Medicaid Provider Spending

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

NPI: 1326235524 · WAUTOMA, WI 54982 · Case Management Agency · NPI assigned 10/02/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

93% of spending on code H2017 with only 2 total codes billed. Highly concentrated billing profile.

$1.76M
Total Medicaid Paid
22,019
Total Claims
2,724
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGONZALES, JEN (ACCOUNT CLERK)
NPI Enumeration Date10/02/2007

Related Entities

Other providers sharing the same authorized official: GONZALES, JEN

ProviderCityStateTotal Paid
COUNTY OF WAUSHARA WAUTOMA WI $801K
COUNTY OF WAUSHARA WAUTOMA WI $499K
COUNTY OF WAUSHARA WAUTOMA WI $489K
COUNTY OF WAUSHARA WAUTOMA WI $216K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,893 $269K
2019 4,335 $297K
2020 4,716 $284K
2021 2,902 $206K
2022 1,731 $138K
2023 2,696 $312K
2024 1,746 $253K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 19,255 2,016 $1.63M
99199 Unlisted special service, procedure or report 2,764 708 $125K