NPI: 1457361677 · PULLMAN, MI 49450 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,101 | $440K |
| 2019 | 8,890 | $403K |
| 2020 | 7,376 | $297K |
| 2021 | 7,638 | $328K |
| 2022 | 6,363 | $293K |
| 2023 | 7,186 | $309K |
| 2024 | 5,330 | $226K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 12,135 | 10,641 | $877K |
| G0468 | Fqhc visit, ippe or awv | 3,260 | 3,236 | $259K |
| D0140 | 2,224 | 2,171 | $200K | |
| D7140 | 1,559 | 929 | $176K | |
| G0470 | Fqhc visit, mh estab pt | 2,062 | 1,697 | $156K |
| D1110 | 1,481 | 1,477 | $136K | |
| D2392 | 869 | 693 | $127K | |
| D0150 | 766 | 764 | $73K | |
| D2391 | 587 | 485 | $68K | |
| D0120 | 1,140 | 1,138 | $47K | |
| G0466 | Fqhc visit new patient | 230 | 226 | $22K |
| D0220 | 2,455 | 2,388 | $20K | |
| 99213 | 7,176 | 6,420 | $20K | |
| D0210 | 581 | 576 | $18K | |
| D0274 | 789 | 788 | $18K | |
| D1120 | 415 | 415 | $17K | |
| D1206 | 655 | 655 | $17K | |
| 99214 | 4,603 | 4,315 | $13K | |
| 90471 | 2,757 | 2,714 | $3K | |
| 90832 | 951 | 803 | $2K | |
| 90472 | 1,204 | 1,197 | $2K | |
| D0230 | 526 | 379 | $2K | |
| D2393 | 12 | 12 | $2K | |
| D1351 | 78 | 13 | $2K | |
| 90651 | 82 | 82 | $2K | |
| 0011A | 67 | 66 | $2K | |
| 99394 | 279 | 279 | $1K | |
| D0270 | 231 | 229 | $1K | |
| 0012A | 37 | 37 | $1K | |
| 99392 | 200 | 200 | $1K | |
| 99393 | 253 | 253 | $1K | |
| H0031 | Mh health assess by non-md | 161 | 155 | $1K |
| 0031A | 22 | 22 | $832.70 | |
| 0064A | 23 | 23 | $794.85 | |
| 90686 | 1,013 | 995 | $703.70 | |
| 80305 | 968 | 760 | $558.38 | |
| D0272 | 27 | 27 | $528.00 | |
| 90632 | 60 | 60 | $521.91 | |
| 99396 | 44 | 41 | $449.45 | |
| 87880 | 144 | 134 | $360.38 | |
| 90746 | 28 | 28 | $310.00 | |
| 90620 | 24 | 24 | $169.60 | |
| 85018 | 627 | 619 | $162.22 | |
| 83036 | 274 | 273 | $157.62 | |
| 90656 | 54 | 54 | $156.45 | |
| 90734 | 49 | 49 | $120.00 | |
| 94150 | 62 | 52 | $76.52 | |
| 82947 | 190 | 172 | $59.30 | |
| 81025 | 127 | 102 | $50.59 | |
| 90715 | 74 | 74 | $30.95 | |
| 81002 | 146 | 132 | $24.49 | |
| 93000 | 12 | 12 | $10.27 | |
| D1330 | 240 | 240 | $0.00 | |
| 94760 | 446 | 392 | $0.00 | |
| 36416 | 101 | 101 | $0.00 | |
| 91303 | 20 | 20 | $0.00 | |
| 91301 | 121 | 121 | $0.00 | |
| 90633 | 27 | 27 | $0.00 | |
| 99391 | 13 | 13 | $0.00 | |
| 90670 | 51 | 51 | $0.00 | |
| 90685 | 25 | 25 | $0.00 | |
| 87804 | 23 | 12 | $0.00 | |
| 90648 | 24 | 24 | $0.00 |