NPI: 1710181128 · IMLAY CITY, MI 48444 · Federally Qualified Health Center (FQHC) · NPI assigned 06/12/2007
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 06/12/2007 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,248 | $64K |
| 2019 | 2,766 | $71K |
| 2020 | 2,486 | $61K |
| 2021 | 3,872 | $103K |
| 2022 | 4,631 | $111K |
| 2023 | 5,093 | $114K |
| 2024 | 5,530 | $89K |
| 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 | 9,026 | 7,834 | $428K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,261 | 2,965 | $74K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,916 | 3,612 | $60K |
| 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 | 467 | 454 | $25K |
| 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 | 102 | 94 | $7K |
| 99000 | 859 | 813 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 469 | 439 | $5K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 86 | 81 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1,728 | 1,636 | $2K |
| 90686 | 137 | 133 | $846.44 | |
| H0031 | Mental health assessment, by non-physician | 69 | 68 | $831.05 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 28 | 28 | $735.56 |
| 82962 | 743 | 675 | $725.67 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 271 | 266 | $692.52 |
| 96127 | 523 | 496 | $465.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 116 | 113 | $409.88 |
| 90832 | Psychotherapy, 30 minutes with patient | 55 | 54 | $332.63 |
| 96160 | 61 | 58 | $262.12 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 29 | 27 | $111.88 |
| 81001 | 14 | 13 | $22.75 | |
| 1160F | 363 | 331 | $0.00 | |
| 3078F | 613 | 582 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 14 | 13 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 59 | 56 | $0.00 |
| 1159F | 42 | 41 | $0.00 | |
| 1125F | 186 | 179 | $0.00 | |
| 3008F | 987 | 920 | $0.00 | |
| 3074F | 665 | 628 | $0.00 | |
| 3351F | 48 | 47 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 68 | 66 | $0.00 |
| 3075F | 228 | 220 | $0.00 | |
| 1126F | 646 | 612 | $0.00 | |
| 36416 | 430 | 404 | $0.00 | |
| 3079F | 298 | 287 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 19 | 19 | $0.00 |