NPI: 1457711202 · PONTIAC, MI 48340 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,513 | $248K |
| 2019 | 12,887 | $292K |
| 2020 | 18,174 | $455K |
| 2021 | 27,228 | $698K |
| 2022 | 22,597 | $672K |
| 2023 | 19,621 | $621K |
| 2024 | 17,999 | $542K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 44,167 | 38,593 | $2.57M |
| G0466 | Fqhc visit new patient | 5,076 | 5,058 | $363K |
| 99213 | 27,871 | 25,183 | $210K | |
| G0470 | Fqhc visit, mh estab pt | 3,061 | 2,263 | $184K |
| 99214 | 4,968 | 4,775 | $48K | |
| 99212 | 4,470 | 4,228 | $20K | |
| 99203 | 1,993 | 1,983 | $16K | |
| 99392 | 1,579 | 1,568 | $11K | |
| 99394 | 852 | 847 | $9K | |
| 99393 | 1,028 | 1,025 | $9K | |
| 90460 | 4,073 | 4,020 | $8K | |
| 99396 | 446 | 445 | $7K | |
| 96372 | 1,901 | 1,600 | $7K | |
| 99391 | 1,487 | 1,457 | $7K | |
| 90837 | 502 | 371 | $7K | |
| 90832 | 817 | 723 | $6K | |
| 99383 | 380 | 380 | $4K | |
| 90677 | 395 | 395 | $4K | |
| 90471 | 973 | 955 | $3K | |
| 83036 | 1,447 | 1,439 | $3K | |
| 99382 | 211 | 211 | $3K | |
| 90651 | 435 | 435 | $2K | |
| 90834 | 256 | 209 | $2K | |
| 99395 | 226 | 226 | $2K | |
| 90686 | 1,467 | 1,463 | $2K | |
| 90658 | 253 | 248 | $2K | |
| 99384 | 131 | 130 | $2K | |
| 82962 | 2,058 | 1,934 | $1K | |
| 90715 | 381 | 380 | $1K | |
| 81002 | 2,257 | 2,190 | $1K | |
| 99406 | 362 | 349 | $1K | |
| 99215 | Prolong outpt/office vis | 46 | 43 | $859.36 |
| Q0091 | Obtaining screen pap smear | 193 | 193 | $853.45 |
| 0072A | 44 | 44 | $711.18 | |
| 99202 | 83 | 82 | $677.46 | |
| 99204 | 40 | 40 | $666.39 | |
| 96160 | 621 | 604 | $583.32 | |
| 96127 | 1,653 | 1,637 | $552.64 | |
| G0469 | Fqhc visit, mh new pt | 14 | 13 | $469.63 |
| 99381 | 106 | 106 | $433.60 | |
| 81025 | 436 | 432 | $406.41 | |
| J1885 | Ketorolac tromethamine inj | 455 | 435 | $388.19 |
| 90656 | 96 | 96 | $335.25 | |
| 0071A | 45 | 45 | $307.46 | |
| G2025 | Dis site tele svcs rhc/fqhc | 15 | 13 | $233.40 |
| 0001A | 21 | 21 | $202.40 | |
| 93000 | 124 | 120 | $186.24 | |
| 90472 | 26 | 26 | $174.94 | |
| 90670 | 642 | 642 | $160.00 | |
| 0052A | 26 | 25 | $136.00 | |
| 81005 | 607 | 601 | $132.46 | |
| 96156 | 30 | 30 | $125.28 | |
| J3420 | Vitamin b12 injection | 59 | 54 | $98.85 |
| 82044 | 67 | 66 | $98.04 | |
| 0002A | 12 | 12 | $91.85 | |
| 99441 | 13 | 12 | $88.60 | |
| 96150 | 27 | 25 | $74.88 | |
| 96110 | 98 | 98 | $74.29 | |
| J1030 | Methylprednisolone 40 mg inj | 14 | 13 | $60.87 |
| J1040 | Methylprednisolone 80 mg inj | 12 | 12 | $43.79 |
| 0051A | 18 | 18 | $34.00 | |
| 96161 | 402 | 394 | $24.72 | |
| 87804 | 19 | 19 | $13.71 | |
| J1100 | Dexamethasone sodium phos | 39 | 39 | $4.03 |
| 90744 | 289 | 288 | $0.00 | |
| 3074F | 80 | 77 | $0.00 | |
| 90716 | 300 | 300 | $0.00 | |
| G0008 | Admin influenza virus vac | 92 | 86 | $0.00 |
| 90680 | 229 | 229 | $0.00 | |
| 90696 | 156 | 156 | $0.00 | |
| 90657 | 121 | 121 | $0.00 | |
| 3008F | 621 | 573 | $0.00 | |
| 90723 | 345 | 345 | $0.00 | |
| 3079F | 61 | 59 | $0.00 | |
| 90698 | 395 | 395 | $0.00 | |
| 3080F | 46 | 44 | $0.00 | |
| 90620 | 12 | 12 | $0.00 | |
| 3044F | 45 | 42 | $0.00 | |
| 4000F | 14 | 14 | $0.00 | |
| 99173 | 1,230 | 1,228 | $0.00 | |
| 90710 | 120 | 120 | $0.00 | |
| 90461 | 1,747 | 1,740 | $0.00 | |
| 90633 | 659 | 659 | $0.00 | |
| 90734 | 457 | 457 | $0.00 | |
| 90700 | 222 | 222 | $0.00 | |
| 3078F | 42 | 40 | $0.00 | |
| 3046F | 14 | 12 | $0.00 | |
| 90681 | 129 | 129 | $0.00 | |
| 90713 | 62 | 62 | $0.00 | |
| 90648 | 467 | 467 | $0.00 | |
| 3077F | 103 | 96 | $0.00 | |
| 90707 | 300 | 300 | $0.00 | |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | 35 | 34 | $0.00 |