CCC OF EAST GREEN BAY
NPI: 1902382328
· GREEN BAY, WI 54301
· Skilled Nursing Facility
· NPI assigned 07/18/2018
$661.10
Total Medicaid Paid
Provider Details
| Authorized Official | MERZEL, DAVID (CFO) |
| NPI Enumeration Date | 07/18/2018 |
Related Entities
Other providers sharing the same authorized official: MERZEL, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
83 |
$661.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
42 |
16 |
$410.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
41 |
16 |
$251.10 |