Medicaid Provider Spending

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

GREAT LAKES BAY HEALTH CENTERS

NPI: 1871611665 · SAGINAW, MI 48601 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more

$4.76M
Total Medicaid Paid
227,689
Total Claims
211,071
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESIDENT)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: GALONSKA, LISA

ProviderCityStateTotal Paid
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $10.37M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.90M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.08M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.93M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.66M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $4.14M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $3.74M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.76M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.61M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.48M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.43M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $2.34M
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $1.71M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $1.05M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.03M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.02M
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $962K
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $909K
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $867K
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $613K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,809 $775K
2019 32,412 $665K
2020 24,057 $564K
2021 27,158 $654K
2022 27,705 $656K
2023 35,252 $769K
2024 41,296 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 64,506 57,628 $3.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,469 32,667 $459K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,887 19,012 $353K
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 6,025 4,562 $275K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 2,810 2,797 $176K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,204 1,199 $81K
90834 Psychotherapy, 45 minutes with patient 2,071 1,343 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,244 1,241 $33K
90832 Psychotherapy, 30 minutes with patient 2,004 1,864 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 969 969 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,582 2,512 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,381 3,872 $21K
83036 Hemoglobin; glycosylated (A1C) 5,156 5,124 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,283 4,262 $19K
90651 320 319 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 512 512 $14K
90686 2,677 2,665 $14K
99215 Prolong outpt/office vis 372 366 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 612 609 $13K
90472 Immunization administration, each additional vaccine (list separately) 1,657 1,655 $12K
96160 2,573 2,547 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 643 641 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 376 364 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 244 242 $6K
99000 1,772 1,746 $6K
82962 4,988 4,828 $6K
81025 2,150 2,121 $5K
H0004 Behavioral health counseling and therapy, per 15 minutes 586 580 $5K
90791 Psychiatric diagnostic evaluation 151 151 $5K
91320 42 42 $4K
90715 399 396 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1,077 1,068 $4K
90670 573 572 $4K
H0031 Mental health assessment, by non-physician 119 119 $3K
96127 2,282 2,241 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,491 2,040 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 809 715 $2K
90480 115 114 $2K
90677 43 43 $2K
H0001 Alcohol and/or drug assessment 299 295 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 185 181 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 361 360 $2K
91322 66 66 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 74 72 $2K
90837 Psychotherapy, 53 minutes with patient 122 93 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 250 224 $2K
81003 2,422 2,359 $2K
90656 149 149 $2K
90632 48 48 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 59 59 $1K
99495 27 27 $915.20
0134A 91 91 $880.23
90746 32 32 $737.66
0064A 43 43 $453.24
82044 172 171 $396.36
85018 315 309 $338.23
99496 34 32 $260.00
0124A 14 14 $225.18
81002 141 140 $210.24
0001A 12 12 $189.25
99406 50 50 $181.29
90734 124 124 $122.50
81001 63 63 $110.89
36416 1,133 1,083 $105.90
80305 42 42 $93.87
93000 24 24 $56.71
69210 12 12 $55.46
86580 12 12 $18.24
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $11.73
3044F 2,776 2,761 $0.00
94760 378 365 $0.00
G0008 Administration of influenza virus vaccine 597 593 $0.00
3351F 2,294 2,281 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 4,482 4,072 $0.00
3075F 1,928 1,866 $0.00
90723 175 175 $0.00
3080F 584 568 $0.00
3008F 7,411 6,849 $0.00
H0049 Alcohol and/or drug screening 41 40 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 103 100 $0.00
G0010 Administration of hepatitis b vaccine 14 14 $0.00
91301 19 19 $0.00
3079F 3,056 2,929 $0.00
3052F 28 28 $0.00
90620 63 63 $0.00
3074F 4,781 4,482 $0.00
91306 43 43 $0.00
90696 39 39 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 123 123 $0.00
2000F 139 136 $0.00
86701 44 44 $0.00
90647 24 24 $0.00
90461 644 640 $0.00
90710 153 153 $0.00
3077F 836 806 $0.00
3078F 3,906 3,712 $0.00
1160F 2,406 2,219 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 36 34 $0.00
3046F 729 720 $0.00
90648 109 107 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 174 168 $0.00
3051F 106 106 $0.00
G0444 Annual depression screening, 5 to 15 minutes 1,691 1,669 $0.00
3045F 439 435 $0.00
90633 136 136 $0.00
1159F 340 329 $0.00
91313 93 93 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 135 132 $0.00
91300 14 13 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 14 14 $0.00
91312 23 23 $0.00