NPI: 1922171479 · JACKSON, MI 49202 · 1041C0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,385 | $317K |
| 2019 | 8,162 | $261K |
| 2020 | 2,004 | $57K |
| 2023 | 2,982 | $74K |
| 2024 | 3,031 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 5,756 | 5,209 | $413K |
| G0470 | Fqhc visit, mh estab pt | 799 | 339 | $59K |
| D1110 | 793 | 786 | $59K | |
| D1120 | 1,454 | 1,452 | $55K | |
| D0120 | 2,086 | 2,079 | $52K | |
| D1206 | 2,069 | 2,065 | $43K | |
| D0140 | 372 | 367 | $24K | |
| D1351 | 766 | 348 | $19K | |
| D2150 | 205 | 179 | $18K | |
| D2140 | 220 | 204 | $17K | |
| D0272 | 753 | 753 | $16K | |
| D0274 | 507 | 504 | $13K | |
| 99214 | 2,210 | 1,996 | $6K | |
| G0466 | Fqhc visit new patient | 66 | 66 | $6K |
| D7140 | 50 | 37 | $5K | |
| 99213 | 1,627 | 1,478 | $5K | |
| D0220 | 437 | 431 | $5K | |
| D0150 | 42 | 42 | $2K | |
| 99393 | 283 | 282 | $2K | |
| 99394 | 310 | 308 | $2K | |
| 90832 | 143 | 65 | $556.95 | |
| 99392 | 81 | 81 | $551.48 | |
| 90471 | 550 | 543 | $502.46 | |
| 90472 | 187 | 182 | $280.91 | |
| 87880 | 366 | 359 | $233.72 | |
| D0191 | 15 | 15 | $182.00 | |
| 99000 | 25 | 25 | $135.69 | |
| 90686 | 144 | 142 | $96.12 | |
| 99212 | 110 | 110 | $94.91 | |
| 94010 | 66 | 63 | $80.44 | |
| 81003 | 571 | 546 | $63.04 | |
| 87428 | 29 | 29 | $51.24 | |
| D0190 | 96 | 96 | $30.00 | |
| 87804 | 136 | 81 | $27.42 | |
| 83655 | 28 | 28 | $12.38 | |
| 85018 | 27 | 27 | $7.29 | |
| 86580 | 13 | 13 | $4.56 | |
| 3725F | 768 | 731 | $0.00 | |
| 3078F | 857 | 804 | $0.00 | |
| 99173 | 49 | 49 | $0.00 | |
| 90734 | 40 | 40 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 3077F | 12 | 12 | $0.00 | |
| 3075F | 38 | 38 | $0.00 | |
| 3074F | 996 | 935 | $0.00 | |
| 3079F | 201 | 191 | $0.00 | |
| 90834 | 123 | 55 | $0.00 | |
| 3008F | 32 | 32 | $0.00 | |
| 90651 | 12 | 12 | $0.00 | |
| D0603 | 32 | 31 | $0.00 |