Oconto Hospital & Medical Center, INC.
Oconto Hospital & Medical Center, INC. was paid $116K by Medicaid between Oct 2020 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
OCONTO FALLS, WI 54154
Next to other Family Medicine Physician providers in Wisconsin
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 113 | $3K | |
| 2021 | 1,558 | $37K | |
| 2022 | 1,773 | $25K | |
| 2023 | 2,921 | $25K | |
| 2024incomplete | 2,543 | $27K |
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 | 54% | 1,262 | 1,111 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 691 | 589 | $20K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 842 | 364 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 219 | 158 | $5K |
| 80061 | Lipid panel | 3.2% | 489 | 444 | $4K |
| 80053 | Comprehensive metabolic panel | 2.8% | 475 | 441 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 460 | 415 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 35 | 33 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 220 | 206 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 44 | 41 | $1K |
| 90686 | <1% | 47 | 43 | $662.71 | |
| 0064A | <1% | 17 | 12 | $419.76 |
10 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 18 | $203.02 |
| 36415 | Collection of venous blood by venipuncture | <1% | 732 | $49.77 |
| 3074F | 0% | 1,783 | $0.00 | |
| 4010F | 0% | 26 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 3048F | 0% | 25 | $0.00 | |
| 3079F | 0% | 19 | $0.00 | |
| 91306 | 0% | 17 | $0.00 | |
| 3078F | 0% | 1,448 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oconto Hospital & Medical Center INC | Oconto, WI | $4.79M |
| Bellin Psychiatric Center INC. | Green Bay, WI | $4.06M |
| Bel-Regional Home Medical INC. | Green Bay, WI | $2.14M |
| Bellin Memorial Hospital INC | Green Bay, WI | $883K |
| Bellin Memorial Hospital INC | Iron Mountain, MI | $675K |
| Bellin Memorial Hospital INC | Green Bay, WI | $449K |
| Bellin Memorial Hospital INC | Green Bay, WI | $415K |
| Bellin Memorial Hospital INC | Escanaba, MI | $370K |
| Bellin Memorial Hospital INC | Green Bay, WI | $315K |
| Bellin Memorial Hospital INC | Green Bay, WI | $275K |
| Oconto Hospital & Medical Center, INC. | Oconto, WI | $215K |
| Bellin Memorial Hospital INC | De Pere, WI | $163K |
| Bellin Memorial Hospital INC | Green Bay, WI | $140K |
| Bellin Memorial Hospital INC | Green Bay, WI | $68K |
| Bellin Memorial Hospital INC | Oconto Falls, WI | $66K |
| Bellin Memorial Hospital INC | Suring, WI | $55K |
| Bellin Memorial Hospital INC | Green Bay, WI | $49K |
| Bellin Memorial Hospital INC | Green Bay, WI | $39K |
| Bellin Memorial Hospital INC | Pulaski, WI | $36K |
| Bellin Memorial Hospital INC | Manitowoc, WI | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.