WAUPUN MEMORIAL HOSPITAL
NPI: 1881672004
· BEAVER DAM, WI 53916
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 01/06/2006
$366K
Total Medicaid Paid
Provider Details
| Authorized Official | WALKER, TROY (DIRECTOR OF FINANCE) |
| Parent Organization | WAUPUN MEMORIAL HOSPITAL |
| NPI Enumeration Date | 01/06/2006 |
Related Entities
Other providers sharing the same authorized official: WALKER, TROY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,820 |
$118K |
| 2019 |
732 |
$36K |
| 2020 |
1,241 |
$98K |
| 2021 |
859 |
$60K |
| 2022 |
349 |
$15K |
| 2023 |
153 |
$12K |
| 2024 |
302 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
6,087 |
461 |
$366K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
98 |
38 |
$78.14 |
| 83540 |
|
50 |
38 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
155 |
63 |
$0.00 |
| 84466 |
|
50 |
38 |
$0.00 |
| 82728 |
|
16 |
12 |
$0.00 |