NPI: 1336232289 · BARAGA, MI 49908 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,506 | $362K |
| 2019 | 2,361 | $426K |
| 2020 | 1,443 | $296K |
| 2021 | 2,450 | $473K |
| 2022 | 3,251 | $755K |
| 2023 | 4,765 | $1.01M |
| 2024 | 3,710 | $918K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 6,463 | 5,339 | $2.62M |
| G0470 | Fqhc visit, mh estab pt | 2,302 | 1,622 | $1.15M |
| G0468 | Fqhc visit, ippe or awv | 563 | 562 | $189K |
| 99402 | 1,633 | 1,185 | $123K | |
| 99214 | 2,150 | 1,947 | $34K | |
| 99213 | 3,297 | 2,972 | $32K | |
| D0120 | 226 | 224 | $24K | |
| 90837 | 1,138 | 806 | $20K | |
| D1110 | 52 | 52 | $9K | |
| G0469 | Fqhc visit, mh new pt | 23 | 16 | $8K |
| 99215 | Prolong outpt/office vis | 209 | 192 | $8K |
| D1120 | 134 | 134 | $6K | |
| D0140 | 14 | 12 | $6K | |
| H0004 | Alcohol and/or drug services | 48 | 24 | $4K |
| D1206 | 133 | 131 | $2K | |
| 0012A | 74 | 74 | $2K | |
| 0064A | 39 | 39 | $1K | |
| 90834 | 127 | 95 | $1K | |
| 90471 | 293 | 288 | $1K | |
| 99211 | 93 | 78 | $1K | |
| 0031A | 28 | 28 | $1K | |
| 0011A | 65 | 65 | $987.80 | |
| 90791 | 28 | 28 | $963.08 | |
| 36415 | 349 | 339 | $584.12 | |
| 90480 | 12 | 12 | $479.76 | |
| 90686 | 81 | 81 | $465.20 | |
| 99000 | 39 | 37 | $360.64 | |
| 96127 | 286 | 270 | $242.76 | |
| D1208 | 43 | 43 | $218.15 | |
| 90472 | 38 | 24 | $177.43 | |
| 90832 | 16 | 14 | $48.09 | |
| 90656 | 12 | 12 | $22.35 | |
| 1159F | 495 | 414 | $0.00 | |
| 3078F | 142 | 121 | $0.00 | |
| 99212 | 32 | 28 | $0.00 | |
| 99392 | 25 | 25 | $0.00 | |
| 91306 | 39 | 39 | $0.00 | |
| 1125F | 162 | 134 | $0.00 | |
| 1126F | 82 | 65 | $0.00 | |
| 91303 | 12 | 12 | $0.00 | |
| 3074F | 226 | 189 | $0.00 | |
| 91301 | 156 | 147 | $0.00 | |
| G0463 | Hospital outpt clinic visit | 91 | 76 | $0.00 |
| 3079F | 16 | 13 | $0.00 |