VISTA CARE WISCONSIN INC.
NPI: 1902085624
· SHEBOYGAN, WI 53081
· Clinical Social Worker
· NPI assigned 10/30/2007
$767K
Total Medicaid Paid
Provider Details
| Authorized Official | FREY, TIMOTHY (PRESIDENT) |
| NPI Enumeration Date | 10/30/2007 |
Related Entities
Other providers sharing the same authorized official: FREY, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
251 |
$14K |
| 2024 |
448 |
$753K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
121 |
119 |
$682K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
37 |
36 |
$55K |
| T2025 |
Waiver services; not otherwise specified (nos) |
541 |
536 |
$30K |