NPI: 1558364034 · SPARTA, WI 54656 · 261QP2300X
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1016 | Case management | 1,068 | 512 | $19K |
| H1003 | Prenatal at risk education | 286 | 260 | $9K |
| 90688 | 163 | 148 | $2K | |
| 99211 | 192 | 167 | $1K | |
| H1004 | Follow up home visit/prental | 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 | 107 | 95 | $0.00 |