LAKE SUPERIOR COMMUNITY HEALTH CENTER
NPI: 1639684384
· SUPERIOR, WI 54880
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/04/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: PETERSON, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,718 |
$31K |
| 2022 |
91 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
1,303 |
478 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
747 |
318 |
$9K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
759 |
222 |
$3K |