NPI: 1770084576 · CHEBOYGAN, MI 49721 · Federally Qualified Health Center (FQHC) · NPI assigned 02/27/2018
Authorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more
| Authorized Official | SPENCER, NANCY (CEO) |
| NPI Enumeration Date | 02/27/2018 |
Other providers sharing the same authorized official: SPENCER, NANCY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,191 | $15K |
| 2019 | 2,330 | $60K |
| 2020 | 3,306 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 1,836 | 894 | $67K |
| 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 | 2,565 | 1,326 | $34K |
| 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 | 681 | 629 | $18K |
| 90832 | Psychotherapy, 30 minutes with patient | 290 | 255 | $8K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 213 | 209 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 104 | 104 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 101 | 101 | $5K |
| Q3014 | Telehealth originating site facility fee | 224 | 198 | $5K |
| 90834 | Psychotherapy, 45 minutes with patient | 107 | 71 | $4K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 95 | 91 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 80 | 80 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 29 | 29 | $2K |
| 90791 | Psychiatric diagnostic evaluation | 62 | 39 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 247 | 244 | $2K |
| 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 | 17 | 17 | $883.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 21 | 21 | $275.20 |
| 90473 | 12 | 12 | $15.00 | |
| 90461 | 143 | 143 | $0.00 |