Medicaid Provider Spending

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

BELLIN MEMORIAL HOSPITAL INC

NPI: 1699737379 · KEWAUNEE, WI 54216 · Family Medicine Physician · NPI assigned 04/06/2006

$175K
Total Medicaid Paid
10,035
Total Claims
8,685
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialENGEBOSE, ABBY (CREDENTIALING SPECIALIST)
Parent OrganizationBELLIN MEMORIAL HOSPITAL INC
NPI Enumeration Date04/06/2006

Related Entities

Other providers sharing the same authorized official: ENGEBOSE, ABBY

ProviderCityStateTotal Paid
BELLIN MEMORIAL HOSPITAL INC. GREEN BAY WI $29.28M
BELLIN MEMORIAL HOSPITAL INC GREEN BAY WI $19.80M
OCONTO HOSPITAL & MEDICAL CENTER INC MARINETTE WI $4.19M
BELLIN MEMORIAL HOSPITAL INC ALGOMA WI $249K
BELLIN MEMORIAL HOSPITAL INC BRILLION WI $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 604 $25K
2019 525 $17K
2020 346 $15K
2021 1,465 $34K
2022 2,288 $29K
2023 2,587 $24K
2024 2,220 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,990 1,726 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,747 1,558 $58K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 321 134 $6K
80053 Comprehensive metabolic panel 334 312 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 70 68 $2K
90834 Psychotherapy, 45 minutes with patient 138 85 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 271 241 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 144 72 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 45 44 $1K
80061 Lipid panel 158 148 $1K
90686 50 50 $878.91
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 26 $399.60
71046 Radiologic examination, chest; 2 views 13 12 $196.96
83036 Hemoglobin; glycosylated (A1C) 16 15 $77.68
36415 Collection of venous blood by venipuncture 774 687 $67.98
3074F 2,125 1,893 $0.01
3078F 1,698 1,516 $0.01
3079F 70 61 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 25 $0.00
91300 15 12 $0.00