NPI: 1568408128 · BAY CITY, MI 48708 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,246 | $135K |
| 2019 | 8,890 | $137K |
| 2020 | 8,492 | $97K |
| 2021 | 10,359 | $136K |
| 2022 | 7,467 | $99K |
| 2023 | 3,923 | $70K |
| 2024 | 3,407 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 3,166 | 2,882 | $250K | |
| S5170 | Homedelivered prepared meal | 21,884 | 1,032 | $122K |
| 99213 | 1,958 | 1,776 | $70K | |
| 99212 | 1,445 | 1,379 | $42K | |
| 99214 | 787 | 733 | $41K | |
| 90472 | 2,184 | 2,163 | $38K | |
| 90471 | 3,345 | 3,314 | $31K | |
| 83655 | 2,201 | 2,201 | $28K | |
| V5008 | Hearing screening | 2,811 | 2,800 | $21K |
| 99172 | 2,066 | 2,056 | $15K | |
| 0001A | 382 | 380 | $12K | |
| 0002A | 310 | 309 | $11K | |
| 36415 | 1,428 | 1,419 | $8K | |
| 87491 | 309 | 304 | $7K | |
| 90651 | 391 | 387 | $7K | |
| 96372 | 834 | 813 | $7K | |
| 87591 | 317 | 311 | $7K | |
| 36416 | 451 | 451 | $4K | |
| 90686 | 584 | 584 | $3K | |
| 99211 | 244 | 231 | $3K | |
| H2000 | Comp multidisipln evaluation | 24 | 24 | $3K |
| 80305 | 242 | 223 | $2K | |
| D0190 | 133 | 133 | $2K | |
| 91320 | 21 | 21 | $2K | |
| 0003A | 48 | 48 | $2K | |
| 90715 | 513 | 513 | $2K | |
| 0071A | 41 | 41 | $1K | |
| 85018 | 653 | 653 | $1K | |
| 0072A | 41 | 41 | $1K | |
| 87661 | 97 | 94 | $1K | |
| 99188 | 133 | 133 | $914.76 | |
| 99408 | 68 | 68 | $885.53 | |
| 90632 | 12 | 12 | $703.68 | |
| 99203 | 12 | 12 | $684.24 | |
| 90734 | 479 | 478 | $644.25 | |
| 81025 | 105 | 100 | $632.12 | |
| 90480 | 16 | 16 | $519.74 | |
| 86803 | 64 | 63 | $509.02 | |
| 96127 | 183 | 178 | $388.03 | |
| 87340 | 63 | 62 | $378.85 | |
| J1050 | Medroxyprogesterone acetate | 595 | 588 | $267.76 |
| 90656 | 35 | 35 | $198.57 | |
| 90670 | 154 | 153 | $182.43 | |
| 0011A | 12 | 12 | $175.45 | |
| 86592 | 64 | 63 | $155.67 | |
| 90647 | 42 | 42 | $0.00 | |
| 91307 | 107 | 95 | $0.00 | |
| 87389 | 74 | 74 | $0.00 | |
| 91301 | 18 | 18 | $0.00 | |
| 90619 | 92 | 92 | $0.00 | |
| 90723 | 38 | 38 | $0.00 | |
| 90710 | 61 | 61 | $0.00 | |
| 90633 | 142 | 142 | $0.00 | |
| 91300 | 775 | 732 | $0.00 | |
| A4267 | Male condom | 518 | 489 | $0.00 |
| 91308 | 12 | 12 | $0.00 |