Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREAT LAKES BAY HEALTH CENTERS

NPI: 1972621753 · SAGINAW, MI 48607 · Federally Qualified Health Center (FQHC) · NPI assigned 03/27/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GALONSKA, LISA controls 20+ related entities in our dataset. Read more

$3.74M
Total Medicaid Paid
185,961
Total Claims
172,574
Beneficiaries
104
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALONSKA, LISA (VICE PRESIDENT)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: GALONSKA, LISA

ProviderCityStateTotal Paid
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $10.37M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.90M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $5.08M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.93M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.76M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $4.66M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $4.14M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.76M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.61M
GREAT LAKES BAY HEALTH CENTERS BRIDGEPORT MI $2.48M
GREAT LAKES BAY HEALTH CENTERS OWOSSO MI $2.43M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $2.34M
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $1.71M
GREAT LAKES BAY HEALTH CENTERS BAY CITY MI $1.05M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.03M
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $1.02M
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $962K
GREAT LAKES BAY HEALTH CENTERS SAGINAW MI $909K
GREAT LAKES BAY HEALTH CENTERS BAD AXE MI $867K
GREAT LAKES BAY HEALTH CENTERS IMLAY CITY MI $613K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,027 $741K
2019 29,935 $643K
2020 20,505 $503K
2021 21,454 $494K
2022 21,388 $498K
2023 22,386 $447K
2024 29,266 $414K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 52,352 46,255 $2.46M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,208 25,867 $357K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,830 13,991 $261K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 5,127 4,460 $256K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,166 2,153 $132K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,381 4,178 $36K
90832 Psychotherapy, 30 minutes with patient 2,780 2,543 $32K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 642 639 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 725 723 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,370 3,344 $15K
83036 Hemoglobin; glycosylated (A1C) 3,998 3,984 $14K
90686 2,296 2,288 $14K
96160 2,784 2,774 $14K
90834 Psychotherapy, 45 minutes with patient 1,012 913 $13K
J1050 Injection, medroxyprogesterone acetate, 1 mg 142 142 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,882 1,792 $9K
82962 6,176 5,577 $7K
90472 Immunization administration, each additional vaccine (list separately) 807 804 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 281 278 $6K
96127 4,693 4,660 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 240 240 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 127 127 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 264 264 $4K
81025 1,137 1,117 $4K
H0004 Behavioral health counseling and therapy, per 15 minutes 637 626 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 154 154 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 235 234 $3K
H0001 Alcohol and/or drug assessment 368 361 $3K
90746 108 107 $3K
90715 230 229 $3K
82044 934 927 $2K
90632 77 77 $2K
0064A 99 98 $2K
81003 2,348 2,285 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 268 266 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 65 65 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 414 408 $2K
0134A 70 70 $1K
90651 45 45 $1K
0011A 43 43 $1K
90656 65 65 $916.35
96110 Developmental screening, with scoring and documentation, per standardized instrument 145 132 $640.61
99000 119 119 $606.06
91322 15 14 $583.68
99215 Prolong outpt/office vis 16 16 $476.79
J1885 Injection, ketorolac tromethamine, per 15 mg 435 399 $474.56
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 18 18 $472.40
90670 24 24 $380.94
0013A 16 16 $378.50
90791 Psychiatric diagnostic evaluation 47 47 $295.96
90480 17 16 $287.94
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 109 97 $254.81
81001 154 149 $235.93
94010 52 52 $220.30
85610 58 37 $165.86
86701 250 248 $143.18
93000 25 25 $132.74
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $131.66
81002 68 67 $106.56
82570 76 76 $90.09
90716 13 13 $88.10
87210 24 24 $53.56
G0008 Administration of influenza virus vaccine 403 401 $39.26
85018 31 29 $20.37
J1815 Injection, insulin, per 5 units 15 15 $8.88
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 1,389 1,320 $0.12
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,299 1,210 $0.10
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,188 1,137 $0.10
G8420 Bmi is documented within normal parameters and no follow-up plan is required 313 299 $0.07
3077F 938 901 $0.00
90633 15 15 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 56 55 $0.00
G0444 Annual depression screening, 5 to 15 minutes 2,159 2,103 $0.00
1159F 174 169 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 86 86 $0.00
3078F 2,632 2,510 $0.00
90461 179 177 $0.00
3045F 264 262 $0.00
3046F 446 445 $0.00
3051F 146 146 $0.00
1160F 1,269 1,198 $0.00
91313 75 75 $0.00
90734 13 13 $0.00
90700 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 228 228 $0.00
3044F 2,176 2,161 $0.00
3079F 1,855 1,795 $0.00
3351F 1,441 1,435 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 3,729 3,150 $0.00
3075F 1,169 1,152 $0.00
3008F 4,965 4,654 $0.00
3080F 868 838 $0.00
36416 812 769 $0.00
3074F 3,246 3,093 $0.00
2000F 686 634 $0.00
1126F 1,797 1,750 $0.00
1125F 1,247 1,201 $0.00
3052F 26 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
91306 110 107 $0.00
H0049 Alcohol and/or drug screening 126 125 $0.00
4010F 27 26 $0.00
90620 14 14 $0.00
91301 51 51 $0.00