NPI: 1780702571 · SAGINAW, MI 48601 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 03/27/2007 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 100,845 | $2.16M |
| 2019 | 70,747 | $1.43M |
| 2020 | 52,001 | $1.22M |
| 2021 | 59,258 | $1.45M |
| 2022 | 56,942 | $1.36M |
| 2023 | 65,918 | $1.45M |
| 2024 | 75,213 | $1.31M |
| 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 | 129,623 | 111,504 | $6.27M |
| 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 | 16,762 | 12,177 | $824K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54,309 | 49,201 | $718K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29,972 | 28,578 | $542K |
| 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 | 5,428 | 5,351 | $327K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4,851 | 4,793 | $133K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1,871 | 1,869 | $131K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7,028 | 6,989 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15,791 | 14,875 | $122K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3,767 | 3,723 | $96K |
| 90834 | Psychotherapy, 45 minutes with patient | 4,721 | 3,585 | $86K |
| 90832 | Psychotherapy, 30 minutes with patient | 6,024 | 5,130 | $84K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3,781 | 3,675 | $80K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3,858 | 3,839 | $79K |
| 99215 | Prolong outpt/office vis | 2,685 | 2,636 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2,088 | 2,073 | $57K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1,460 | 1,445 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9,837 | 9,745 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5,189 | 5,157 | $40K |
| 90791 | Psychiatric diagnostic evaluation | 1,296 | 1,281 | $35K |
| 92015 | Determination of refractive state | 7,348 | 7,277 | $29K |
| V2020 | Frames, purchases | 2,050 | 2,040 | $29K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1,008 | 998 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4,522 | 4,284 | $19K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,019 | 992 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1,477 | 1,473 | $17K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2,117 | 2,032 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4,448 | 4,415 | $15K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1,230 | 1,216 | $14K |
| 99000 | 2,259 | 2,184 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4,013 | 3,973 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 551 | 545 | $13K |
| 90686 | 6,489 | 6,453 | $13K | |
| 90651 | 1,277 | 1,268 | $13K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 343 | 306 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2,607 | 1,855 | $11K |
| H0001 | Alcohol and/or drug assessment | 1,360 | 1,293 | $9K |
| 92341 | 638 | 637 | $8K | |
| 92083 | 637 | 635 | $8K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 337 | 337 | $7K |
| 81025 | 2,908 | 2,845 | $7K | |
| 36415 | Collection of venous blood by venipuncture | 5,322 | 5,157 | $7K |
| 96127 | 5,477 | 5,380 | $6K | |
| 82962 | 5,913 | 5,460 | $6K | |
| 96160 | 1,745 | 1,722 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 482 | 477 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 877 | 873 | $6K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 314 | 309 | $6K |
| 90837 | Psychotherapy, 53 minutes with patient | 201 | 164 | $5K |
| 99381 | 139 | 139 | $5K | |
| 91320 | 56 | 56 | $4K | |
| 90480 | 190 | 188 | $4K | |
| 99188 | 1,390 | 1,362 | $4K | |
| 90715 | 891 | 888 | $4K | |
| 90677 | 230 | 229 | $4K | |
| 90734 | 956 | 951 | $4K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 452 | 450 | $4K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 223 | 220 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 824 | 811 | $3K |
| 72110 | 249 | 244 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | 423 | 407 | $3K |
| 90670 | 3,178 | 3,164 | $3K | |
| 73564 | 248 | 193 | $3K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 422 | 420 | $2K |
| 90746 | 97 | 96 | $2K | |
| 90656 | 271 | 269 | $2K | |
| 99496 | 58 | 57 | $2K | |
| 92133 | 1,034 | 1,022 | $2K | |
