NPI: 1902806243 · GREEN LAKE, WI 54941 · Family Medicine Physician · NPI assigned 07/28/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 26 | $391.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 26 | 25 | $391.94 |