Medicaid Provider Spending

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

GREAT LAKES BAY HEALTH CENTERS

NPI: 1528435526 · SAGINAW, MI 48602 · Federally Qualified Health Center (FQHC) · NPI assigned 08/25/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more

$4.93M
Total Medicaid Paid
197,456
Total Claims
177,494
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESIDENT)
NPI Enumeration Date08/25/2015

Related Entities

Other providers sharing the same authorized official: GALONSKA, LISA

ProviderCityStateTotal Paid
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $10.37M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.90M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.08M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.76M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.66M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $4.14M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $3.74M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.76M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.61M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.48M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.43M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $2.34M
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $1.71M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $1.05M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.03M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.02M
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $962K
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $909K
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $867K
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $613K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,505 $570K
2019 18,183 $438K
2020 13,814 $409K
2021 18,716 $521K
2022 20,565 $594K
2023 41,775 $1.15M
2024 57,898 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 50,769 44,802 $2.64M
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 11,445 7,802 $683K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,982 22,468 $319K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,603 12,160 $247K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 3,966 3,933 $231K
59426 241 236 $195K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,962 1,952 $139K
59430 551 548 $46K
90834 Psychotherapy, 45 minutes with patient 3,159 2,350 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,115 4,700 $42K
90832 Psychotherapy, 30 minutes with patient 3,169 2,716 $40K
90837 Psychotherapy, 53 minutes with patient 1,849 1,352 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 878 874 $21K
90791 Psychiatric diagnostic evaluation 581 580 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 850 843 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,680 2,661 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 517 517 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,293 1,286 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,092 2,893 $13K
99000 2,643 2,580 $12K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,328 1,239 $10K
90472 Immunization administration, each additional vaccine (list separately) 874 871 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 990 360 $8K
S0621 Routine ophthalmological examination including refraction; established patient 627 624 $8K
81025 2,600 2,530 $7K
83036 Hemoglobin; glycosylated (A1C) 2,234 2,214 $7K
96160 1,323 1,309 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 272 260 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 190 190 $6K
90686 1,023 1,018 $6K
76830 Ultrasound, transvaginal 319 315 $5K
90792 Psychiatric diagnostic evaluation with medical services 120 120 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 103 103 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 413 407 $5K
90651 24 24 $4K
90715 233 233 $4K
59025 Fetal non-stress test 557 292 $4K
82962 3,519 3,264 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 255 248 $4K
92015 Determination of refractive state 1,324 1,308 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 73 70 $3K
96127 1,862 1,855 $2K
91320 20 20 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 29 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 42 $1K
0064A 59 59 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 277 277 $1K
90656 92 92 $1K
81003 1,556 1,526 $1K
90677 83 83 $1K
H0001 Alcohol and/or drug assessment 139 131 $1K
97162 72 72 $1K
S0620 Routine ophthalmological examination including refraction; new patient 87 87 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 40 40 $897.16
90847 Family psychotherapy with the patient present, 50 minutes 60 49 $727.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 93 93 $679.38
90480 21 21 $611.03
J1885 Injection, ketorolac tromethamine, per 15 mg 617 551 $601.45
99385 12 12 $551.49
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15 15 $472.40
0011A 12 12 $340.65
97161 37 37 $320.55
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 61 42 $310.50
V2020 Frames, purchases 18 18 $281.80
92133 182 180 $267.75
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24 24 $263.88
95251 73 72 $204.97
S0581 Nonstandard lens (list this code in addition to the basic code for the lens) 23 23 $203.70
92340 Fitting of spectacles, except for aphakia; monofocal 15 15 $202.10
82044 104 104 $198.87
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 40 29 $193.37
90853 Group psychotherapy (other than of a multiple-family group) 49 29 $159.93
0134A 13 13 $150.12
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 38 32 $145.59
76801 12 12 $140.26
85018 110 104 $130.82
81001 40 39 $83.48
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $80.00
36416 1,003 939 $77.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $52.50
81002 28 28 $48.96
92134 29 28 $25.77
82570 14 14 $17.16
3008F 8,112 7,475 $14.91
80305 12 12 $10.43
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,049 989 $0.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required 196 192 $0.02
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 382 378 $0.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 443 436 $0.01
90461 118 118 $0.00
3078F 5,059 4,790 $0.00
0502F 2,424 336 $0.00
G0444 Annual depression screening, 5 to 15 minutes 1,020 987 $0.00
3045F 98 97 $0.00
3051F 80 78 $0.00
3077F 1,013 969 $0.00
1160F 2,594 2,445 $0.00
3046F 135 134 $0.00
2022F 121 120 $0.00
1159F 294 286 $0.00
90670 24 24 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 59 57 $0.00
91313 23 23 $0.00
3351F 1,296 1,293 $0.00
1125F 83 77 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 1,810 1,634 $0.00
3075F 1,730 1,682 $0.00
3074F 6,122 5,726 $0.00
0500F 339 337 $0.00
3079F 3,053 2,923 $0.00
3044F 802 797 $0.00
3080F 791 762 $0.00
3072F 111 110 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 82 81 $0.00
1126F 479 401 $0.00
G0008 Administration of influenza virus vaccine 39 39 $0.00
2000F 374 347 $0.00
91306 48 48 $0.00
91301 57 56 $0.00
90723 14 13 $0.00
94760 12 12 $0.00
2023F 43 43 $0.00
3060F 13 13 $0.00
90647 29 29 $0.00