BEAVER DAM COMMUNITY HOSPITALS INC
NPI: 1538491998
· BEAVER DAM, WI 53916
· Family Medicine Physician
· NPI assigned 02/09/2010
$385.44
Total Medicaid Paid
Provider Details
| Authorized Official | EDWARDS, GORDON (CFO/COO/AO) |
| Parent Organization | MARSHFIELD CLINIC HEALTH SYSTEM INC |
| NPI Enumeration Date | 02/09/2010 |
Related Entities
Other providers sharing the same authorized official: EDWARDS, GORDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$385.44 |
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 |
18 |
12 |
$385.44 |