STATE OF WISCONSIN
NPI: 1164516506
· WINNEBAGO, WI 54985
· Psychiatric Hospital
· NPI assigned 10/02/2006
$111K
Total Medicaid Paid
2,298
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
480 |
$26K |
| 2019 |
742 |
$34K |
| 2020 |
847 |
$29K |
| 2021 |
188 |
$10K |
| 2022 |
97 |
$8K |
| 2023 |
39 |
$2K |
| 2024 |
14 |
$455.64 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,031 |
989 |
$76K |
| 99221 |
|
1,178 |
1,115 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
198 |
194 |
$7K |