POLK COUNTY HEALTH DEPT
NPI: 1780800144
· BALSAM LAKE, WI 54810
· Public Health or Welfare Agency
· NPI assigned 04/17/2007
$109K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SAMPSON, GRETCHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,158 |
$54K |
| 2019 |
781 |
$39K |
| 2020 |
177 |
$11K |
| 2021 |
56 |
$4K |
| 2024 |
74 |
$252.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
905 |
696 |
$67K |
| H1010 |
Non-medical family planning education, per session |
711 |
677 |
$35K |
| A4267 |
Contraceptive supply, condom, male, each |
340 |
319 |
$5K |
| 99000 |
|
172 |
162 |
$590.92 |
| 81025 |
|
29 |
29 |
$249.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$147.12 |
| 90656 |
|
30 |
23 |
$132.76 |
| 90660 |
|
21 |
14 |
$120.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
17 |
$0.00 |