Medicaid Provider Spending

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

GLADWIN FAMILY CARE PLLC

NPI: 1972973378 · GLADWIN, MI 48624 · Rural Health Clinic/Center · NPI assigned 09/29/2015

$499K
Total Medicaid Paid
21,847
Total Claims
19,821
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMAHFOOZ, NAVEED (OWNER)
NPI Enumeration Date09/29/2015

Related Entities

Other providers sharing the same authorized official: MAHFOOZ, NAVEED

ProviderCityStateTotal Paid
SHATTUCK FAMILY PHYSICIANS PLLC CARO MI $2.11M
VALLEY URGENT CARE SAGINAW MI $1.38M
COLUMBIAVILLE FAMILY CLINIC PLLC SAGINAW MI $651K
ST. CHARLES FAMILY CLINIC PLLC SAINT CHARLES MI $497K
CARO HEALTH PLAZA PLC CARO MI $465K
MOHAMED ALLY HEALTH PLAZA PLLC OTISVILLE MI $418K
PRIMARY HOSPITALIST GROUP PLLC CARO MI $403K
CARO EXPRESS CLINIC PLC FLINT MI $101K
CASS RIVER HEALTH PLAZA PLLC BRIDGEPORT MI $72K
GLADWIN FAMILY CARE PLLC GLADWIN MI $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,458 $123K
2019 7,719 $127K
2020 3,004 $94K
2021 1,382 $35K
2022 2,352 $58K
2023 1,349 $42K
2024 583 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,036 4,600 $272K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,959 2,705 $127K
T1015 Clinic visit/encounter, all-inclusive 2,474 2,179 $30K
99215 Prolong outpt/office vis 295 282 $18K
Q3014 Telehealth originating site facility fee 492 395 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 81 $8K
99442 210 186 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 905 812 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 256 232 $7K
36415 Collection of venous blood by venipuncture 1,610 1,500 $3K
99401 78 74 $2K
99443 17 16 $1K
80305 206 195 $1K
90674 84 83 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 148 142 $908.00
99407 32 29 $640.00
99406 93 88 $502.43
96160 268 260 $486.13
90688 51 50 $443.83
90756 17 16 $367.75
99000 692 628 $340.10
96127 156 154 $339.07
J1885 Injection, ketorolac tromethamine, per 15 mg 214 196 $170.97
81002 64 59 $150.79
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $113.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 15 $35.10
3079F 289 271 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 634 544 $0.00
3074F 484 443 $0.00
3075F 338 321 $0.00
3080F 91 85 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 60 50 $0.00
G0008 Administration of influenza virus vaccine 30 30 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,581 2,287 $0.00
3077F 210 195 $0.00
3078F 646 592 $0.00
G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education 17 14 $0.00