NPI: 1861402067 · EAU CLAIRE, MI 49111 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21,822 | $762K |
| 2019 | 19,336 | $636K |
| 2020 | 15,179 | $493K |
| 2021 | 20,117 | $656K |
| 2022 | 22,585 | $676K |
| 2023 | 23,880 | $788K |
| 2024 | 19,751 | $745K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 23,838 | 20,849 | $1.78M |
| G0470 | Fqhc visit, mh estab pt | 10,722 | 7,719 | $783K |
| G0468 | Fqhc visit, ippe or awv | 7,676 | 7,625 | $628K |
| D1110 | 2,217 | 2,205 | $210K | |
| D1351 | 6,002 | 1,156 | $150K | |
| D0150 | 2,117 | 2,112 | $149K | |
| D2392 | 1,036 | 814 | $142K | |
| D0140 | 1,616 | 1,572 | $128K | |
| D1120 | 2,546 | 2,544 | $103K | |
| D2391 | 895 | 687 | $94K | |
| D1206 | 3,260 | 3,248 | $79K | |
| D0120 | 2,130 | 2,121 | $75K | |
| D7140 | 615 | 323 | $63K | |
| D0274 | 1,977 | 1,973 | $56K | |
| G0466 | Fqhc visit new patient | 583 | 572 | $52K |
| D0210 | 804 | 802 | $33K | |
| 99213 | 15,070 | 13,605 | $30K | |
| 59426 | 16 | 15 | $27K | |
| D0220 | 2,225 | 2,067 | $23K | |
| D1354 | 973 | 297 | $19K | |
| 99214 | 6,286 | 5,951 | $18K | |
| D0272 | 581 | 579 | $13K | |
| 90832 | 6,430 | 5,156 | $11K | |
| 90837 | 639 | 396 | $7K | |
| D0191 | 490 | 489 | $7K | |
| J2315 | Naltrexone, depot form | 12 | 12 | $7K |
| 90651 | 470 | 469 | $7K | |
| 99393 | 1,301 | 1,300 | $7K | |
| 99392 | 1,354 | 1,354 | $6K | |
| 99394 | 988 | 987 | $4K | |
| D0145 | 140 | 140 | $4K | |
| 90471 | 6,464 | 6,420 | $4K | |
| 90472 | 3,109 | 3,097 | $3K | |
| D4346 | 40 | 40 | $3K | |
| 99391 | 1,142 | 1,133 | $3K | |
| 0064A | 99 | 98 | $3K | |
| H0031 | Mh health assess by non-md | 508 | 504 | $3K |
| D2393 | 14 | 12 | $2K | |
| 90480 | 64 | 64 | $2K | |
| 0001A | 58 | 57 | $2K | |
| 80305 | 4,508 | 3,594 | $2K | |
| 90834 | 824 | 632 | $2K | |
| 0134A | 59 | 59 | $2K | |
| H0004 | Alcohol and/or drug services | 881 | 811 | $2K |
| 99212 | 1,364 | 1,289 | $1K | |
| 0002A | 34 | 34 | $1K | |
| 0011A | 44 | 44 | $1K | |
| 90686 | 2,595 | 2,589 | $1K | |
| 0012A | 28 | 28 | $966.35 | |
| 99395 | 249 | 249 | $966.09 | |
| 0004A | 26 | 26 | $793.12 | |
| 0124A | 28 | 28 | $769.06 | |
| 90715 | 448 | 446 | $664.67 | |
| 81025 | 1,979 | 1,790 | $601.68 | |
| 0071A | 15 | 15 | $567.75 | |
| D0230 | 111 | 81 | $559.60 | |
| 90656 | 189 | 189 | $558.75 | |
| 90620 | 183 | 182 | $519.60 | |
| 91322 | 53 | 53 | $435.00 | |
| 0031A | 12 | 12 | $416.35 | |
| 0054A | 12 | 12 | $375.30 | |
| 99203 | 107 | 104 | $367.67 | |
| 83036 | 906 | 902 | $305.52 | |
| 99396 | 98 | 98 | $269.67 | |
| 87880 | 309 | 303 | $173.98 | |
| 92551 | 520 | 519 | $163.71 | |
| 81002 | 1,213 | 1,186 | $138.66 | |
| 90670 | 876 | 872 | $129.00 | |
| 85018 | 800 | 787 | $122.68 | |
| 87804 | 124 | 64 | $54.84 | |
| 90474 | 176 | 176 | $48.75 | |
| 93000 | 52 | 49 | $27.54 | |
| 82947 | 88 | 86 | $25.99 | |
| 99406 | 413 | 398 | $8.54 | |
| 90619 | 125 | 125 | $0.00 | |
| 94760 | 3,657 | 3,447 | $0.00 | |
| 36416 | 130 | 127 | $0.00 | |
| 91301 | 55 | 55 | $0.00 | |
| D1330 | 937 | 936 | $0.00 | |
| 90723 | 482 | 479 | $0.00 | |
| 90647 | 374 | 371 | $0.00 | |
| 90677 | 89 | 89 | $0.00 | |
| 3044F | 164 | 162 | $0.00 | |
| 90680 | 106 | 106 | $0.00 | |
| 90732 | 12 | 12 | $0.00 | |
| 99383 | 26 | 26 | $0.00 | |
| 90632 | 18 | 18 | $0.00 | |
| 99381 | 29 | 29 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 40 | 33 | $0.00 |
| 99384 | 17 | 17 | $0.00 | |
| D9990 | 36 | 35 | $0.00 | |
| 90734 | 131 | 131 | $0.00 | |
| 90633 | 164 | 162 | $0.00 | |
| 90685 | 76 | 76 | $0.00 | |
| 90746 | 45 | 44 | $0.00 | |
| 90681 | 58 | 58 | $0.00 | |
| 90648 | 68 | 68 | $0.00 |