ST. FRANCIS CHILDREN'S CENTER
NPI: 1750594867
· MILWAUKEE, WI 53217
· Rehabilitation Clinic/Center
· NPI assigned 05/07/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.
$6.06M
Total Medicaid Paid
Provider Details
| Authorized Official | WITKOV, LAURA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,285 |
$487K |
| 2019 |
3,669 |
$545K |
| 2020 |
4,741 |
$695K |
| 2021 |
5,803 |
$909K |
| 2022 |
7,145 |
$1.01M |
| 2023 |
8,071 |
$1.26M |
| 2024 |
7,190 |
$1.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
38,380 |
37,586 |
$6.00M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
796 |
495 |
$34K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
728 |
439 |
$32K |