Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAMILY FIRST HEALTH CARE CAPAC PLLC

NPI: 1376601179 · CAPAC, MI 48014 · Family Medicine Physician · NPI assigned 12/05/2006

$249K
Total Medicaid Paid
35,872
Total Claims
31,676
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDECARLO, LOREN (OWNER)
NPI Enumeration Date12/05/2006

Related Entities

Other providers sharing the same authorized official: DECARLO, LOREN

ProviderCityStateTotal Paid
FAMILY FIRST-ARMADA PLLC ARMADA MI $88K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,618 $18K
2019 3,573 $20K
2020 4,375 $24K
2021 8,045 $63K
2022 7,609 $51K
2023 5,526 $39K
2024 5,126 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,738 3,272 $193K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 707 675 $50K
36415 Collection of venous blood by venipuncture 698 649 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 29 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $898.81
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 52 $434.05
90674 12 12 $294.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 85 84 $104.13
1160F 65 65 $0.24
1159F 66 66 $0.24
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,243 1,930 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 173 160 $0.00
3078F 1,971 1,767 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,427 2,142 $0.00
G8484 Influenza immunization was not administered, reason not given 1,181 1,055 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,459 1,267 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 12 12 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 183 162 $0.00
4004F 389 345 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 139 127 $0.00
G8482 Influenza immunization administered or previously received 13 12 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 38 38 $0.00
3028F 53 53 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 94 89 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 12 12 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 16 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,187 2,756 $0.00
3008F 3,722 3,236 $0.00
1034F 109 93 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,249 1,958 $0.00
3017F 1,032 889 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 388 334 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,129 1,023 $0.00
3079F 1,111 1,029 $0.00
3074F 2,715 2,412 $0.00
1036F 2,421 2,112 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 1,179 1,018 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 250 231 $0.00
3075F 161 149 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 24 24 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 64 55 $0.00
2000F 66 66 $0.00
2010F 118 112 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 12 12 $0.00
2001F 66 66 $0.00