LAKE HOSPITAL SYSTEM INC.
NPI: 1043275837
· CONCORD TWP, OH 44077
· Adult Health Nurse Practitioner
· NPI assigned 04/18/2006
$458.68
Total Medicaid Paid
Provider Details
| Authorized Official | TRACZ, ROBERT (CFO) |
| NPI Enumeration Date | 04/18/2006 |
Related Entities
Other providers sharing the same authorized official: TRACZ, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
69 |
$458.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
41 |
$458.68 |