Medicaid Provider Spending

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

MEMORIAL HOSPITAL OF BOSCOBEL

NPI: 1255620613 · MUSCODA, WI 53573 · Rural Health Clinic/Center · NPI assigned 04/06/2011

$20K
Total Medicaid Paid
472
Total Claims
429
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBRAUDT, THERESA (DIRECTOR OF NURSING)
Parent OrganizationMEMORIAL HOSPITAL OF BOSCOBEL
NPI Enumeration Date04/06/2011

Related Entities

Other providers sharing the same authorized official: BRAUDT, THERESA

ProviderCityStateTotal Paid
MEMORIAL HOSPITAL OF BOSCOBEL BOSCOBEL WI $258K
MEMORIAL HOSPITAL OF BOSCOBEL FENNIMORE WI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 179 $7K
2019 175 $7K
2020 30 $1K
2021 14 $925.70
2023 49 $2K
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 384 349 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 55 $3K
90686 14 13 $151.93
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $0.00