NPI: 1194289751 · EAU CLAIRE, WI 54701 · Obstetrics & Gynecology Physician · NPI assigned 01/29/2019
| Authorized Official | LONGBELLA, CHRIS (PRESIDENT) |
| Parent Organization | OAKLEAF CLINICS INC |
| NPI Enumeration Date | 01/29/2019 |
Other providers sharing the same authorized official: LONGBELLA, CHRIS
| Provider | City | State | Total Paid |
|---|---|---|---|
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $956K |
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $294K |
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $31K |
| OAKLEAF CLINICS INC | LADYSMITH | WI | $31K |
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $27K |
| OAKLEAF CLINICS SC | EAU CLAIRE | WI | $19K |
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $15K |
| OAKLEAF CLINICS INC | EAU CLAIRE | WI | $11K |
| OAKLEAF CLINICS INC | CHIPPEWA FALLS | WI | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $4K |
| 2020 | 52 | $5K |
| 2021 | 176 | $15K |
| 2022 | 284 | $22K |
| 2023 | 598 | $45K |
| 2024 | 831 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 764 | 658 | $83K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 816 | 681 | $47K |
| 76830 | Ultrasound, transvaginal | 222 | 208 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 67 | 58 | $3K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 84 | 73 | $2K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25 | 25 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 20 | 12 | $858.00 |