LAKE COUNTRY ENDOSCOPY CENTER, LLC
NPI: 1184897472
· OCONOMOWOC, WI 53066
· Ambulatory Surgical Clinic/Center
· NPI assigned 04/08/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | XIONG THAO, BAO (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 04/08/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
24 |
16 |
$0.00 |