Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREAT LAKES BAY HEALTH CENTERS

NPI: 1780702571 · SAGINAW, MI 48601 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more

$10.37M
Total Medicaid Paid
480,924
Total Claims
440,445
Beneficiaries
170
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESIDENT)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: GALONSKA, LISA

ProviderCityStateTotal Paid
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.90M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.08M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.93M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.76M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.66M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $4.14M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $3.74M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.76M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.61M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.48M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.43M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $2.34M
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $1.71M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $1.05M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.03M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.02M
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $962K
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $909K
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $867K
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $613K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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