Medicaid Provider Spending

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

GREAT LAKES BAY HEALTH CENTERS

NPI: 1982722039 · BAY CITY, MI 48706 · 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

$5.90M
Total Medicaid Paid
280,164
Total Claims
263,981
Beneficiaries
124
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 $5.08M
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 SAGINAW MI $3.74M
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 41,437 $802K
2019 35,182 $724K
2020 26,054 $577K
2021 43,287 $1.03M
2022 44,837 $1.04M
2023 42,982 $940K
2024 46,385 $790K

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 74,056 67,406 $2.98M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,180 36,651 $775K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,933 16,460 $486K
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 8,243 6,235 $319K
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 5,262 5,234 $265K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,888 3,876 $146K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,245 2,243 $93K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,050 3,005 $75K
90834 Psychotherapy, 45 minutes with patient 2,982 2,333 $75K
90832 Psychotherapy, 30 minutes with patient 3,347 2,845 $69K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,296 1,291 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,088 4,908 $56K
J1050 Injection, medroxyprogesterone acetate, 1 mg 782 778 $54K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,609 8,560 $47K
90472 Immunization administration, each additional vaccine (list separately) 4,248 4,238 $40K
96160 4,368 4,320 $39K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 945 940 $32K
90651 1,060 1,051 $30K
90686 4,344 4,328 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,063 3,388 $22K
83036 Hemoglobin; glycosylated (A1C) 4,567 4,552 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 757 754 $17K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 366 363 $17K
90750 177 176 $17K
90715 1,108 1,106 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,058 1,857 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 2,235 2,202 $10K
96127 6,367 6,328 $10K
82962 5,248 5,109 $8K
90791 Psychiatric diagnostic evaluation 291 288 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 560 553 $7K
90670 2,280 2,275 $7K
H0004 Behavioral health counseling and therapy, per 15 minutes 705 648 $7K
99383 132 129 $5K
99381 186 185 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 70 70 $4K
99000 672 640 $4K
H0001 Alcohol and/or drug assessment 319 290 $3K
0134A 152 151 $3K
99384 65 65 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 422 414 $3K
H0031 Mental health assessment, by non-physician 110 109 $3K
81025 684 673 $2K
90677 184 184 $2K
91322 53 53 $2K
90632 66 66 $2K
0064A 86 86 $2K
82044 724 722 $2K
81003 1,741 1,703 $2K
90620 103 103 $2K
99215 Prolong outpt/office vis 42 41 $2K
90734 497 495 $2K
0124A 93 93 $1K
90656 143 143 $1K
90480 72 72 $1K
91320 14 14 $1K
90716 306 304 $1K
90473 462 462 $1K
90837 Psychotherapy, 53 minutes with patient 22 19 $903.36
93000 143 143 $814.56
85610 223 98 $792.50
90714 45 45 $791.83
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 534 476 $754.28
99495 16 16 $637.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 71 70 $497.45
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19 13 $482.44
0071A 14 14 $454.20
90619 86 86 $308.54
90621 12 12 $243.80
0054A 17 17 $225.18
90732 13 13 $208.00
82570 116 116 $197.34
96381 13 13 $170.44
90707 347 344 $130.32
J1885 Injection, ketorolac tromethamine, per 15 mg 69 67 $84.41
81002 41 40 $83.52
36416 2,613 2,505 $70.60
97802 291 291 $30.00
G0008 Administration of influenza virus vaccine 541 540 $29.70
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 91 90 $0.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required 15 15 $0.02
3052F 203 201 $0.01
90633 1,349 1,340 $0.00
90681 793 791 $0.00
3051F 612 611 $0.00
91313 151 150 $0.00
91312 96 96 $0.00
90710 207 207 $0.00
3078F 4,148 4,029 $0.00
1159F 314 309 $0.00
G0444 Annual depression screening, 5 to 15 minutes 3,890 3,840 $0.00
90648 1,163 1,159 $0.00
90700 248 247 $0.00
3046F 653 651 $0.00
90461 1,402 1,390 $0.00
3077F 776 756 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 121 119 $0.00
91300 96 95 $0.00
90687 12 12 $0.00
3045F 352 350 $0.00
1160F 2,516 2,401 $0.00
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 47 47 $0.00
3351F 763 761 $0.00
3079F 2,403 2,360 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 382 380 $0.00
90723 1,799 1,794 $0.00
90696 175 175 $0.00
H0049 Alcohol and/or drug screening 202 200 $0.00
94760 19 19 $0.00
3074F 4,494 4,344 $0.00
3008F 8,020 7,710 $0.00
3044F 1,649 1,648 $0.00
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 4,490 4,054 $0.00
3080F 430 421 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 80 79 $0.00
90647 637 637 $0.00
1125F 97 97 $0.00
3075F 1,709 1,682 $0.00
91307 15 15 $0.00
91306 98 98 $0.00
3061F 16 16 $0.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 38 38 $0.00
3060F 29 29 $0.00
91301 12 12 $0.00