NPI: 1780804039 · NEW RICHMOND, WI 54017 · 261QF0050X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,705 | $58K |
| 2019 | 1,575 | $69K |
| 2020 | 1,337 | $77K |
| 2021 | 1,134 | $83K |
| 2022 | 821 | $58K |
| 2023 | 465 | $39K |
| 2024 | 200 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H1010 | Nonmed family planning ed | 2,705 | 2,587 | $224K |
| S4993 | Contraceptive pills for bc | 2,581 | 1,966 | $143K |
| J1050 | Medroxyprogesterone acetate | 347 | 335 | $20K |
| A4267 | Male condom | 533 | 518 | $9K |
| 99395 | 70 | 69 | $4K | |
| 99213 | 77 | 74 | $3K | |
| 99000 | 738 | 704 | $3K | |
| 81025 | 167 | 157 | $1K | |
| 96372 | 19 | 14 | $42.64 |