NPI: 1366740342 · JACKSON, MI 49201 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,829 | $160K |
| 2019 | 3,637 | $140K |
| 2020 | 739 | $34K |
| 2021 | 1,009 | $47K |
| 2022 | 208 | $14K |
| 2023 | 2,432 | $85K |
| 2024 | 3,040 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 5,673 | 5,063 | $423K |
| G0470 | Fqhc visit, mh estab pt | 1,922 | 977 | $146K |
| 99213 | 3,810 | 3,368 | $6K | |
| G0469 | Fqhc visit, mh new pt | 21 | 16 | $1K |
| 99394 | 581 | 579 | $1K | |
| 99392 | 136 | 131 | $791.92 | |
| 99393 | 137 | 134 | $638.74 | |
| 87428 | 85 | 85 | $515.12 | |
| 90471 | 704 | 688 | $435.52 | |
| 90472 | 247 | 241 | $312.26 | |
| 87880 | 432 | 417 | $191.09 | |
| 90651 | 57 | 57 | $172.08 | |
| 90621 | 24 | 24 | $140.84 | |
| 99000 | 13 | 13 | $134.19 | |
| 99212 | 68 | 67 | $108.63 | |
| 90837 | 91 | 40 | $86.57 | |
| 90686 | 141 | 136 | $39.03 | |
| 87804 | 24 | 24 | $26.36 | |
| 81003 | 108 | 103 | $13.51 | |
| G9002 | Mccd,maintenance rate | 14 | 14 | $0.04 |
| 98968 | 20 | 14 | $0.03 | |
| 3074F | 596 | 553 | $0.00 | |
| 3008F | 93 | 93 | $0.00 | |
| 3725F | 849 | 822 | $0.00 | |
| 3078F | 594 | 552 | $0.00 | |
| 90633 | 14 | 14 | $0.00 | |
| 90832 | 174 | 106 | $0.00 | |
| 99173 | 209 | 208 | $0.00 | |
| 90715 | 13 | 13 | $0.00 | |
| 99391 | 12 | 12 | $0.00 | |
| 90670 | 13 | 13 | $0.00 | |
| 90734 | 19 | 19 | $0.00 |