ST. COLETTA OF WISCONSIN
NPI: 1871714543
· JEFFERSON, WI 53549
· Intellectual Disabilities Intermediate Care Facility
· NPI assigned 05/01/2007
$1.10M
Total Medicaid Paid
Provider Details
| Authorized Official | HEINDEL, JOHN (VICE PRESIDENT FINANCIAL SERVICES) |
| NPI Enumeration Date | 05/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
983 |
$1.10M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2020 |
Day habilitation, waiver; per diem |
413 |
397 |
$569K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
263 |
255 |
$375K |
| S5102 |
Day care services, adult; per diem |
60 |
59 |
$63K |
| S0215 |
Non-emergency transportation; mileage, per mile |
150 |
122 |
$60K |
| T2003 |
Non-emergency transportation; encounter/trip |
97 |
84 |
$31K |