WESTERN WAYNE FAMILY HEALTH CENTERS
NPI: 1649820986
· DEARBORN, MI 48126
· 261QF0400X
$477K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,439 |
$69K |
| 2021 |
2,589 |
$78K |
| 2022 |
2,494 |
$81K |
| 2023 |
3,299 |
$122K |
| 2024 |
3,454 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
5,817 |
5,176 |
$390K |
| G0466 |
Fqhc visit new patient |
730 |
727 |
$54K |
| 99213 |
|
3,096 |
2,870 |
$21K |
| 99212 |
|
372 |
350 |
$2K |
| 90471 |
|
856 |
838 |
$2K |
| 99214 |
|
218 |
211 |
$1K |
| 99000 |
|
104 |
83 |
$964.67 |
| D0190 |
|
113 |
113 |
$923.18 |
| 96110 |
|
358 |
350 |
$623.68 |
| 0012A |
|
29 |
29 |
$565.72 |
| 99394 |
|
25 |
25 |
$562.73 |
| 0011A |
|
17 |
17 |
$496.10 |
| 98960 |
|
60 |
59 |
$430.92 |
| 99392 |
|
61 |
61 |
$423.22 |
| 90472 |
|
244 |
239 |
$378.91 |
| 96127 |
|
1,014 |
912 |
$365.64 |
| 99202 |
|
27 |
27 |
$296.73 |
| 92558 |
|
159 |
158 |
$250.51 |
| 99395 |
|
12 |
12 |
$244.02 |
| 81025 |
|
168 |
154 |
$235.29 |
| 99393 |
|
68 |
68 |
$202.00 |
| 92551 |
|
133 |
133 |
$181.98 |
| 87804 |
|
14 |
14 |
$109.68 |
| 80305 |
|
12 |
12 |
$62.58 |
| H0050 |
Alcohol/drug service 15 min |
158 |
153 |
$0.00 |
| 86328 |
|
14 |
13 |
$0.00 |
| 99173 |
|
89 |
89 |
$0.00 |
| 3725F |
|
27 |
27 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
13 |
13 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
204 |
202 |
$0.00 |
| 82962 |
|
51 |
48 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |