WABASH COUNTY HEALTH DEPARTMENT
NPI: 1912906306
· MOUNT CARMEL, IL 62863
· Public Health or Welfare Agency
· NPI assigned 07/18/2005
$243K
Total Medicaid Paid
15,556
Beneficiary Records
Provider Details
| Authorized Official | WISSEL, JUDY (AGENCY ADMINISTRATOR) |
| NPI Enumeration Date | 07/18/2005 |
Related Entities
Other providers sharing the same authorized official: WISSEL, JUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,576 |
$28K |
| 2019 |
4,002 |
$43K |
| 2020 |
2,318 |
$23K |
| 2021 |
3,208 |
$42K |
| 2022 |
2,307 |
$31K |
| 2023 |
2,003 |
$49K |
| 2024 |
2,016 |
$27K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,663 |
6,497 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,495 |
1,226 |
$24K |
| 90671 |
|
145 |
79 |
$19K |
| 90686 |
|
1,197 |
1,064 |
$15K |
| 90670 |
|
1,254 |
1,093 |
$12K |
| 90647 |
|
1,003 |
836 |
$8K |
| 90723 |
|
890 |
720 |
$7K |
| 90633 |
|
717 |
606 |
$7K |
| 0012A |
|
139 |
139 |
$5K |
| 90680 |
|
656 |
505 |
$5K |
| 90734 |
|
367 |
296 |
$5K |
| 90677 |
|
220 |
177 |
$5K |
| 0001A |
|
115 |
97 |
$4K |
| 0011A |
|
153 |
149 |
$4K |
| 90651 |
|
133 |
104 |
$4K |
| 83655 |
|
326 |
224 |
$4K |
| 0002A |
|
85 |
66 |
$3K |
| 90697 |
|
178 |
125 |
$3K |
| 90685 |
|
395 |
366 |
$3K |
| 90715 |
|
179 |
155 |
$3K |
| 0064A |
|
40 |
40 |
$2K |
| 90656 |
|
95 |
88 |
$2K |
| 96127 |
|
109 |
103 |
$2K |
| D1206 |
Topical application of fluoride varnish |
60 |
57 |
$2K |
| 91322 |
|
12 |
12 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
29 |
$1K |
| 90710 |
|
80 |
74 |
$821.30 |
| 36416 |
|
193 |
173 |
$766.26 |
| 90681 |
|
44 |
37 |
$735.24 |
| 0134A |
|
12 |
12 |
$501.60 |
| 90696 |
|
43 |
39 |
$450.47 |
| 99401 |
|
12 |
12 |
$300.00 |
| 90716 |
|
12 |
12 |
$76.80 |
| 91300 |
|
146 |
123 |
$0.00 |
| 91301 |
|
206 |
206 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |