NPI: 1780692400 · JACKSON, MI 49202 · 2083P0901X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,569 | $164K |
| 2019 | 10,106 | $185K |
| 2020 | 2,992 | $88K |
| 2021 | 3,745 | $105K |
| 2022 | 4,665 | $115K |
| 2023 | 5,589 | $128K |
| 2024 | 4,620 | $147K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 7,199 | 5,977 | $577K | |
| V5008 | Hearing screening | 9,846 | 9,495 | $91K |
| H2000 | Comp multidisipln evaluation | 544 | 544 | $58K |
| 99172 | 6,075 | 6,025 | $57K | |
| 90472 | 2,534 | 2,521 | $39K | |
| 90471 | 3,775 | 3,737 | $30K | |
| 83655 | 1,835 | 1,824 | $25K | |
| 85018 | 4,932 | 4,881 | $11K | |
| 36416 | 1,709 | 1,698 | $11K | |
| 90632 | 113 | 113 | $6K | |
| H1000 | Prenatal care atrisk assessm | 68 | 68 | $6K |
| T1023 | Program intake assessment | 66 | 66 | $6K |
| 90686 | 754 | 750 | $4K | |
| 90651 | 361 | 359 | $3K | |
| 90746 | 37 | 37 | $2K | |
| 90715 | 465 | 462 | $2K | |
| 86580 | 274 | 264 | $1K | |
| 91320 | 14 | 14 | $1K | |
| 90716 | 74 | 73 | $945.60 | |
| 90707 | 103 | 103 | $747.52 | |
| 90480 | 28 | 28 | $721.00 | |
| 90621 | 19 | 19 | $365.70 | |
| 90656 | 43 | 43 | $335.25 | |
| 90670 | 454 | 454 | $333.00 | |
| 90619 | 152 | 150 | $144.00 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 14 | 14 | $96.32 |
| 90744 | 182 | 181 | $0.00 | |
| 90698 | 313 | 313 | $0.00 | |
| 90696 | 129 | 129 | $0.00 | |
| 90677 | 16 | 16 | $0.00 | |
| 90633 | 373 | 373 | $0.00 | |
| 90734 | 327 | 327 | $0.00 | |
| 90710 | 215 | 215 | $0.00 | |
| 90700 | 123 | 122 | $0.00 | |
| 90648 | 12 | 12 | $0.00 | |
| 90685 | 73 | 72 | $0.00 | |
| 90713 | 35 | 35 | $0.00 |