10,574 | 10,443 | $100K | |
| 90472 | 5,128 | 5,093 | $93K | |
| G9011 | Mccd, risk adj, level 5 | 2,008 | 2,005 | $80K |
| 0002A | 1,750 | 1,748 | $63K | |
| 99394 | 763 | 763 | $59K | |
| 0001A | 1,917 | 1,911 | $58K | |
| D1206 | 1,896 | 1,893 | $53K | |
| 83655 | 4,890 | 4,832 | $51K | |
| 85018 | 20,571 | 20,501 | $44K | |
| J1050 | Medroxyprogesterone acetate | 2,020 | 2,014 | $41K |
| 99211 | 2,935 | 2,809 | $37K | |
| 0012A | 978 | 978 | $35K | |
| 90651 | 1,463 | 1,458 | $32K | |
| 90632 | 569 | 566 | $31K | |
| 91320 | 349 | 349 | $31K | |
| D0190 | 1,704 | 1,704 | $30K | |
| T1023 | Program intake assessment | 346 | 345 | $30K |
| 90688 | 1,935 | 1,932 | $29K | |
| 0011A | 1,031 | 1,030 | $26K | |
| 90620 | 662 | 661 | $24K | |
| D0191 | 902 | 900 | $22K | |
| 99395 | 281 | 279 | $22K | |
| 96154 | 311 | 204 | $20K | |
| S0215 | Nonemerg transp mileage | 1,214 | 398 | $19K |
| 90480 | 472 | 472 | $18K | |
| 96372 | 1,933 | 1,923 | $17K | |
| 90750 | 109 | 109 | $16K | |
| 0004A | 425 | 425 | $15K | |
| 0064A | 420 | 420 | $14K | |
| 90715 | 1,486 | 1,481 | $12K | |
| 86580 | 1,858 | 1,731 | $10K | |
| 99396 | 108 | 108 | $10K | |
| 36416 | 1,686 | 1,654 | $9K | |
| 0072A | 252 | 252 | $9K | |
| 0071A | 236 | 236 | $9K | |
| 99212 | 243 | 237 | $7K | |
| 0124A | 218 | 218 | $7K | |
| 90716 | 321 | 321 | $7K | |
| 99385 | 68 | 68 | $6K | |
| D1351 | 262 | 50 | $6K | |
| 0134A | 167 | 166 | $6K | |
| G2023 | Specimen collect covid-19 | 305 | 295 | $5K |
| 92551 | 966 | 965 | $5K | |
| 90746 | 92 | 92 | $5K | |
| 90734 | 1,500 | 1,495 | $5K | |
| 90686 | 2,278 | 2,272 | $5K | |
| G9002 | Mccd,maintenance rate | 128 | 128 | $4K |
| 0054A | 102 | 102 | $4K | |
| 87635 | 103 | 102 | $4K | |
| 0031A | 96 | 96 | $3K | |
| 90670 | 746 | 743 | $3K | |
| 90707 | 253 | 253 | $3K | |
| 99600 | 19 | 18 | $3K | |
| 99384 | 26 | 26 | $3K | |
| 99203 | 42 | 41 | $2K | |
| 90658 | 131 | 131 | $2K | |
| 96160 | 1,392 | 1,389 | $2K | |
| 0003A | 57 | 57 | $2K | |
| 81025 | 716 | 698 | $2K | |
| 90636 | 13 | 13 | $1K | |
| 96167 | 18 | 12 | $958.29 | |
| 83718 | 140 | 140 | $949.20 | |
| 90656 | 130 | 130 | $667.92 | |
| 90473 | 108 | 108 | $542.84 | |
| 0154A | 15 | 15 | $532.49 | |
| 0111A | 13 | 13 | $492.02 | |
| 82465 | 140 | 140 | $453.90 | |
| 99406 | 55 | 53 | $401.06 | |
| 82947 | 140 | 140 | $400.79 | |
| 36415 | 88 | 87 | $326.45 | |
| 87804 | 35 | 25 | $272.26 | |
| S4993 | Contraceptive pills for bc | 55 | 54 | $177.80 |
| 87880 | 14 | 14 | $169.77 | |
| A4267 | Male condom | 238 | 232 | $26.16 |
| 90744 | 69 | 69 | $26.00 | |
| 99173 | 1,021 | 1,017 | $0.00 | |
| 90633 | 842 | 838 | $0.00 | |
| 90685 | 228 | 227 | $0.00 | |
| 91313 | 166 | 166 | $0.00 | |
| 91300 | 4,198 | 3,963 | $0.00 | |
| 91312 | 216 | 216 | $0.00 | |
| 90756 | 12 | 12 | $0.00 | |
| 90710 | 312 | 312 | $0.00 | |
| 90700 | 124 | 123 | $0.00 | |
| 91311 | 32 | 32 | $0.00 | |
| 90713 | 15 | 14 | $0.00 | |
| 90672 | 19 | 19 | $0.00 | |
| 90696 | 234 | 234 | $0.00 | |
| 91301 | 2,121 | 2,039 | $0.00 | |
| 91303 | 125 | 125 | $0.00 | |
| 91319 | 12 | 12 | $0.00 | |
| 91307 | 507 | 500 | $0.00 | |
| 90647 | 193 | 193 | $0.00 | |
| 90723 | 42 | 42 | $0.00 | |
| 90698 | 212 | 210 | $0.00 | |
| 91306 | 377 | 377 | $0.00 | |
| 91305 | 174 | 173 | $0.00 | |
| 91315 | 15 | 15 | $0.00 | |
| 90680 | 76 | 76 | $0.00 |