NPI: 1922556778 · GREEN BAY, WI 54311 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,962 | $100K |
| 2019 | 7,787 | $174K |
| 2020 | 8,668 | $218K |
| 2021 | 7,331 | $229K |
| 2022 | 4,846 | $197K |
| 2023 | 5,543 | $156K |
| 2024 | 4,602 | $287K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9480 | Intensive outpatient psychia | 2,551 | 330 | $480K |
| 99231 | 27,254 | 9,882 | $303K | |
| 90791 | 4,010 | 3,434 | $253K | |
| H0035 | Mh partial hosp tx under 24h | 448 | 50 | $71K |
| 99238 | 3,024 | 2,717 | $64K | |
| 99232 | 4,386 | 1,667 | $54K | |
| 90853 | 1,235 | 105 | $43K | |
| H2012 | Behav hlth day treat, per hr | 1,391 | 119 | $41K |
| 99221 | 1,420 | 1,217 | $32K | |
| 99222 | 701 | 547 | $10K | |
| 99239 | 168 | 145 | $5K | |
| 90792 | 60 | 39 | $2K | |
| 99233 | Prolong inpt eval add15 m | 60 | 22 | $1K |
| 99212 | 31 | 12 | $479.76 |