Medicaid Provider Spending

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

HOMETOWN PHYSICIAN SERVICES MD, S.C.

NPI: 1558832055 · WOODVILLE, WI 54028 · Family Medicine Physician · NPI assigned 12/09/2018

$139K
Total Medicaid Paid
10,606
Total Claims
9,819
Beneficiaries
17
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JEFFREY (MSO ADMINISTRATOR)
NPI Enumeration Date12/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,111 $7K
2021 2,514 $22K
2022 2,660 $34K
2023 2,369 $37K
2024 1,952 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99439 2,906 2,750 $43K
99490 Ccm add 20min 3,736 3,522 $42K
99348 885 750 $12K
99489 Ccm add 20min 548 497 $11K
99487 Ccm add 20min 549 498 $10K
99335 431 377 $8K
99334 755 697 $5K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 302 299 $2K
99336 14 13 $1K
99347 96 92 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 34 31 $921.26
99349 14 14 $312.67
99325 27 25 $218.88
99308 Subsequent nursing facility care, per day, straightforward 156 135 $138.64
99442 19 13 $53.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 111 89 $0.00
99345 Prolong home eval add 15m 23 17 $0.00