FOX LAKE GRADE SCHOOL DISTRICT #114
NPI: 1306117304
· SPRING GROVE, IL 60081
· Student Health Clinic/Center
· NPI assigned 01/23/2012
$178K
Total Medicaid Paid
Provider Details
| Authorized Official | HAY, THERESE (BUSINESS MANAGER) |
| NPI Enumeration Date | 01/23/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,563 |
$30K |
| 2019 |
2,950 |
$39K |
| 2020 |
2,086 |
$23K |
| 2021 |
1,503 |
$23K |
| 2022 |
1,383 |
$23K |
| 2023 |
1,528 |
$26K |
| 2024 |
962 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
6,027 |
1,453 |
$100K |
| 96158 |
|
1,684 |
711 |
$32K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
895 |
240 |
$18K |
| 96153 |
|
1,899 |
628 |
$10K |
| 96164 |
|
1,526 |
640 |
$10K |
| T2003 |
Non-emergency transportation; encounter/trip |
434 |
64 |
$6K |
| 92551 |
|
152 |
148 |
$1K |
| 96159 |
|
48 |
33 |
$699.19 |
| 99173 |
|
180 |
164 |
$684.60 |
| 96152 |
|
130 |
52 |
$0.00 |