WISCONSIN SPINE AND PAIN SC
NPI: 1790309276
· SHEBOYGAN, WI 53081
· 208VP0014X
$537K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
505 |
$7K |
| 2021 |
11,076 |
$180K |
| 2022 |
8,499 |
$151K |
| 2023 |
6,836 |
$97K |
| 2024 |
4,064 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,439 |
11,912 |
$290K |
| 99213 |
|
8,258 |
6,700 |
$119K |
| 80307 |
|
1,731 |
1,391 |
$59K |
| 27096 |
|
333 |
203 |
$16K |
| 64635 |
|
150 |
74 |
$15K |
| 99152 |
|
1,433 |
803 |
$12K |
| 64483 |
|
174 |
100 |
$12K |
| 64636 |
|
95 |
45 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
1,765 |
810 |
$3K |
| 99203 |
|
39 |
36 |
$1K |
| 64633 |
|
27 |
13 |
$1K |
| 98977 |
|
243 |
171 |
$1K |
| 64634 |
|
27 |
13 |
$1K |
| J1100 |
Dexamethasone sodium phos |
887 |
484 |
$638.00 |
| 98980 |
|
181 |
124 |
$533.37 |
| 77002 |
|
23 |
12 |
$442.57 |
| 98981 |
|
87 |
64 |
$393.64 |
| J1030 |
Methylprednisolone 40 mg inj |
75 |
45 |
$133.85 |
| 98975 |
|
13 |
12 |
$25.06 |