NPI: 1972532711 · SANDUSKY, MI 48471 · 101YA0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,590 | $147K |
| 2019 | 4,446 | $142K |
| 2020 | 2,704 | $103K |
| 2021 | 5,115 | $147K |
| 2022 | 2,944 | $90K |
| 2023 | 3,468 | $77K |
| 2024 | 2,704 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 6,242 | 5,823 | $456K | |
| H0004 | Alcohol and/or drug services | 1,640 | 776 | $146K |
| 90472 | 1,441 | 1,428 | $26K | |
| 90471 | 2,324 | 2,295 | $23K | |
| V5008 | Hearing screening | 2,505 | 2,478 | $23K |
| 99172 | 2,282 | 2,275 | $21K | |
| 0012A | 411 | 410 | $15K | |
| 0011A | 455 | 455 | $13K | |
| 36416 | 1,759 | 1,528 | $11K | |
| 0031A | 208 | 208 | $8K | |
| 83655 | 738 | 563 | $6K | |
| 85018 | 3,034 | 2,722 | $6K | |
| T1023 | Program intake assessment | 49 | 49 | $4K |
| 0001A | 108 | 107 | $3K | |
| 0002A | 76 | 76 | $3K | |
| 0064A | 59 | 59 | $2K | |
| 90686 | 251 | 251 | $2K | |
| T2022 | Case management, per month | 19 | 19 | $1K |
| 90715 | 212 | 212 | $1K | |
| H2000 | Comp multidisipln evaluation | 12 | 12 | $1K |
| 99211 | 74 | 71 | $883.93 | |
| 90853 | 21 | 12 | $747.00 | |
| J1050 | Medroxyprogesterone acetate | 33 | 31 | $662.76 |
| 90651 | 65 | 64 | $544.16 | |
| 0072A | 14 | 14 | $529.90 | |
| 0071A | 14 | 14 | $529.90 | |
| 86580 | 25 | 24 | $133.03 | |
| 90619 | 46 | 46 | $125.00 | |
| 90656 | 15 | 15 | $111.75 | |
| 81025 | 15 | 15 | $106.95 | |
| 91306 | 59 | 59 | $0.00 | |
| 91301 | 887 | 870 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| 90677 | 46 | 46 | $0.00 | |
| 91307 | 30 | 30 | $0.00 | |
| 90696 | 14 | 14 | $0.00 | |
| 91303 | 208 | 208 | $0.00 | |
| 90670 | 85 | 85 | $0.00 | |
| 91300 | 235 | 226 | $0.00 | |
| 90633 | 91 | 90 | $0.00 | |
| 90685 | 13 | 13 | $0.00 | |
| 90734 | 116 | 116 | $0.00 | |
| 90710 | 28 | 28 | $0.00 |