NPI: 1104162841 · NEW LISBON, WI 53950 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/28/2012
| Authorized Official | KAMINSKI, THOMAS (VP/CFO) |
| Parent Organization | MILE BLUFF MEDICAL CENTER INC |
| NPI Enumeration Date | 12/28/2012 |
Other providers sharing the same authorized official: KAMINSKI, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $6.56M |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $1.55M |
| MILE BLUFF MEDICAL CENTER INC | WISCONSIN DELLS | WI | $364K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $311K |
| MILE BLUFF MEDICAL CENTER INC | ELROY | WI | $291K |
| MILE BLUFF MEDICAL CENTER INC | NECEDAH | WI | $229K |
| MBMC MAUSTON PHILLIPS LLC | MAUSTON | WI | $148K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $96K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $10K |
| MILE BLUFF MEDICAL CENTER INC | WISCONSIN DELLS | WI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,473 | $84K |
| 2019 | 2,305 | $82K |
| 2020 | 2,164 | $89K |
| 2021 | 1,782 | $80K |
| 2022 | 1,546 | $74K |
| 2023 | 1,277 | $54K |
| 2024 | 1,352 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,092 | 6,256 | $242K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,140 | 3,722 | $220K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 722 | 525 | $43K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 555 | 432 | $21K |
| 99310 | Prolong nursin fac eval 15m | 117 | 89 | $10K |
| 3008F | 161 | 152 | $2K | |
| 90686 | 84 | 81 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14 | 13 | $908.70 |
| 36415 | Collection of venous blood by venipuncture | 14 | 14 | $0.00 |