JACKIE NITSCHKE CENTER, INC.
NPI: 1265642318
· GREEN BAY, WI 54301
· Substance Abuse Rehabilitation Facility
· NPI assigned 05/23/2007
$961K
Total Medicaid Paid
Provider Details
| Authorized Official | LABINE, WILLIAM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
719 |
$152K |
| 2022 |
1,103 |
$418K |
| 2023 |
2,059 |
$207K |
| 2024 |
2,298 |
$185K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
397 |
224 |
$900K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,279 |
807 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
370 |
165 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
105 |
57 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
13 |
$350.55 |