NPI: 1861810186 · LUDINGTON, MI 49431 · Family Medicine Physician · NPI assigned 04/03/2014
| Authorized Official | GREEN, DANIEL (VICE PRESIDENT FINANCE GRAND RAPIDS) |
| NPI Enumeration Date | 04/03/2014 |
Other providers sharing the same authorized official: GREEN, DANIEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP | GRAND RAPIDS | MI | $21.94M |
| ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP | GRAND RAPIDS | MI | $16.99M |
| MERCY HEALTH PARTNERS | WHITEHALL | MI | $3.51M |
| MERCY HEALTH PARTNERS | LUDINGTON | MI | $2.19M |
| MERCY HEALTH PARTNERS | HART | MI | $2.10M |
| MERCY HEALTH PARTNERS | SHELBY | MI | $1.94M |
| ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP | BYRON CENTER | MI | $105K |
| MERCY HEALTH PARTNERS | MUSKEGON | MI | $7K |
| MERCY HEALTH PARTNERS | SHELBY | MI | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $798.88 |
| 2020 | 475 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 156 | 150 | $8K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65 | 64 | $2K |
| T1015 | Clinic visit/encounter, all-inclusive | 195 | 189 | $798.88 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12 | 12 | $723.77 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 26 | 26 | $290.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 26 | 26 | $217.30 |
| 71046 | Radiologic examination, chest; 2 views | 12 | 12 | $126.25 |