SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
NPI: 1790312171
· KAUKAUNA, WI 54130
· 104100000X
$864K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,521 |
$57K |
| 2021 |
3,265 |
$95K |
| 2022 |
7,454 |
$170K |
| 2023 |
11,968 |
$261K |
| 2024 |
12,159 |
$282K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99223 |
Prolong inpt eval add15 m |
6,714 |
5,187 |
$264K |
| 99232 |
|
10,888 |
6,333 |
$172K |
| 99233 |
Prolong inpt eval add15 m |
6,347 |
3,423 |
$155K |
| 99350 |
Prolong home eval add 15m |
2,695 |
2,404 |
$110K |
| 99487 |
Ccm add 20min |
2,363 |
1,987 |
$40K |
| 99337 |
|
1,060 |
927 |
$28K |
| 99222 |
|
457 |
368 |
$19K |
| 99489 |
Ccm add 20min |
2,139 |
1,809 |
$18K |
| 99238 |
|
858 |
652 |
$15K |
| 99349 |
|
302 |
275 |
$9K |
| 99457 |
|
581 |
500 |
$5K |
| 99458 |
|
438 |
385 |
$5K |
| 99442 |
|
865 |
546 |
$5K |
| 99483 |
Prolong outpt/office vis |
129 |
107 |
$3K |
| 99336 |
|
162 |
137 |
$3K |
| 99348 |
|
77 |
70 |
$2K |
| 99231 |
|
146 |
91 |
$2K |
| 99454 |
|
251 |
214 |
$2K |
| 99328 |
|
37 |
31 |
$2K |
| 99491 |
Ccm add 20min |
125 |
117 |
$1K |
| 99221 |
|
39 |
27 |
$1K |
| 99345 |
Prolong home eval add 15m |
14 |
14 |
$794.61 |
| 99423 |
|
57 |
50 |
$639.38 |
| 99422 |
|
130 |
100 |
$613.29 |
| 99335 |
|
29 |
27 |
$293.50 |
| 99421 |
|
88 |
55 |
$255.15 |
| G0318 |
Prolong home eval add 15m |
29 |
24 |
$136.93 |
| 99401 |
|
16 |
13 |
$90.00 |
| G0506 |
Comp asses care plan ccm svc |
91 |
72 |
$0.00 |
| 99406 |
|
205 |
160 |
$0.00 |
| 99439 |
|
35 |
35 |
$0.00 |