NPI: 1487734380 · WISCONSIN DELLS, WI 53965 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/16/2006
| Authorized Official | KAMINSKI, THOMAS (VP/CFO) |
| Parent Organization | MILE BLUFF MEDICAL CENTER INC |
| NPI Enumeration Date | 10/16/2006 |
Other providers sharing the same authorized official: KAMINSKI, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $6.56M |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $1.55M |
| MILE BLUFF MEDICAL CENTER INC | NEW LISBON | WI | $540K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $311K |
| MILE BLUFF MEDICAL CENTER INC | ELROY | WI | $291K |
| MILE BLUFF MEDICAL CENTER INC | NECEDAH | WI | $229K |
| MBMC MAUSTON PHILLIPS LLC | MAUSTON | WI | $148K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $96K |
| MILE BLUFF MEDICAL CENTER INC | MAUSTON | WI | $10K |
| MILE BLUFF MEDICAL CENTER INC | WISCONSIN DELLS | WI | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,351 | $35K |
| 2019 | 1,572 | $46K |
| 2020 | 1,173 | $32K |
| 2021 | 1,732 | $51K |
| 2022 | 1,934 | $56K |
| 2023 | 2,137 | $62K |
| 2024 | 1,446 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,583 | 5,830 | $191K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,690 | 3,270 | $161K |
| 90686 | 584 | 531 | $6K | |
| 3008F | 379 | 360 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15 | 15 | $805.42 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 14 | 12 | $563.26 |
| 90656 | 14 | 14 | $257.87 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12 | 12 | $231.80 |
| 36415 | Collection of venous blood by venipuncture | 54 | 45 | $0.00 |