WAUPUN MEMORIAL HOSPITAL
NPI: 1619955838
· FOND DU LAC, WI 54935
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 01/06/2006
$1.21M
Total Medicaid Paid
Provider Details
| Authorized Official | LITTLE, STEVEN (SVP & CFO) |
| NPI Enumeration Date | 01/06/2006 |
Related Entities
Other providers sharing the same authorized official: LITTLE, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,604 |
$196K |
| 2019 |
4,726 |
$195K |
| 2020 |
5,195 |
$115K |
| 2021 |
10,302 |
$203K |
| 2022 |
8,679 |
$136K |
| 2023 |
6,125 |
$150K |
| 2024 |
5,605 |
$213K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
29,904 |
1,916 |
$1.20M |
| 83970 |
|
593 |
444 |
$1K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
6,108 |
1,477 |
$785.48 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,506 |
1,162 |
$7.98 |
| 82728 |
|
592 |
442 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
33 |
$0.00 |
| 90694 |
|
22 |
16 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
89 |
12 |
$0.00 |
| 83540 |
|
1,652 |
1,235 |
$0.00 |
| 84466 |
|
1,648 |
1,235 |
$0.00 |
| 90662 |
|
52 |
49 |
$0.00 |
| 90653 |
|
16 |
16 |
$0.00 |