LEE COUNTY COOPERATIVE CLINIC
NPI: 1356359442
· WABASH, AR 72389
· Clinic/Center
· NPI assigned 08/04/2006
$163.16
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, OSSIE (CASHIER/BILLING SUPERVISOR) |
| NPI Enumeration Date | 08/04/2006 |
Related Entities
Other providers sharing the same authorized official: HALL, OSSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
69 |
$163.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27 |
24 |
$163.16 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
42 |
36 |
$0.00 |