WABASH FAMILY PRACTICE CENTER LAB
NPI: 1346408424
· SPRINGFIELD, IL 62704
· Clinical Medical Laboratory
· NPI assigned 05/27/2008
$735.33
Total Medicaid Paid
Provider Details
| Authorized Official | NERONE, ALAN (SENIOR VICE PRESIDENT & CFO) |
| Parent Organization | SPRINGFIELD CLINIC, LLP |
| NPI Enumeration Date | 05/27/2008 |
Related Entities
Other providers sharing the same authorized official: NERONE, ALAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
193 |
$735.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 81001 |
|
110 |
108 |
$306.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
41 |
$229.19 |
| 87400 |
|
42 |
25 |
$199.24 |