UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI: 1336563832
· ONTONAGON, MI 49953
· Federally Qualified Health Center (FQHC)
· NPI assigned 02/05/2014
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | HODGES, TREVOR (CEO) |
| NPI Enumeration Date | 02/05/2014 |
Related Entities
Other providers sharing the same authorized official: HODGES, TREVOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$5K |
| 2020 |
409 |
$9K |
| 2021 |
937 |
$25K |
| 2022 |
1,144 |
$39K |
| 2023 |
2,206 |
$52K |
| 2024 |
1,997 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
2,805 |
2,539 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,301 |
1,172 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
937 |
917 |
$44K |
| 36415 |
Collection of venous blood by venipuncture |
42 |
40 |
$289.98 |
| 80305 |
|
28 |
27 |
$281.61 |
| 81002 |
|
27 |
24 |
$63.36 |
| 3074F |
|
812 |
758 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 3079F |
|
48 |
44 |
$0.00 |
| 3078F |
|
801 |
745 |
$0.00 |