| D0190 | 320 | 317 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 289 | 285 | $2K |
| 81003 | 3,188 | 3,095 | $2K | |
| 92250 | 280 | 276 | $2K | |
| 99408 | 691 | 470 | $2K | |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | 608 | 601 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 51 | 51 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 63 | 63 | $1K |
| 92134 | 517 | 510 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 211 | 206 | $1K |
| 90632 | 60 | 60 | $1K | |
| 99383 | 24 | 24 | $1K | |
| 90473 | 527 | 526 | $1K | |
| 85610 | 479 | 264 | $1K | |
| 99409 | 380 | 220 | $1K | |
| 91322 | 41 | 40 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 927 | 864 | $858.26 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 163 | 163 | $847.98 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1,437 | 1,334 | $780.01 |
| 90750 | 12 | 12 | $742.00 | |
| 0064A | 48 | 48 | $724.68 | |
| 93000 | 277 | 271 | $660.22 | |
| 90620 | 144 | 142 | $560.94 | |
| 90707 | 125 | 124 | $555.40 | |
| 99495 | 12 | 12 | $449.95 | |
| 81001 | 311 | 301 | $448.70 | |
| 73030 | 47 | 38 | $364.88 | |
| 0001A | 27 | 26 | $311.92 | |
| 36416 | 2,731 | 2,567 | $275.34 | |
| 0071A | 25 | 25 | $263.03 | |
| 0134A | 35 | 35 | $225.18 | |
| 0124A | 13 | 13 | $187.65 | |
| 90716 | 119 | 117 | $176.20 | |
| 85018 | 169 | 167 | $174.32 | |
| 82044 | 63 | 63 | $154.92 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 14 | 14 | $149.72 |
| 73565 | 13 | 13 | $140.07 | |
| 76514 | 65 | 64 | $134.39 | |
| 98926 | 22 | 18 | $103.00 | |
| 99382 | 12 | 12 | $93.36 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 97 | 95 | $88.26 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 41 | 41 | $72.76 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 24 | 24 | $63.00 |
| 81002 | 24 | 24 | $31.68 | |
| G0008 | Administration of influenza virus vaccine | 534 | 530 | $29.12 |
| 82948 | 18 | 17 | $8.36 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 446 | 441 | $0.01 |
| 1160F | 3,539 | 3,143 | $0.00 | |
| 90710 | 1,704 | 1,694 | $0.00 | |
| 3051F | 244 | 244 | $0.00 | |
| 90700 | 856 | 853 | $0.00 | |
| 3046F | 957 | 947 | $0.00 | |
| 3077F | 1,448 | 1,346 | $0.00 | |
| 90681 | 1,146 | 1,144 | $0.00 | |
| 90633 | 2,048 | 2,030 | $0.00 | |
| 90648 | 1,292 | 1,291 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 4,087 | 3,935 | $0.00 |
| 90713 | 75 | 75 | $0.00 | |
| 3078F | 7,115 | 6,646 | $0.00 | |
| 3045F | 396 | 391 | $0.00 | |
| 91300 | 27 | 27 | $0.00 | |
| 2022F | 1,550 | 1,530 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 460 | 454 | $0.00 |
| 91313 | 33 | 33 | $0.00 | |
| 90461 | 2,480 | 2,463 | $0.00 | |
| 91312 | 57 | 56 | $0.00 | |
| 1159F | 449 | 424 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 43 | 43 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 15 | 15 | $0.00 |
| 90662 | 25 | 25 | $0.00 | |
| 1158F | 14 | 14 | $0.00 | |
| 94760 | 372 | 353 | $0.00 | |
| 3072F | 1,241 | 1,229 | $0.00 | |
| 3044F | 2,024 | 2,008 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 505 | 502 | $0.00 |
| 90647 | 1,466 | 1,454 | $0.00 | |
| 3080F | 1,052 | 980 | $0.00 | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 7,401 | 6,311 | $0.00 |
| 3079F | 3,337 | 3,166 | $0.00 | |
| 3351F | 2,646 | 2,624 | $0.00 | |
| 90723 | 2,547 | 2,533 | $0.00 | |
| 90696 | 597 | 594 | $0.00 | |
| 90744 | 21 | 21 | $0.00 | |
| 91306 | 54 | 53 | $0.00 | |
| 2023F | 155 | 153 | $0.00 | |
| 1125F | 422 | 415 | $0.00 | |
| 3008F | 9,962 | 9,149 | $0.00 | |
| 2000F | 85 | 83 | $0.00 | |
| 3074F | 7,913 | 7,362 | $0.00 | |
| 3075F | 2,147 | 2,069 | $0.00 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 39 | 39 | $0.00 |
| 91301 | 32 | 32 | $0.00 | |
| G0477 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | 16 | 14 | $0.00 |
| 3052F | 13 | 13 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 282 | 282 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 86 | 84 | $0.00 |
| 91307 | 15 | 15 | $0.00 | |
| 90619 | 13 | 13 | $0.00 | |
| 1170F | 14 | 14 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 12 | 12 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 13 | 13 | $0.00 |
| 1126F | 17 | 17 | $0.00 |