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LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN
NPI: 1295870731
· ANTIGO, WI 54409
· 261QE0700X
$285K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,763 |
$106K |
| 2019 |
5,007 |
$56K |
| 2020 |
6,543 |
$49K |
| 2021 |
5,046 |
$58K |
| 2023 |
2,303 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
8,872 |
710 |
$259K |
| 83970 |
|
616 |
560 |
$27K |
| 84100 |
|
1,075 |
689 |
$0.00 |
| 84520 |
|
841 |
686 |
$0.00 |
| 83540 |
|
750 |
689 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
147 |
36 |
$0.00 |
| 80053 |
|
764 |
689 |
$0.00 |
| A4657 |
Syringe w/wo needle |
4,619 |
487 |
$0.00 |
| 85027 |
|
738 |
675 |
$0.00 |
| 36415 |
|
124 |
50 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
4,208 |
339 |
$0.00 |
| 83550 |
|
750 |
689 |
$0.00 |
| 82728 |
|
750 |
689 |
$0.00 |
| 86803 |
|
116 |
107 |
$0.00 |
| 87340 |
|
179 |
161 |
$0.00 |
| 86706 |
|
57 |
53 |
$0.00 |
| Q5105 |
Inj retacrit esrd on dialysi |
56 |
12 |
$0.00 |