ICCO, LLC
NPI: 1104490887
· LEBANON, OR 97355
· Rural Health Clinic/Center
· NPI assigned 05/17/2021
Provider Details
| Authorized Official | HAUSER, ERICA (CFO) |
| NPI Enumeration Date | 05/17/2021 |
Related Entities
Other providers sharing the same authorized official: HAUSER, ERICA
| Provider | City | State | Total Paid |
|---|
| ICCO, LLC |
EUGENE |
OR |
$11.34M |
| PEAK HEALTH & WELLNESS, LLC |
BELGRADE |
MT |
$3.62M |
| CARE UNITED MEDICAL CENTER OF LARAMIE, LLC |
LARAMIE |
WY |
$3.18M |
| ICCO, LLC |
EUGENE |
OR |
$2.54M |
| PHYSICIANS IMMEDIATE CARE & MEDICAL CENTERS, P.S. |
RICHLAND |
WA |
$2.24M |
| ICCO, LLC |
DALLAS |
OR |
$646K |
| ICCO, LLC |
JUNCTION CITY |
OR |
$109K |
| ICCO LLC |
FLORENCE |
OR |
$99K |
| ICCO, LLC |
ROSEBURG |
OR |
$4K |
| ICCO, LLC |
MCMINNVILLE |
OR |
$4K |
| ICCO, LLC |
NORTH BEND |
OR |
$2K |
| ICCO, LLC |
COTTAGE GROVE |
OR |
$2K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
842 |
$20K |
| 2023 |
70 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
123 |
93 |
$8K |
| 99214 |
|
115 |
96 |
$7K |
| 87426 |
|
148 |
102 |
$3K |
| 99203 |
|
55 |
44 |
$2K |
| 99213 |
|
55 |
43 |
$1K |
| 87804 |
|
130 |
57 |
$1K |
| 87430 |
|
88 |
61 |
$594.22 |
| 94640 |
|
25 |
18 |
$302.45 |
| 87400 |
|
148 |
39 |
$80.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
25 |
18 |
$2.17 |