GREAT LAKES MEDICAL SERVICES LLC
NPI: 1184705121
· PERRYSBURG, OH 43551
· Urgent Care Clinic/Center
· NPI assigned 10/18/2006
$661.40
Total Medicaid Paid
Provider Details
| Authorized Official | PRUETER, KYLE (PRESIDENT) |
| NPI Enumeration Date | 10/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$661.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$661.40 |