DEFATTA ENT & FACIAL PLASTIC SURGERY SC
NPI: 1346664059
· ALTOONA, WI 54720
· Medical Specialty Clinic/Center
· NPI assigned 02/17/2014
$177K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,494 |
$31K |
| 2019 |
1,927 |
$21K |
| 2020 |
1,889 |
$26K |
| 2021 |
2,541 |
$24K |
| 2022 |
1,927 |
$16K |
| 2023 |
2,289 |
$23K |
| 2024 |
2,472 |
$35K |
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 |
2,712 |
2,381 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
842 |
762 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
818 |
742 |
$27K |
| 95115 |
|
9,936 |
4,897 |
$26K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
157 |
148 |
$12K |
| 92557 |
|
402 |
324 |
$9K |
| 92567 |
|
672 |
566 |
$7K |