NPI: 1801907654 · SAGINAW, MI 48607 · Federally Qualified Health Center (FQHC) · NPI assigned 08/31/2006
Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more
| Authorized Official | GALONSKA, LISA (VICE PRESIDENT) |
| NPI Enumeration Date | 08/31/2006 |
Other providers sharing the same authorized official: GALONSKA, LISA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,127 | $42K |
| 2019 | 15,354 | $396K |
| 2020 | 24,812 | $538K |
| 2021 | 6,611 | $21K |
| 2022 | 7,316 | $15K |
| 2023 | 8,554 | $8K |
| 2024 | 2,836 | $63.24 |
| 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 | 13,995 | 12,228 | $410K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,337 | 6,692 | $139K |
| 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 | 3,277 | 2,441 | $107K |
| 59426 | 53 | 53 | $44K | |
| 90834 | Psychotherapy, 45 minutes with patient | 1,522 | 1,140 | $43K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,193 | 2,104 | $32K |
| 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 | 548 | 548 | $25K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 24 | 24 | $21K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 282 | 282 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,087 | 969 | $15K |
| 90832 | Psychotherapy, 30 minutes with patient | 742 | 704 | $15K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 15 | 15 | $14K |
| 90837 | Psychotherapy, 53 minutes with patient | 256 | 207 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 197 | 192 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 177 | 177 | $9K |
| 90732 | 124 | 66 | $8K | |
| 59430 | 83 | 83 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 199 | 199 | $8K |
| 90791 | Psychiatric diagnostic evaluation | 133 | 133 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 181 | 180 | $7K |
| 96160 | 417 | 417 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 89 | 89 | $5K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 174 | 174 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,028 | 1,021 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 94 | 94 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 65 | 65 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 722 | 657 | $3K |
| 90651 | 71 | 71 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 153 | 153 | $3K |
| 96127 | 2,160 | 2,044 | $3K | |
| 90686 | 662 | 658 | $3K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 233 | 225 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 433 | 431 | $3K |
| 90715 | 150 | 150 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 133 | 60 | $2K |
| D0140 | Limited oral evaluation - problem focused | 57 | 57 | $2K |
| 99384 | 27 | 27 | $1K | |
| 81025 | 334 | 329 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 135 | 134 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 16 | 12 | $1K |
| 90632 | 39 | 39 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 200 | 159 | $984.40 |
| D0220 | Intraoral - periapical first radiographic image | 61 | 60 | $829.60 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 57 | 24 | $725.57 |
| 58300 | 19 | 19 | $663.29 | |
| 99215 | Prolong outpt/office vis | 29 | 27 | $649.96 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 15 | $642.04 |
| 90670 | 182 | 182 | $624.77 | |
| D1110 | Prophylaxis - adult | 15 | 15 | $561.60 |
| 59025 | Fetal non-stress test | 30 | 12 | $515.66 |
| 76830 | Ultrasound, transvaginal | 45 | 40 | $478.96 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 241 | 236 | $422.37 |
| 93000 | 61 | 61 | $389.91 | |
| 97035 | 53 | 26 | $309.20 | |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $268.80 |
| 82044 | 66 | 66 | $225.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 25 | 24 | $204.68 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 31 | 30 | $170.94 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 328 | 323 | $147.99 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 98 | 84 | $146.94 |
| 92015 | Determination of refractive state | 309 | 303 | $101.21 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 27 | 25 | $97.45 |
| 99406 | 15 | 15 | $67.76 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 175 | 164 | $43.22 |
| 99000 | 432 | 425 | $38.64 | |
| 81001 | 19 | 18 | $36.76 | |
| 90473 | 24 | 24 | $33.00 | |
| 90474 | 27 | 27 | $27.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 16 | 14 | $26.46 |
| 36415 | Collection of venous blood by venipuncture | 12 | 12 | $21.60 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 26 | 26 | $13.86 |
| G0008 | Administration of influenza virus vaccine | 101 | 97 | $7.00 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 20,418 | 19,238 | $0.01 |
| 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 | 79 | 78 | $0.00 |
| 90734 | 56 | 56 | $0.00 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 623 | 621 | $0.00 |
| 91313 | 27 | 27 | $0.00 | |
| 3078F | 169 | 155 | $0.00 | |
| 1160F | 204 | 184 | $0.00 | |
| 90681 | 66 | 66 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 253 | 242 | $0.00 |
| 90700 | 56 | 56 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 66 | 63 | $0.00 |
| 90648 | 125 | 125 | $0.00 | |
| 92341 | 87 | 87 | $0.00 | |
| 90633 | 84 | 84 | $0.00 | |
| 1159F | 27 | 26 | $0.00 | |
| 1158F | 12 | 12 | $0.00 | |
| 0502F | 117 | 13 | $0.00 | |
| 90710 | 28 | 28 | $0.00 | |
| 90707 | 15 | 15 | $0.00 | |
| 3074F | 196 | 183 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 186 | 186 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 39 | 39 | $0.00 |
| 3351F | 210 | 210 | $0.00 | |
| 3008F | 222 | 205 | $0.00 | |
| 0503F | 13 | 13 | $0.00 | |
| 90723 | 115 | 115 | $0.00 | |
| 36416 | 405 | 383 | $0.00 | |
| 3075F | 28 | 27 | $0.00 | |
| 0500F | 13 | 13 | $0.00 | |
| 90620 | 29 | 29 | $0.00 | |
| 2000F | 18 | 17 | $0.00 | |
| 3079F | 95 | 92 | $0.00 | |
| 97010 | 68 | 42 | $0.00 | |
| 90716 | 15 | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 14 | $0.00 |
| 82962 | 25 | 24 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 13 | 13 | $0.00 |
| 90696 | 12 | 12 | $0.00 | |
| 1170F | 12 | 12 | $0.00 |