Clinic
Meriter Hospital, INC.
Meriter Hospital, INC. was paid $289K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 54% of everything it billed.
33Billing provider infoMERITER HOSPITAL, INC.
MADISON, WI 53715
MADISON, WI 53715
33aNPI1073672556assigned 12/08/2006
33bProvider typePhysical Therapy Clinic/Center
28Total paid$289K
24GClaims14,028
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Therapy Clinic/Center providers in Wisconsin
Rank by total paid#6 of 18
Median peer was paid$27K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2018 | 2,964 | $53K | |
| 2019 | 2,111 | $32K | |
| 2020 | 1,386 | $31K | |
| 2021 | 2,693 | $58K | |
| 2022 | 1,889 | $27K | |
| 2023 | 1,927 | $43K | |
| 2024incomplete | 1,058 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 54% | 4,024 | 2,168 | $155K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 22% | 1,911 | 921 | $63K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 4,323 | 2,225 | $35K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 6.6% | 1,423 | 778 | $19K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.5% | 1,794 | 897 | $13K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 211 | 45 | $1K |
| 97162 | <1% | 49 | 42 | $1K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 13 | 13 | $1K |
| 92523 | <1% | 14 | 14 | $632.19 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 56 | 37 | $375.76 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 84 | 74 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 126 | 109 | $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 officialERDMAN, BETH (CFO)
| Provider | Location | Paid |
|---|---|---|
| Meriter Hospital, INC. | Madison, WI | $25.44M |
| Meriter Health Enterprises INC. | Madison, WI | $1.05M |
| Meriter Hospital, INC. | Madison, WI | $803K |
| Meriter Hospital, INC. | Madison, WI | $513.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.