Medicaid Provider Spending

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

RED CLIFF AODA PROGRAM/MISHOMIS HOUSE

NPI: 1457688863 · BAYFIELD, WI 54814 · Substance Abuse Rehabilitation Facility · NPI assigned 11/05/2009

$4K
Total Medicaid Paid
77
Total Claims
25
Beneficiaries
1
Codes Billed
2019-12
First Month
2020-05
Last Month

Provider Details

Authorized OfficialGORDON, MARTIN (PROGRAM DIRECTOR)
NPI Enumeration Date11/05/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $2K
2020 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 77 25 $4K