Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SPARTA › COUNTY OF MONROE

COUNTY OF MONROE

NPI: 1558364034 · SPARTA, WI 54656 · Primary Care Clinic/Center · NPI assigned 05/27/2005

$35K
Total Medicaid Paid
2,054
Total Claims
1,388
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, LAURA (PROGRAM ASSOCIATE)
NPI Enumeration Date05/27/2005

Related Entities

Other providers sharing the same authorized official: DAVIS, LAURA

ProviderCityStateTotal Paid
NIGHT & DAY PEDIATRICS PA SAN ANTONIO TX $824K
AMARYILLIS COUNSELING LLC GREENVILLE SC $573K
ILLUMINATE THERAPY LLC SEYMOUR CT $244K
STRATFORD HOSPITAL DISTRICT SWEETWATER TX $1K
STRATFORD HOSPITAL DISTRICT AMARILLO TX $413.47
STRATFORD HOSPITAL DISTRICT PLAINVIEW TX $65.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 996 $20K
2019 621 $11K
2020 71 $610.66
2021 49 $467.49
2022 85 $566.45
2023 71 $450.00
2024 161 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 1,068 512 $19K
H1003 Prenatal care, at-risk enhanced service; education 286 260 $9K
90688 163 148 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 192 167 $1K
H1004 Prenatal care, at-risk enhanced service; follow-up home visit 42 36 $1K
90678 23 22 $620.00
83655 45 38 $445.13
90656 35 28 $357.76
91322 25 23 $291.80
36416 43 36 $102.13
90480 25 23 $76.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 107 95 $0.00