COUNTY OF GREEN LAKE
NPI: 1871176560
· BERLIN, WI 54923
· Non-emergency Medical Transport (VAN)
· NPI assigned 04/30/2021
$636K
Total Medicaid Paid
Provider Details
| Authorized Official | JEROME, JASON (DIRECTOR) |
| NPI Enumeration Date | 04/30/2021 |
Related Entities
Other providers sharing the same authorized official: JEROME, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,520 |
$636K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2015 |
Habilitation, prevocational, waiver; per hour |
585 |
292 |
$307K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
355 |
322 |
$264K |
| S0215 |
Non-emergency transportation; mileage, per mile |
160 |
145 |
$32K |
| T2025 |
Waiver services; not otherwise specified (nos) |
336 |
320 |
$18K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
84 |
77 |
$14K |