ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRA

NPI: 1619415262 · EAU CLAIRE, WI 54701 · Physical Therapy Clinic/Center · NPI assigned 02/03/2017

$12K

Total Medicaid Paid

219

Total Claims

Beneficiaries

Codes Billed

2018-02

First Month

2018-06

Last Month

Provider Details

Authorized Official	WAGNER, JOHN (CEO)
NPI Enumeration Date	02/03/2017

Other providers sharing the same authorized official: WAGNER, JOHN

Provider	City	State	Total Paid
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	CHIPPEWA FALLS	WI	$4.46M
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS	SHEBOYGAN	WI	$853K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	CHIPPEWA FALLS	WI	$516K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F	CHIPPEWA FALLS	WI	$210K
ST. JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST	CHIPPEWA FALLS	WI	$162K
WGM OBSTETRICS AND GYNECOLOGY,PC	EAST NORTHPORT	NY	$92K
ST. JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST F	CHIPPEWA FALLS	WI	$27K
JOHN WAGNER PSYCHOLOGICAL SERVICES LLC	CINCINNATI	OH	$5K

Year	Claims	Total Paid
2018	219	$12K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	219	87	$12K