DOUGLAS COUNTY COMMUNITY HEALTH CLINIC INC.
NPI: 1396889259
· SUPERIOR, WI 54880
· 251B00000X
$645K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,084 |
$102K |
| 2019 |
1,793 |
$89K |
| 2020 |
1,423 |
$100K |
| 2021 |
1,497 |
$126K |
| 2022 |
915 |
$86K |
| 2023 |
634 |
$66K |
| 2024 |
725 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for bc |
3,424 |
2,772 |
$305K |
| H1010 |
Nonmed family planning ed |
3,404 |
3,249 |
$299K |
| A4267 |
Male condom |
1,043 |
1,015 |
$20K |
| 99214 |
|
356 |
345 |
$16K |
| 99000 |
|
692 |
673 |
$3K |
| 99204 |
|
12 |
12 |
$1K |
| 99211 |
|
31 |
30 |
$358.78 |
| 81025 |
|
40 |
39 |
$344.40 |
| J1050 |
Medroxyprogesterone acetate |
69 |
68 |
$326.07 |