NPI: 1225175128 · RHINELANDER, WI 54501 · 251J00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,759 | $117K |
| 2019 | 2,911 | $130K |
| 2020 | 2,026 | $128K |
| 2021 | 2,583 | $121K |
| 2022 | 1,631 | $94K |
| 2023 | 1,239 | $62K |
| 2024 | 787 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S4993 | Contraceptive pills for bc | 3,781 | 2,762 | $294K |
| H1010 | Nonmed family planning ed | 3,755 | 3,360 | $285K |
| J1050 | Medroxyprogesterone acetate | 756 | 671 | $47K |
| A4267 | Male condom | 1,415 | 1,274 | $24K |
| 99214 | 346 | 318 | $18K | |
| S5170 | Homedelivered prepared meal | 73 | 71 | $18K |
| 99213 | 442 | 405 | $10K | |
| 99395 | 93 | 92 | $5K | |
| 91322 | 39 | 36 | $5K | |
| 99000 | 1,335 | 1,216 | $4K | |
| 99211 | 375 | 338 | $4K | |
| 90686 | 234 | 213 | $4K | |
| 0012A | 211 | 104 | $2K | |
| 90480 | 53 | 50 | $2K | |
| 99204 | 14 | 14 | $1K | |
| 0011A | 253 | 119 | $1K | |
| 90656 | 26 | 26 | $548.24 | |
| 87591 | 13 | 12 | $385.99 | |
| 87491 | 13 | 12 | $385.99 | |
| 96372 | 130 | 107 | $344.40 | |
| 99212 | 12 | 12 | $317.64 | |
| 81025 | 14 | 12 | $111.93 | |
| 36416 | 14 | 12 | $30.30 | |
| 91301 | 539 | 247 | $0.00 |