NPI: 1558609974 · SAULT SAINTE MARIE, MI 49783 · Health Maintenance Organization · NPI assigned 01/18/2013
| Authorized Official | CARNAHAN, JACLYN (GENERAL MANAGER) |
| NPI Enumeration Date | 01/18/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 72 | $84K |
| 2020 | 89 | $104K |
| 2021 | 36 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 197 | 197 | $224K |