NPI: 1023232782 · BALSAM LAKE, WI 54810 · Public Health or Welfare Agency · NPI assigned 04/12/2007
| Authorized Official | SAMPSON, GRETCHEN (DIRECTOR) |
| NPI Enumeration Date | 04/12/2007 |
Other providers sharing the same authorized official: SAMPSON, GRETCHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| POLK COUNTY HEALTH DEPT | BALSAM LAKE | WI | $109K |
| POLK COUNTY HEALTH DEPT PCC UNIT | BALSAM LAKE | WI | $11K |
| POLK COUNTY-DEPT OF ADMINISTRATION | BALSAM LAKE | WI | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 436 | $17K |
| 2019 | 244 | $11K |
| 2020 | 144 | $6K |
| 2021 | 69 | $3K |
| 2023 | 73 | $2K |
| 2024 | 390 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 1,356 | 1,131 | $47K |