MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC.
NPI: 1962560334
· FRIENDSHIP, WI 53934
· Clinic/Center
· NPI assigned 12/05/2006
$388K
Total Medicaid Paid
Provider Details
| Authorized Official | PEREZ-GUERRA, FRANK (CEO) |
| Parent Organization | MOUNDVIEW MEMORIAL HOSPITAL & CLINICS, INC. |
| NPI Enumeration Date | 12/05/2006 |
Related Entities
Other providers sharing the same authorized official: PEREZ-GUERRA, FRANK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,150 |
$104K |
| 2019 |
1,928 |
$62K |
| 2020 |
1,201 |
$48K |
| 2021 |
1,695 |
$58K |
| 2022 |
814 |
$40K |
| 2023 |
1,398 |
$45K |
| 2024 |
1,174 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,271 |
3,807 |
$194K |
| 99213 |
|
6,095 |
5,247 |
$186K |
| 0012A |
|
66 |
65 |
$2K |
| 0011A |
|
77 |
72 |
$2K |
| 90686 |
|
121 |
116 |
$1K |
| 99393 |
|
18 |
18 |
$862.95 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$666.98 |
| 0064A |
|
16 |
15 |
$572.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
14 |
$282.66 |
| 99441 |
|
35 |
17 |
$188.97 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
396 |
367 |
$0.03 |
| 91301 |
|
176 |
164 |
$0.00 |
| 90471 |
|
45 |
38 |
$0.00 |
| 91306 |
|
16 |
15 |
$0.00 |