WISCONSIN TELE-MED NETWORK
NPI: 1568821841
· KENOSHA, WI 53142
· Nurse Practitioner
· NPI assigned 02/16/2016
Provider Details
| Authorized Official | BOVA, JODI (OWNER) |
| NPI Enumeration Date | 02/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,287 |
$88K |
| 2019 |
29 |
$972.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
819 |
627 |
$38K |
| Q3014 |
Telehealth originating site facility fee |
1,207 |
914 |
$22K |
| 99205 |
Prolong outpt/office vis |
120 |
112 |
$14K |
| 80305 |
|
786 |
569 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
116 |
$4K |
| H0049 |
Alcohol and/or drug screening |
130 |
117 |
$4K |
| 96127 |
|
113 |
101 |
$434.39 |