Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH STREET CLINIC LLC

NPI: 1235128356 · OCONOMOWOC, WI 53066 · Clinical Psychologist · NPI assigned 10/20/2005

$1K
Total Medicaid Paid
24
Total Claims
12
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialWESTON, ANNE (CLINIC OWNER)
NPI Enumeration Date10/20/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 24 12 $1K