Behavioral
Edgerton Hospital and Health Services INC
Edgerton Hospital and Health Services INC was paid $9K by Medicaid between May 2023 and Jul 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoEDGERTON HOSPITAL AND HEALTH SERVICES INC
EDGERTON, WI 53534
EDGERTON, WI 53534
33aNPI1083310908assigned 02/02/2023
33bProvider typePsychologist
28Total paid$9K
24GClaims222
24DCodes billed5
24AFirst – last monthMay 2023 – Jul 2024
Compared with peers
Next to other Psychologist providers in Wisconsin
Rank by total paid#33 of 51
Median peer was paid$30K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 123 | $3K | |
| 2024incomplete | 99 | $6K |
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 | 35% | 116 | 78 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 30% | 39 | 15 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 14% | 30 | 12 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 17 | 13 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.1% | 20 | 12 | $827.29 |
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 officialROEDER, CHARLES (CFO)
| Provider | Location | Paid |
|---|---|---|
| Edgerton Hospital and Health Services | Milton, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.