NPI: 1992818835 · BANGOR, MI 49013 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,792 | $732K |
| 2019 | 22,130 | $839K |
| 2020 | 12,431 | $541K |
| 2021 | 17,824 | $678K |
| 2022 | 16,224 | $632K |
| 2023 | 17,158 | $655K |
| 2024 | 15,367 | $591K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Fqhc visit, estab pt | 24,477 | 21,566 | $1.78M |
| G0470 | Fqhc visit, mh estab pt | 6,135 | 4,324 | $467K |
| D7140 | 4,613 | 2,263 | $419K | |
| D0140 | 3,840 | 3,714 | $317K | |
| G0468 | Fqhc visit, ippe or awv | 3,767 | 3,739 | $313K |
| D1110 | 2,170 | 2,153 | $192K | |
| D2392 | 1,307 | 982 | $169K | |
| D0150 | 1,998 | 1,991 | $137K | |
| D1120 | 3,023 | 3,019 | $123K | |
| D0120 | 3,108 | 3,097 | $94K | |
| D2391 | 895 | 670 | $90K | |
| D1206 | 3,722 | 3,714 | $88K | |
| 90832 | 4,413 | 3,679 | $73K | |
| G0466 | Fqhc visit new patient | 684 | 666 | $61K |
| D1351 | 2,027 | 432 | $56K | |
| D0274 | 1,848 | 1,845 | $50K | |
| 99213 | 15,128 | 13,639 | $36K | |
| D0210 | 831 | 823 | $34K | |
| D0220 | 3,745 | 3,634 | $32K | |
| 90834 | 1,722 | 1,310 | $28K | |
| 99214 | 7,951 | 7,554 | $24K | |
| D0272 | 522 | 522 | $11K | |
| D0191 | 629 | 627 | $8K | |
| D2393 | 37 | 34 | $6K | |
| D4355 | 41 | 41 | $5K | |
| D0145 | 158 | 158 | $4K | |
| D1354 | 169 | 73 | $4K | |
| D0230 | 1,011 | 684 | $4K | |
| D1208 | 172 | 172 | $4K | |
| 90853 | 213 | 89 | $3K | |
| D0270 | 433 | 429 | $3K | |
| 0011A | 101 | 101 | $3K | |
| 90471 | 3,705 | 3,665 | $3K | |
| 90472 | 1,637 | 1,623 | $2K | |
| D2330 | 26 | 15 | $2K | |
| 99394 | 279 | 276 | $2K | |
| 0012A | 60 | 60 | $2K | |
| 90837 | 96 | 81 | $1K | |
| 80305 | 3,211 | 2,560 | $1K | |
| 0001A | 31 | 30 | $1K | |
| 99392 | 223 | 223 | $1K | |
| 90656 | 195 | 194 | $983.40 | |
| 90686 | 1,600 | 1,588 | $939.63 | |
| H0038 | Self-help/peer svc per 15min | 67 | 41 | $837.50 |
| 99393 | 132 | 132 | $812.53 | |
| 90480 | 28 | 28 | $799.60 | |
| 99391 | 177 | 175 | $789.96 | |
| 90651 | 75 | 75 | $787.23 | |
| 99212 | 544 | 513 | $759.15 | |
| J1050 | Medroxyprogesterone acetate | 13 | 13 | $747.00 |
| H0031 | Mh health assess by non-md | 199 | 193 | $729.68 |
| 90620 | 40 | 40 | $728.80 | |
| H0004 | Alcohol and/or drug services | 156 | 113 | $536.88 |
| 0002A | 14 | 14 | $529.90 | |
| 90746 | 292 | 289 | $496.00 | |
| 0031A | 14 | 14 | $492.05 | |
| 81025 | 1,571 | 1,356 | $426.05 | |
| 83036 | 1,238 | 1,229 | $355.62 | |
| J1885 | Ketorolac tromethamine inj | 297 | 269 | $330.03 |
| 0003A | 13 | 13 | $302.80 | |
| 90677 | 122 | 122 | $298.04 | |
| 90632 | 181 | 179 | $234.56 | |
| 90715 | 102 | 102 | $198.34 | |
| 91322 | 26 | 26 | $145.00 | |
| 99202 | 80 | 76 | $126.59 | |
| 99204 | 25 | 25 | $96.47 | |
| 87804 | 246 | 124 | $82.26 | |
| 92551 | 107 | 107 | $62.62 | |
| H0001 | Alcohol and/or drug assess | 12 | 12 | $61.48 |
| 99203 | 17 | 16 | $60.02 | |
| 81002 | 375 | 358 | $45.14 | |
| 87880 | 36 | 36 | $13.12 | |
| 85018 | 30 | 30 | $4.93 | |
| 99406 | 160 | 153 | $0.07 | |
| D9991 | 41 | 41 | $0.00 | |
| 3046F | 24 | 24 | $0.00 | |
| 90633 | 25 | 25 | $0.00 | |
| 99396 | 41 | 41 | $0.00 | |
| 90670 | 14 | 14 | $0.00 | |
| 91300 | 16 | 16 | $0.00 | |
| D1330 | 912 | 908 | $0.00 | |
| 94760 | 1,015 | 965 | $0.00 | |
| 3044F | 86 | 85 | $0.00 | |
| 99495 | 25 | 25 | $0.00 | |
| G2025 | Dis site tele svcs rhc/fqhc | 62 | 61 | $0.00 |
| 90647 | 53 | 53 | $0.00 | |
| 36416 | 35 | 35 | $0.00 | |
| 91301 | 119 | 119 | $0.00 | |
| 90619 | 26 | 26 | $0.00 | |
| 90474 | 16 | 16 | $0.00 | |
| 90723 | 42 | 42 | $0.00 | |
| 99381 | 16 | 15 | $0.00 | |
| 90680 | 16 | 16 | $0.00 |