NPI: 1659792026 · HANCOCK, MI 49930 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29,562 | $650K |
| 2019 | 26,941 | $641K |
| 2020 | 22,882 | $479K |
| 2021 | 24,328 | $576K |
| 2022 | 24,759 | $609K |
| 2023 | 27,014 | $603K |
| 2024 | 23,655 | $523K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 44,563 | 38,976 | $1.37M |
| 99213 | 17,504 | 15,978 | $489K | |
| 99214 | 10,444 | 9,863 | $445K | |
| G0468 | Fqhc visit, ippe or awv | 8,607 | 8,537 | $423K |
| 99392 | 4,484 | 4,484 | $223K | |
| 99391 | 4,455 | 4,352 | $170K | |
| 99393 | 2,705 | 2,703 | $131K | |
| G0470 | Fqhc visit, mh estab pt | 2,662 | 1,784 | $97K |
| 90472 | 6,117 | 6,017 | $84K | |
| 99394 | 1,439 | 1,439 | $84K | |
| 99215 | Prolong outpt/office vis | 947 | 928 | $82K |
| 90471 | 10,952 | 10,846 | $69K | |
| 59426 | 65 | 65 | $60K | |
| 99395 | 1,070 | 1,065 | $53K | |
| 96110 | 7,143 | 7,110 | $51K | |
| 99212 | 2,952 | 2,845 | $40K | |
| G0466 | Fqhc visit new patient | 697 | 697 | $29K |
| 90837 | 1,117 | 837 | $27K | |
| 99396 | 555 | 553 | $27K | |
| 90832 | 554 | 374 | $22K | |
| 90651 | 662 | 658 | $17K | |
| 90686 | 4,795 | 4,786 | $12K | |
| 90715 | 891 | 890 | $9K | |
| 90473 | 1,488 | 1,477 | $8K | |
| 59430 | 53 | 52 | $8K | |
| 90480 | 115 | 115 | $4K | |
| 0012A | 108 | 108 | $4K | |
| 96160 | 192 | 191 | $4K | |
| 0001A | 93 | 92 | $4K | |
| 0011A | 103 | 103 | $3K | |
| 99381 | 52 | 52 | $3K | |
| 0002A | 86 | 85 | $3K | |
| 90791 | 27 | 27 | $3K | |
| 0064A | 81 | 81 | $3K | |
| 87428 | 66 | 64 | $3K | |
| 96372 | 762 | 685 | $3K | |
| 0124A | 47 | 47 | $2K | |
| 0134A | 44 | 44 | $2K | |
| 90834 | 133 | 120 | $2K | |
| 0071A | 29 | 29 | $1K | |
| 91322 | 16 | 16 | $1K | |
| 99188 | 511 | 511 | $1K | |
| G0469 | Fqhc visit, mh new pt | 13 | 13 | $930.94 |
| 90656 | 83 | 83 | $804.60 | |
| 80305 | 57 | 53 | $542.36 | |
| 87635 | 13 | 13 | $509.76 | |
| 59025 | 23 | 12 | $490.08 | |
| 0072A | 12 | 12 | $454.20 | |
| 98960 | 20 | 20 | $430.92 | |
| 90707 | 1,391 | 1,390 | $354.00 | |
| 99309 | 443 | 436 | $334.61 | |
| 81025 | 64 | 61 | $306.59 | |
| 90716 | 1,276 | 1,275 | $265.26 | |
| 92551 | 39 | 39 | $262.86 | |
| 90734 | 401 | 401 | $257.70 | |
| 98968 | 12 | 12 | $235.32 | |
| 87807 | 26 | 25 | $227.85 | |
| 98966 | 18 | 15 | $149.58 | |
| G0008 | Admin influenza virus vac | 30 | 30 | $112.00 |
| 90474 | 16 | 16 | $110.25 | |
| 96127 | 17 | 17 | $41.72 | |
| 99308 | 1,133 | 1,115 | $39.42 | |
| 90672 | 25 | 25 | $26.88 | |
| Q3014 | Telehealth facility fee | 96 | 88 | $24.06 |
| D0190 | 367 | 367 | $14.89 | |
| J1100 | Dexamethasone sodium phos | 13 | 12 | $6.76 |
| 3074F | 5,192 | 4,971 | $0.00 | |
| 90680 | 2,040 | 2,036 | $0.00 | |
| S0281 | Medical home, maintenance | 8,007 | 7,810 | $0.00 |
| 3075F | 518 | 499 | $0.00 | |
| 90723 | 1,041 | 1,037 | $0.00 | |
| 90697 | 514 | 514 | $0.00 | |
| 3079F | 973 | 938 | $0.00 | |
| 91307 | 115 | 110 | $0.00 | |
| J8540 | Oral dexamethasone | 209 | 199 | $0.00 |
| 90632 | 59 | 57 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 187 | 173 | $0.00 |
| 90696 | 142 | 142 | $0.00 | |
| S0280 | Medical home, initial plan | 156 | 155 | $0.00 |
| 90698 | 235 | 235 | $0.00 | |
| 91305 | 54 | 53 | $0.00 | |
| 91301 | 252 | 248 | $0.00 | |
| 94640 | 15 | 12 | $0.00 | |
| 3080F | 51 | 49 | $0.00 | |
| 1126F | 12 | 12 | $0.00 | |
| 90620 | 50 | 50 | $0.00 | |
| 91306 | 45 | 45 | $0.00 | |
| 90677 | 27 | 27 | $0.00 | |
| 99173 | 1,890 | 1,890 | $0.00 | |
| 90700 | 342 | 342 | $0.00 | |
| 90670 | 2,297 | 2,293 | $0.00 | |
| 91300 | 181 | 158 | $0.00 | |
| 90633 | 1,552 | 1,552 | $0.00 | |
| 90685 | 404 | 400 | $0.00 | |
| 90648 | 1,506 | 1,502 | $0.00 | |
| 90671 | 728 | 728 | $0.00 | |
| 3077F | 284 | 274 | $0.00 | |
| 3078F | 4,929 | 4,743 | $0.00 | |
| 99203 | 58 | 58 | $0.00 | |
| 87804 | 17 | 15 | $0.00 | |
| 91308 | 25 | 25 | $0.00 | |
| 91312 | 17 | 17 | $0.00 | |
| 91313 | 30 | 30 | $0.00 | |
| 91321 | 13 | 13 | $0.00 |