NPI: 1740896547 · FLORENCE, OR 97439 · Rural Health Clinic/Center · NPI assigned 09/17/2020
Authorized official HAUSER, ERICA controls 12+ related entities in our dataset. Read more
| Authorized Official | HAUSER, ERICA (CFO) |
| NPI Enumeration Date | 09/17/2020 |
Other providers sharing the same authorized official: HAUSER, ERICA
| Provider | City | State | Total Paid |
|---|---|---|---|
| ICCO, LLC | EUGENE | OR | $11.34M |
| PEAK HEALTH & WELLNESS, LLC | BELGRADE | MT | $3.62M |
| CARE UNITED MEDICAL CENTER OF LARAMIE, LLC | LARAMIE | WY | $3.18M |
| ICCO, LLC | EUGENE | OR | $2.54M |
| PHYSICIANS IMMEDIATE CARE & MEDICAL CENTERS, P.S. | RICHLAND | WA | $2.24M |
| ICCO, LLC | DALLAS | OR | $646K |
| ICCO, LLC | JUNCTION CITY | OR | $109K |
| ICCO, LLC | LEBANON | OR | $24K |
| ICCO, LLC | ROSEBURG | OR | $4K |
| ICCO, LLC | MCMINNVILLE | OR | $4K |
| ICCO, LLC | NORTH BEND | OR | $2K |
| ICCO, LLC | COTTAGE GROVE | OR | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 141 | $2K |
| 2022 | 638 | $21K |
| 2023 | 554 | $37K |
| 2024 | 428 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 936 | 821 | $51K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 445 | 422 | $26K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 185 | 171 | $12K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 74 | 68 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 81 | 71 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 27 | 13 | $231.80 |
| 87430 | 13 | 12 | $105.90 |