NPI: 1780867408 · GREEN LAKE, WI 54941 · 101YP2500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,489 | $518K |
| 2019 | 8,096 | $595K |
| 2020 | 8,678 | $620K |
| 2021 | 8,966 | $659K |
| 2022 | 9,603 | $717K |
| 2023 | 8,282 | $575K |
| 2024 | 6,110 | $486K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | 24,174 | 2,523 | $2.30M |
| T1016 | Case management | 8,502 | 2,959 | $553K |
| 99199 | 8,090 | 2,035 | $547K | |
| S9484 | Crisis intervention per hour | 5,145 | 1,573 | $260K |
| T1017 | Targeted case management | 2,610 | 2,215 | $229K |
| 90834 | 4,714 | 2,988 | $153K | |
| H0039 | Asser com tx face-face/15min | 1,484 | 120 | $55K |
| 99214 | 1,843 | 1,694 | $45K | |
| H2011 | Crisis interven svc, 15 min | 267 | 252 | $20K |
| H0030 | Alcohol and/or drug hotline | 191 | 170 | $5K |
| 90832 | 108 | 77 | $3K | |
| 99211 | 63 | 62 | $658.84 | |
| 90686 | 33 | 33 | $199.98 |