SPECTRUM HEALTH MEDICAL CLINIC, LLC
NPI: 1477981942
· GERMANTOWN, WI 53022
· General Practice Physician
· NPI assigned 10/21/2013
$1.03M
Total Medicaid Paid
Provider Details
| Authorized Official | LOCKE, JOSEPH (PRESIDENT/OWNER) |
| NPI Enumeration Date | 10/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
10,855 |
$330K |
| 2019 |
7,820 |
$265K |
| 2020 |
4,807 |
$221K |
| 2021 |
4,527 |
$197K |
| 2022 |
235 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,628 |
6,862 |
$591K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,844 |
6,999 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,948 |
1,546 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
108 |
$8K |
| 99401 |
|
55 |
45 |
$1K |
| 3008F |
|
5,359 |
3,699 |
$140.00 |
| 99072 |
|
292 |
221 |
$40.00 |