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Koti R. Mannem, MD

NPI 1720188717ActiveIndividual· Psychiatry & Neurology, Psychiatry· Green Bay, WI

Psychiatry & Neurology, Psychiatry (MD) with County of Brown and 1 other group, practicing in Green Bay, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $842,566 for 7,067 claims, against $13,746 paid for services in 2024.

Overview

NPI1720188717
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedSep 22, 2006
Last updated in NPPESMar 17, 2025
Certified by providerMar 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Psychiatry Primary2084P0800X24001WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Psychiatry (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients106
Services billed456 across 3 procedure codes
Paid by Medicare$13,746

Part D prescriptions in 2024

Prescriptions (claims)7,067 · 7,492 30-day fills
Patients197
Total drug cost$842,566
Generic share95% of claims

Medicare sources and data years

Education and affiliations

Graduation year1974
Medicare specialtyPsychiatry
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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