NPI: 1508376682 · COTTAGE GROVE, WI 53527 · Health Service Clinic/Center · NPI assigned 10/03/2017
| Authorized Official | MABIE, MATTHEW (OWNER) |
| NPI Enumeration Date | 10/03/2017 |
Other providers sharing the same authorized official: MABIE, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| MABIE PHARMACY, LLC | MC FARLAND | WI | $43K |
| MABIE PHARMACY, LLC | MONONA | WI | $14K |
| MABIE PHARMACY, LLC | COLUMBUS | WI | $5K |
| MABIE PHARMACY, LLC | DEERFIELD | WI | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 710 | $9K |
| 2022 | 232 | $3K |
| 2023 | 161 | $9K |
| 2024 | 70 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 250 | 241 | $6K | |
| 91322 | 44 | 43 | $5K | |
| 0071A | 77 | 76 | $2K | |
| 0072A | 62 | 62 | $2K | |
| 0002A | 53 | 53 | $2K | |
| 0001A | 70 | 66 | $2K | |
| 0003A | 55 | 54 | $2K | |
| 0124A | 37 | 37 | $1K | |
| 0013A | 38 | 35 | $840.00 | |
| 90480 | 19 | 19 | $617.40 | |
| 91307 | 152 | 148 | $0.00 | |
| 91301 | 41 | 36 | $0.00 | |
| 91315 | 12 | 12 | $0.00 | |
| 91300 | 227 | 204 | $0.00 | |
| 91312 | 36 | 36 | $0.00 |