UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI: 1811325103
· HOUGHTON, MI 49931
· 261QF0400X
$955K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,676 |
$169K |
| 2019 |
3,634 |
$134K |
| 2020 |
3,759 |
$98K |
| 2021 |
4,901 |
$139K |
| 2022 |
5,147 |
$147K |
| 2023 |
6,765 |
$154K |
| 2024 |
4,774 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Fqhc visit, estab pt |
13,415 |
11,691 |
$410K |
| 99214 |
|
5,829 |
5,334 |
$261K |
| 99213 |
|
4,291 |
3,896 |
$108K |
| G0470 |
Fqhc visit, mh estab pt |
597 |
419 |
$42K |
| 99215 |
Prolong outpt/office vis |
480 |
460 |
$38K |
| G0468 |
Fqhc visit, ippe or awv |
632 |
632 |
$32K |
| G0466 |
Fqhc visit new patient |
305 |
305 |
$13K |
| 99212 |
|
603 |
586 |
$13K |
| 99395 |
|
151 |
151 |
$9K |
| 87635 |
|
207 |
201 |
$8K |
| 90471 |
|
788 |
776 |
$6K |
| 90686 |
|
439 |
438 |
$4K |
| 0011A |
|
122 |
119 |
$4K |
| 0012A |
|
83 |
83 |
$3K |
| 87428 |
|
30 |
30 |
$1K |
| 99396 |
|
13 |
13 |
$1K |
| 99203 |
|
42 |
42 |
$1K |
| 0064A |
|
20 |
20 |
$719.15 |
| 98928 |
|
17 |
13 |
$690.77 |
| 0002A |
|
13 |
13 |
$492.05 |
| 0134A |
|
13 |
13 |
$480.09 |
| 0001A |
|
12 |
12 |
$454.20 |
| 90656 |
|
16 |
16 |
$343.39 |
| 99000 |
|
34 |
33 |
$12.88 |
| S0281 |
Medical home, maintenance |
265 |
264 |
$0.00 |
| 99308 |
|
77 |
77 |
$0.00 |
| 3074F |
|
1,547 |
1,388 |
$0.00 |
| 3079F |
|
850 |
792 |
$0.00 |
| 3075F |
|
583 |
558 |
$0.00 |
| 90834 |
|
116 |
98 |
$0.00 |
| 91301 |
|
211 |
201 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3078F |
|
1,400 |
1,263 |
$0.00 |
| 90837 |
|
280 |
225 |
$0.00 |
| 3077F |
|
122 |
116 |
$0.00 |
| 99307 |
|
13 |
13 |
$0.00 |
| 90791 |
|
13 |
13 |
$0.00 |