COUNTY OF WAUSHARA
NPI: 1932207362
· WAUTOMA, WI 54982
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 09/20/2006
$801K
Total Medicaid Paid
Provider Details
| Authorized Official | GONZALES, JEN (ACCOUNT CLERK) |
| NPI Enumeration Date | 09/20/2006 |
Related Entities
Other providers sharing the same authorized official: GONZALES, JEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
906 |
$17K |
| 2019 |
1,044 |
$23K |
| 2020 |
1,586 |
$33K |
| 2021 |
3,053 |
$91K |
| 2022 |
4,196 |
$162K |
| 2023 |
4,415 |
$182K |
| 2024 |
4,187 |
$293K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
11,470 |
3,393 |
$612K |
| 90834 |
|
5,923 |
3,306 |
$136K |
| 99214 |
|
1,108 |
840 |
$23K |
| 90837 |
|
330 |
206 |
$20K |
| 99215 |
Prolong outpt/office vis |
180 |
149 |
$4K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
215 |
89 |
$4K |
| 99213 |
|
144 |
125 |
$2K |
| 90832 |
|
17 |
14 |
$0.00 |