NPI: 1962933416 · GRAND RAPIDS, MI 49507 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,782 | $386K |
| 2019 | 11,576 | $326K |
| 2020 | 2,188 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 9,760 | 8,597 | $609K |
| G0466 | Fqhc visit new patient | 595 | 588 | $56K |
| G0470 | Fqhc visit, mh estab pt | 812 | 476 | $47K |
| G0468 | Fqhc visit, ippe or awv | 701 | 700 | $46K |
| 99214 | 3,927 | 3,599 | $8K | |
| 99213 | 4,441 | 4,114 | $7K | |
| 96372 | 408 | 374 | $2K | |
| J1050 | Medroxyprogesterone acetate | 40 | 39 | $2K |
| 90471 | 1,336 | 1,316 | $1K | |
| 99392 | 343 | 342 | $1K | |
| 90472 | 651 | 644 | $1K | |
| 99396 | 151 | 150 | $988.79 | |
| 99394 | 86 | 85 | $803.90 | |
| 90686 | 457 | 453 | $666.05 | |
| 99204 | 105 | 104 | $554.32 | |
| 36415 | 1,668 | 1,570 | $553.84 | |
| 90834 | 389 | 251 | $551.32 | |
| 90837 | 21 | 15 | $526.96 | |
| 99393 | 141 | 141 | $509.53 | |
| 83036 | 177 | 173 | $291.15 | |
| 99391 | 148 | 144 | $263.32 | |
| 81025 | 164 | 158 | $247.08 | |
| 90651 | 15 | 15 | $229.34 | |
| 99395 | 118 | 118 | $162.68 | |
| 36416 | 501 | 439 | $107.06 | |
| 90715 | 19 | 19 | $92.85 | |
| 82962 | 151 | 149 | $75.25 | |
| 87880 | 13 | 13 | $26.24 | |
| 81003 | 39 | 39 | $9.48 | |
| 81002 | 13 | 13 | $2.20 | |
| 98966 | 24 | 13 | $0.11 | |
| 90670 | 42 | 42 | $0.00 | |
| 90685 | 19 | 19 | $0.00 | |
| 90734 | 13 | 13 | $0.00 | |
| 90648 | 27 | 27 | $0.00 | |
| 99203 | 14 | 14 | $0.00 | |
| G0008 | Admin influenza virus vac | 17 | 17 | $0.00 |