Medicaid Provider Spending

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

HOLY FAMILY HEALTHCARE

NPI: 1841748688 · HARTFORD, MI 49057 · Rural Health Clinic/Center · NPI assigned 09/21/2016

$1.54M
Total Medicaid Paid
64,272
Total Claims
54,828
Beneficiaries
29
Codes Billed
2018-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialBOUCHARD, DONNIE (PRESIDENT)
NPI Enumeration Date09/21/2016

Related Entities

Other providers sharing the same authorized official: BOUCHARD, DONNIE

ProviderCityStateTotal Paid
HOLY FAMILY DENTAL CLINICS HARTFORD MI $20K
HOLY FAMILY HEALTHCARE KALAMAZOO MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,168 $122K
2019 13,085 $293K
2020 10,716 $244K
2021 12,892 $312K
2022 15,307 $375K
2023 7,104 $189K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 28,741 22,767 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,466 12,668 $46K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,395 2,343 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,017 2,791 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,856 1,829 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,475 1,431 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,666 1,563 $7K
90472 Immunization administration, each additional vaccine (list separately) 2,059 2,038 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,039 3,978 $3K
99215 Prolong outpt/office vis 349 318 $2K
99000 579 563 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,254 1,204 $944.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 724 701 $929.87
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $189.58
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 25 $134.68
99381 39 39 $86.72
85018 130 126 $7.84
81000 52 50 $6.66
90687 12 12 $0.00
99177 100 100 $0.00
90670 31 31 $0.00
90649 12 12 $0.00
90734 14 14 $0.00
99188 16 13 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 12 $0.00
90688 128 125 $0.00
90647 16 16 $0.00
90723 18 18 $0.00
36415 Collection of venous blood by venipuncture 13 13 $0.00