Clinic
ST. Croix Regional Medical Center
ST. Croix Regional Medical Center was paid $311K by Medicaid between Feb 2019 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoST. CROIX REGIONAL MEDICAL CENTER
BALSAM LAKE, WI 54810
BALSAM LAKE, WI 54810
33aNPI1013423219assigned 12/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$311K
24GClaims6,844
24DCodes billed8
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#26 of 84
Median peer was paid$117K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 536 | $23K | |
| 2020 | 915 | $42K | |
| 2021 | 1,220 | $52K | |
| 2022 | 952 | $50K | |
| 2023 | 1,736 | $69K | |
| 2024incomplete | 1,485 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 69% | 4,002 | 3,712 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,986 | 1,786 | $72K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 228 | 200 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.4% | 255 | 202 | $8K |
| 99441 | <1% | 111 | 101 | $988.25 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | 24 | $391.68 |
| 90686 | <1% | 17 | 17 | $344.40 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 220 | 191 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialYOUSO, MIKE (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST. Croix Regional Medical Center | Saint Croix Falls, WI | $7.03M |
| ST. Croix Regional Medical Center | Saint Croix Falls, WI | $958K |
| ST. Croix Regional Medical Center | Webster, WI | $387K |
| ST. Croix Regional Medical Center | Frederic, WI | $267K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.