Home ›
IN ›
HAMMOND ›
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
NPI: 1508297540
· HAMMOND, IN 46320
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/02/2013
$478.23
Total Medicaid Paid
Provider Details
| Authorized Official | KRUMWIED, BOB (CEO) |
| NPI Enumeration Date | 12/02/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$478.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$478.23 |