NPI: 1902002272 · GRAND RAPIDS, MI 49503 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,835 | $574K |
| 2019 | 19,072 | $561K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 12,188 | 9,191 | $781K |
| G0470 | Fqhc visit, mh estab pt | 3,411 | 1,936 | $235K |
| G0466 | Fqhc visit new patient | 793 | 789 | $74K |
| 99214 | 5,670 | 5,195 | $15K | |
| G0468 | Fqhc visit, ippe or awv | 101 | 100 | $9K |
| 99213 | 4,360 | 3,784 | $6K | |
| 90834 | 1,490 | 937 | $3K | |
| 96372 | 463 | 393 | $2K | |
| 90686 | 752 | 749 | $2K | |
| 90632 | 136 | 136 | $1K | |
| 97110 | 1,534 | 513 | $1K | |
| 90837 | 930 | 635 | $1K | |
| 99215 | Prolong outpt/office vis | 115 | 114 | $698.48 |
| 36415 | 2,039 | 1,952 | $695.70 | |
| 90832 | 279 | 217 | $651.12 | |
| 83036 | 525 | 524 | $591.53 | |
| 90471 | 1,186 | 1,174 | $547.05 | |
| 99203 | 521 | 516 | $531.68 | |
| 90791 | 439 | 435 | $317.12 | |
| 90707 | 29 | 29 | $316.32 | |
| 36416 | 769 | 750 | $147.86 | |
| 82962 | 428 | 422 | $138.16 | |
| 90715 | 54 | 54 | $136.18 | |
| 90732 | 12 | 12 | $118.53 | |
| 90472 | 204 | 203 | $91.70 | |
| 90746 | 53 | 52 | $65.12 | |
| 97530 | 37 | 26 | $49.26 | |
| 96160 | 103 | 103 | $16.01 | |
| 99406 | 14 | 14 | $9.15 | |
| 81003 | 76 | 75 | $1.16 | |
| 99204 | 72 | 72 | $0.00 | |
| 99408 | 26 | 21 | $0.00 | |
| 99348 | 35 | 30 | $0.00 | |
| 93000 | 13 | 13 | $0.00 | |
| G0008 | Admin influenza virus vac | 50 | 49 | $0.00 |