Medicaid Provider Spending

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

PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC

NPI: 1629368337 · WAUWATOSA, WI 53222 · Pediatric Rehabilitation Medicine Physician · NPI assigned 04/14/2011

$8K
Total Medicaid Paid
91
Total Claims
86
Beneficiaries
6
Codes Billed
2019-07
First Month
2019-07
Last Month

Provider Details

Authorized OfficialMOBERG-WOLFF, ELIZABETH (OWNER)
NPI Enumeration Date04/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 91 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0475 Injection, baclofen, 10 mg 13 12 $6K
99215 Prolong outpt/office vis 16 16 $765.13
62370 13 12 $602.97
64642 17 16 $575.25
64643 17 16 $459.09
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $179.80