CITY OF WEST ALLIS
NPI: 1104025444
· WEST ALLIS, WI 53214
· Public Health or Welfare Agency
· NPI assigned 07/17/2007
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | LEISCHOW, ROBERT (HEALTH COMMISSIONER) |
| NPI Enumeration Date | 07/17/2007 |
Related Entities
Other providers sharing the same authorized official: LEISCHOW, ROBERT
| Provider | City | State | Total Paid |
| CLARK COUNTY |
NEILLSVILLE |
WI |
$396K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,831 |
$71K |
| 2019 |
7,399 |
$55K |
| 2020 |
1,565 |
$11K |
| 2021 |
38 |
$102.57 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,096 |
3,790 |
$46K |
| 83655 |
|
3,735 |
3,437 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,522 |
2,358 |
$29K |
| 36416 |
|
3,872 |
3,732 |
$10K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,204 |
1,062 |
$7K |
| 99000 |
|
1,196 |
1,114 |
$4K |
| 90686 |
|
144 |
141 |
$739.24 |
| T1016 |
Case management, each 15 minutes |
28 |
26 |
$706.33 |
| G0008 |
Administration of influenza virus vaccine |
36 |
33 |
$0.00 |