NPI: 1326058512 · BANGOR, MI 49013 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,686 | $53K |
| 2019 | 7,761 | $248K |
| 2020 | 1,703 | $56K |
| 2021 | 726 | $30K |
| 2022 | 1,792 | $61K |
| 2023 | 244 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | 1,777 | 991 | $106K | |
| G0467 | Fqhc visit, estab pt | 1,545 | 1,418 | $106K |
| D0140 | 1,540 | 1,444 | $45K | |
| D1110 | 1,059 | 1,035 | $38K | |
| D0150 | 527 | 517 | $18K | |
| D0210 | 316 | 306 | $18K | |
| D1120 | 540 | 525 | $17K | |
| D2392 | 177 | 138 | $17K | |
| D2391 | 205 | 168 | $15K | |
| D0220 | 1,217 | 1,169 | $15K | |
| D1206 | 626 | 611 | $12K | |
| D0274 | 432 | 420 | $12K | |
| D0120 | 446 | 437 | $10K | |
| G0470 | Fqhc visit, mh estab pt | 111 | 88 | $8K |
| D1351 | 168 | 55 | $4K | |
| D0191 | 340 | 331 | $3K | |
| G0468 | Fqhc visit, ippe or awv | 47 | 47 | $3K |
| D2330 | 39 | 24 | $3K | |
| D0272 | 80 | 79 | $2K | |
| D2393 | 13 | 12 | $2K | |
| D0230 | 182 | 142 | $1K | |
| D0270 | 94 | 93 | $1K | |
| D0145 | 69 | 69 | $980.00 | |
| D4355 | 29 | 29 | $912.00 | |
| 99213 | 1,075 | 985 | $177.50 | |
| 90471 | 61 | 60 | $35.00 | |
| 80305 | 147 | 128 | $8.00 | |
| 99214 | 102 | 101 | $0.00 | |
| 90834 | 19 | 17 | $0.00 | |
| D1330 | 514 | 511 | $0.00 | |
| 59430 | 12 | 12 | $0.00 | |
| 94760 | 13 | 12 | $0.00 | |
| 81025 | 293 | 288 | $0.00 | |
| 90472 | 15 | 15 | $0.00 | |
| D9991 | 33 | 33 | $0.00 | |
| 90832 | 49 | 47 | $0.00 |