GREAT LAKES FOOT & ANKLE CENTERS INC
NPI: 1295941409
· KENOSHA, WI 53142
· Foot & Ankle Surgery Podiatrist
· NPI assigned 05/15/2007
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | BOSTANCHE, JOHN (PHYSICIAN/OWNER) |
| NPI Enumeration Date | 05/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
773 |
$10K |
| 2019 |
1,234 |
$18K |
| 2020 |
854 |
$15K |
| 2021 |
1,471 |
$25K |
| 2022 |
1,388 |
$23K |
| 2023 |
1,046 |
$13K |
| 2024 |
454 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,043 |
4,028 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
774 |
672 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
390 |
$12K |
| 73630 |
|
659 |
465 |
$10K |
| 29540 |
|
98 |
86 |
$2K |
| 11721 |
|
99 |
88 |
$755.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
82 |
50 |
$284.33 |