CHILDREN'S HOSPITAL OF WISCONSIN
NPI: 1194064865
· RACINE, WI 53404
· Pediatrics Physician
· NPI assigned 01/31/2013
Provider Details
| Authorized Official | GAGE, WELDON (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 01/31/2013 |
Related Entities
Other providers sharing the same authorized official: GAGE, WELDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
73 |
$6K |
| 2019 |
41 |
$4K |
| 2021 |
31 |
$170.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
69 |
$10K |
| 3008F |
|
52 |
27 |
$354.20 |