NPI: 1740263326 · EAU CLAIRE, WI 54703 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,586 | $150K |
| 2019 | 5,034 | $127K |
| 2020 | 2,440 | $81K |
| 2021 | 2,604 | $113K |
| 2022 | 2,521 | $106K |
| 2023 | 3,082 | $131K |
| 2024 | 1,823 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S4993 | Contraceptive pills for bc | 3,402 | 2,340 | $277K |
| H1010 | Nonmed family planning ed | 3,692 | 3,028 | $263K |
| T1016 | Case management | 1,238 | 1,216 | $104K |
| H1000 | Prenatal care atrisk assessm | 1,060 | 1,046 | $52K |
| A4267 | Male condom | 2,156 | 1,783 | $33K |
| H1004 | Follow up home visit/prental | 1,029 | 581 | $25K |
| 99214 | 272 | 245 | $11K | |
| 99000 | 2,790 | 2,386 | $8K | |
| 99211 | 799 | 732 | $8K | |
| 99213 | 203 | 192 | $7K | |
| 83655 | 523 | 507 | $5K | |
| J1050 | Medroxyprogesterone acetate | 456 | 368 | $4K |
| A4268 | Female condom | 169 | 160 | $1K |
| 99212 | 63 | 57 | $1K | |
| 99203 | 18 | 16 | $849.85 | |
| Q0144 | Azithromycin dihydrate, oral | 87 | 82 | $596.00 |
| J8499 | Oral prescrip drug non chemo | 13 | 12 | $477.36 |
| 81025 | 41 | 41 | $353.01 | |
| 99201 | 14 | 12 | $265.20 | |
| J7303 | Contraceptive vaginal ring | 13 | 12 | $257.76 |
| 81002 | 77 | 73 | $247.08 | |
| 36416 | 155 | 155 | $57.57 | |
| 87591 | 1,435 | 1,172 | $0.00 | |
| 87661 | 884 | 797 | $0.00 | |
| 87491 | 1,501 | 1,204 | $0.00 |