NPI: 1508289273 · IRON RIVER, MI 49935 · Federally Qualified Health Center (FQHC) · NPI assigned 01/30/2014
Authorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more
| Authorized Official | HODGES, TREVOR (CEO) |
| NPI Enumeration Date | 01/30/2014 |
Other providers sharing the same authorized official: HODGES, TREVOR
| Provider | City | State | Total Paid |
|---|---|---|---|
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HANCOCK | MI | $4.08M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.84M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.57M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | MARQUETTE | MI | $1.56M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | CALUMET | MI | $1.41M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.27M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HOUGHTON | MI | $955K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | CALUMET | MI | $947K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | LAKE LINDEN | MI | $350K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | MENOMINEE | MI | $337K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | ONTONAGON | MI | $167K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HANCOCK | MI | $32K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | IRON RIVER | MI | $31K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | LAKE LINDEN | MI | $24K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,162 | $37K |
| 2019 | 1,084 | $36K |
| 2020 | 1,114 | $31K |
| 2021 | 688 | $21K |
| 2022 | 31 | $1K |
| 2023 | 760 | $22K |
| 2024 | 960 | $16K |
| 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 | 3,070 | 2,806 | $100K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,532 | 1,458 | $50K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 610 | 580 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 72 | 67 | $2K |
| 90686 | 30 | 30 | $215.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 31 | 31 | $96.00 |
| 3074F | 215 | 209 | $0.00 | |
| 3080F | 13 | 12 | $0.00 | |
| 3079F | 60 | 58 | $0.00 | |
| 3078F | 166 | 160 | $0.00 |