NPI: 1851770762 · CHEBOYGAN, MI 49721 · Federally Qualified Health Center (FQHC) · NPI assigned 05/26/2015
Authorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more
| Authorized Official | SPENCER, NANCY (CEO) |
| NPI Enumeration Date | 05/26/2015 |
Other providers sharing the same authorized official: SPENCER, NANCY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,335 | $54K |
| 2019 | 766 | $22K |
| 2020 | 202 | $4K |
| 2021 | 1,335 | $7K |
| 2022 | 512 | $8K |
| 2023 | 460 | $7K |
| 2024 | 290 | $4K |
| 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 | 2,296 | 2,052 | $96K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,456 | 1,363 | $7K |
| 90837 | Psychotherapy, 53 minutes with patient | 30 | 20 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 264 | 242 | $519.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16 | 16 | $98.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 12 | 12 | $13.12 |
| 3008F | 136 | 128 | $0.00 | |
| 2010F | 165 | 153 | $0.00 | |
| 2001F | 154 | 145 | $0.00 | |
| 3074F | 98 | 91 | $0.00 | |
| 1000F | 139 | 129 | $0.00 | |
| 3351F | 13 | 13 | $0.00 | |
| 1031F | 17 | 17 | $0.00 | |
| 3078F | 61 | 59 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $0.00 |
| 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 | 31 | 22 | $0.00 |