NPI: 1720145303 · SAULT SAINTE MARIE, MI 49783 · 261QR1300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,968 | $471K |
| 2019 | 7,915 | $340K |
| 2020 | 7,044 | $274K |
| 2021 | 11,331 | $462K |
| 2022 | 17,288 | $806K |
| 2023 | 18,117 | $976K |
| 2024 | 13,591 | $584K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 39,151 | 33,840 | $3.00M |
| 99213 | 21,136 | 18,718 | $395K | |
| 59426 | 175 | 174 | $227K | |
| 99212 | 7,533 | 7,250 | $101K | |
| 99214 | 2,120 | 2,010 | $63K | |
| 99203 | 1,155 | 1,152 | $45K | |
| 99202 | 1,001 | 976 | $10K | |
| 87880 | 1,547 | 1,520 | $9K | |
| 59430 | 48 | 48 | $8K | |
| 81025 | 2,086 | 2,019 | $7K | |
| 76817 | 161 | 152 | $5K | |
| 99395 | 97 | 97 | $5K | |
| 96372 | 1,803 | 1,707 | $5K | |
| 80305 | 5,931 | 4,403 | $5K | |
| 99391 | 436 | 404 | $5K | |
| 90471 | 585 | 576 | $4K | |
| 99392 | 329 | 324 | $4K | |
| 99393 | 39 | 39 | $2K | |
| 81002 | 1,329 | 1,306 | $2K | |
| 90472 | 139 | 137 | $1K | |
| 90686 | 110 | 110 | $1K | |
| 99204 | 27 | 24 | $1K | |
| Q0091 | Obtaining screen pap smear | 58 | 58 | $1K |
| 90715 | 26 | 26 | $930.88 | |
| 58300 | 24 | 24 | $591.93 | |
| 99000 | 44 | 44 | $549.74 | |
| 90656 | 18 | 18 | $355.40 | |
| J1885 | Ketorolac tromethamine inj | 58 | 56 | $107.79 |
| 90647 | 31 | 31 | $0.00 | |
| 90723 | 13 | 12 | $0.00 | |
| 90474 | 13 | 12 | $0.00 | |
| 90680 | 40 | 39 | $0.00 | |
| 82075 | 53 | 48 | $0.00 | |
| 59899 | 145 | 138 | $0.00 | |
| 90460 | 229 | 226 | $0.00 | |
| 87804 | 78 | 64 | $0.00 | |
| 90461 | 163 | 161 | $0.00 | |
| 99215 | Prolong outpt/office vis | 62 | 58 | $0.00 |
| 90670 | 176 | 175 | $0.00 | |
| 90685 | 45 | 44 | $0.00 | |
| 90633 | 40 | 40 | $0.00 |