MEMORIAL HOSPITAL OF BOSCOBEL
NPI: 1437448891
· FENNIMORE, WI 53809
· Rural Health Clinic/Center
· NPI assigned 04/06/2011
Provider Details
| Authorized Official | BRAUDT, THERESA (DIRECTOR OF NURSING) |
| Parent Organization | MEMORIAL HOSPITAL OF BOSCOBEL |
| NPI Enumeration Date | 04/06/2011 |
Related Entities
Other providers sharing the same authorized official: BRAUDT, THERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
109 |
$4K |
| 2019 |
64 |
$2K |
| 2020 |
15 |
$230.89 |
| 2021 |
13 |
$482.31 |
| 2022 |
35 |
$1K |
| 2023 |
104 |
$6K |
| 2024 |
46 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
202 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
128 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
12 |
$230.89 |