THEDACARE MEDICAL CENTER - SHAWANO, INC.
NPI: 1649821760
· SHAWANO, WI 54166
· 261QR1300X
$974K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
760 |
$24K |
| 2021 |
4,505 |
$168K |
| 2022 |
6,292 |
$236K |
| 2023 |
7,353 |
$248K |
| 2024 |
5,664 |
$298K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,051 |
10,127 |
$540K |
| 99213 |
|
11,156 |
10,210 |
$376K |
| 87651 |
|
1,240 |
1,112 |
$34K |
| 87635 |
|
355 |
327 |
$16K |
| 90686 |
|
384 |
363 |
$4K |
| 99203 |
|
36 |
30 |
$2K |
| 99391 |
|
15 |
15 |
$988.81 |
| 90647 |
|
12 |
12 |
$184.50 |
| 90723 |
|
13 |
12 |
$37.11 |
| 90670 |
|
14 |
13 |
$37.11 |
| G0439 |
Ppps, subseq visit |
158 |
151 |
$0.00 |
| 36415 |
|
140 |
130 |
$0.00 |