NPI: 1659899078 · SHELL LAKE, WI 54871 · Rural Health Clinic/Center · NPI assigned 09/06/2017
| Authorized Official | JACK, SHANNON (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 09/06/2017 |
Other providers sharing the same authorized official: JACK, SHANNON
| Provider | City | State | Total Paid |
|---|---|---|---|
| INDIANHEAD MEDICAL CENTER SHELL LAKE, INC | SHELL LAKE | WI | $501K |
| INDIANHEAD MEDICAL CENTER SHELL LAKE, INC. | SIREN | WI | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 109 | $4K |
| 2019 | 330 | $17K |
| 2020 | 312 | $17K |
| 2021 | 397 | $19K |
| 2022 | 536 | $25K |
| 2023 | 841 | $34K |
| 2024 | 753 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,442 | 2,053 | $107K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 563 | 504 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 260 | 216 | $6K |
| 90688 | 13 | 13 | $57.72 |