NPI: 1922491760 · ANN ARBOR, MI 48108 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,301 | $416K |
| 2019 | 14,393 | $496K |
| 2020 | 12,272 | $418K |
| 2021 | 8,296 | $280K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 19,208 | 16,462 | $1.24M |
| G0470 | Fqhc visit, mh estab pt | 2,373 | 1,803 | $159K |
| G0466 | Fqhc visit new patient | 1,445 | 1,396 | $120K |
| G0468 | Fqhc visit, ippe or awv | 552 | 547 | $38K |
| 99213 | 13,163 | 11,422 | $28K | |
| 99214 | 4,446 | 4,064 | $11K | |
| 90834 | 1,095 | 822 | $3K | |
| 99203 | 611 | 590 | $2K | |
| 99396 | 295 | 287 | $2K | |
| 90837 | 307 | 248 | $1K | |
| 99395 | 396 | 375 | $1K | |
| 90792 | 197 | 169 | $795.15 | |
| 36415 | 2,357 | 2,184 | $581.18 | |
| 99212 | 230 | 220 | $460.40 | |
| 90460 | 461 | 330 | $377.04 | |
| 0011A | 14 | 14 | $267.10 | |
| 0031A | 16 | 16 | $264.95 | |
| 90791 | 75 | 74 | $159.66 | |
| 96372 | 154 | 150 | $150.13 | |
| 90756 | 74 | 70 | $138.50 | |
| 83036 | 79 | 74 | $103.68 | |
| 99202 | 28 | 28 | $85.18 | |
| 90471 | 102 | 99 | $77.00 | |
| 99392 | 27 | 25 | $73.74 | |
| 99393 | 36 | 33 | $72.79 | |
| 90688 | 196 | 186 | $71.36 | |
| 87880 | 16 | 16 | $13.12 | |
| 81002 | 47 | 45 | $5.50 | |
| 96160 | 29 | 26 | $4.36 | |
| G0008 | Admin influenza virus vac | 47 | 46 | $0.00 |
| 36416 | 47 | 45 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 36 | 12 | $0.00 |
| 96127 | 23 | 22 | $0.00 | |
| 99394 | 14 | 14 | $0.00 | |
| G9002 | Mccd,maintenance rate | 25 | 24 | $0.00 |
| 90461 | 28 | 28 | $0.00 | |
| 99391 | 13 | 13 | $0.00 |