NPI: 1700264488 · STURGEON BAY, WI 54235 · Case Management Agency · NPI assigned 05/13/2015
| Authorized Official | HOFFMAN, LIZ (CONTROLLER) |
| NPI Enumeration Date | 05/13/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 713 | $357K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2021 | Day habilitation, waiver; per 15 minutes | 241 | 202 | $214K |
| S0215 | Non-emergency transportation; mileage, per mile | 178 | 174 | $58K |
| T2015 | Habilitation, prevocational, waiver; per hour | 117 | 111 | $54K |
| T2003 | Non-emergency transportation; encounter/trip | 177 | 175 | $31K |