Clinic
Door County Memorial Hospital
Door County Memorial Hospital was paid $7.48M by Medicaid between Jan 2018 and Dec 2024, across 146 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.
33Billing provider infoDOOR COUNTY MEMORIAL HOSPITAL
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
33aNPI1093743874assigned 06/29/2006
33bProvider typeRehabilitation Clinic/Center
28Total paid$7.48M
24GClaims195,780
24DCodes billed146
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in Wisconsin
Rank by total paid#4 of 41
Median peer was paid$122K
This provider vs. median61×
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 | 19,126 | $794K | |
| 2019 | 19,347 | $736K | |
| 2020 | 25,159 | $953K | |
| 2021 | 39,510 | $1.45M | |
| 2022 | 36,657 | $1.47M | |
| 2023 | 33,064 | $1.29M | |
| 2024incomplete | 22,917 | $784K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 10,085 | 8,152 | $1.73M |
| 96361 | Intravenous infusion, hydration; each additional hour | 18% | 3,197 | 2,083 | $1.34M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 12% | 5,203 | 4,479 | $905K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 7.2% | 2,945 | 2,653 | $538K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 4.6% | 1,418 | 865 | $344K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.5% | 1,332 | 1,185 | $336K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.1% | 1,261 | 1,123 | $310K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 5,183 | 4,550 | $244K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.6% | 9,108 | 7,962 | $195K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.4% | 2,200 | 1,914 | $180K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.4% | 3,083 | 2,782 | $107K |
| 80053 | Comprehensive metabolic panel | 1.3% | 12,866 | 10,688 | $100K |
134 more codes
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1.1% | 324 | $84K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 2,422 | $81K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.0% | 512 | $76K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,214 | $66K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 11,472 | $59K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,656 | $45K |
| 80061 | Lipid panel | <1% | 4,065 | $34K |
| 73630 | <1% | 748 | $31K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 461 | $31K |
| 80306 | <1% | 1,775 | $28K | |
| 73564 | <1% | 652 | $28K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 284 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,429 | $24K |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | <1% | 1,197 | $24K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 3,147 | $23K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,057 | $23K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 4,502 | $22K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,279 | $22K |
| 81001 | <1% | 7,272 | $21K | |
| 85027 | <1% | 5,276 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 701 | $17K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 79 | $16K |
| 73610 | <1% | 360 | $16K | |
| 73030 | <1% | 348 | $13K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 403 | $13K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 417 | $13K |
| 84484 | <1% | 1,566 | $13K | |
| 85610 | <1% | 3,315 | $12K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 403 | $12K |
| 0011A | <1% | 441 | $12K | |
| 83690 | <1% | 1,972 | $11K | |
| 81025 | <1% | 1,359 | $11K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 322 | $11K |
| 73110 | <1% | 225 | $10K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 295 | $9K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 32 | $9K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,820 | $8K |
| 76830 | Ultrasound, transvaginal | <1% | 54 | $8K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 3,395 | $8K |
| 87186 | <1% | 1,259 | $8K | |
| 59025 | Fetal non-stress test | <1% | 22 | $7K |
| 80320 | <1% | 373 | $7K | |
| 83880 | <1% | 474 | $7K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 71 | $7K |
| 84439 | <1% | 878 | $6K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 69 | $6K |
| 0012A | <1% | 181 | $6K | |
| 82728 | <1% | 692 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 170 | $6K |
| 73130 | <1% | 120 | $5K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 3,625 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 239 | $4K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 38 | $4K |
| 87088 | <1% | 739 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $4K |
| 81003 | <1% | 257 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 21,284 | $4K |
| 86140 | <1% | 969 | $4K | |
| 90686 | <1% | 111 | $4K | |
| 0064A | <1% | 221 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 14 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 355 | $3K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 147 | $3K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 68 | $3K |
| 83655 | <1% | 217 | $3K | |
| 80050 | General health panel | <1% | 242 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,413 | $3K |
| 84702 | <1% | 155 | $2K | |
| 84703 | <1% | 291 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 90 | $2K |
| 73502 | <1% | 61 | $2K | |
| 85651 | <1% | 747 | $2K | |
| 83735 | <1% | 452 | $2K | |
| 72100 | <1% | 42 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 36 | $2K |
| 87070 | <1% | 187 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,504 | $1K |
| 91301 | <1% | 584 | $985.61 | |
| 83540 | <1% | 247 | $927.56 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 92 | $913.50 |
| 86803 | <1% | 76 | $853.90 | |
| 87210 | <1% | 144 | $843.77 | |
| 85007 | <1% | 241 | $822.93 | |
| 83605 | <1% | 102 | $744.03 | |
| 82962 | <1% | 287 | $698.78 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 27 | $646.75 |
| 83550 | <1% | 125 | $628.65 | |
| 85018 | <1% | 287 | $623.36 | |
| Q3014 | Telehealth originating site facility fee | <1% | 30 | $471.59 |
| 85379 | <1% | 59 | $455.20 | |
| 82607 | <1% | 54 | $386.10 | |
| 80329 | <1% | 65 | $269.41 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,900 | $225.95 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 564 | $221.88 |
| 87077 | <1% | 29 | $218.31 | |
| 0352U | <1% | 195 | $194.48 | |
| 82950 | <1% | 25 | $193.88 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 22 | $186.20 |
| 94761 | <1% | 2,546 | $172.94 | |
| J2704 | Injection, propofol, 10 mg | <1% | 1,337 | $146.25 |
| 87040 | <1% | 34 | $141.98 | |
| 86780 | <1% | 12 | $134.45 | |
| 82570 | <1% | 45 | $125.34 | |
| 82043 | <1% | 56 | $125.32 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 515 | $106.66 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 2,298 | $102.85 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 3,452 | $98.39 |
| 86850 | <1% | 18 | $93.99 | |
| 84550 | <1% | 18 | $69.24 | |
| 82550 | <1% | 19 | $67.77 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 377 | $65.15 |
| 82565 | <1% | 53 | $64.68 | |
| 86900 | <1% | 44 | $62.89 | |
| 86901 | <1% | 44 | $62.89 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 180 | $58.77 |
| 87220 | <1% | 14 | $52.92 | |
| 82947 | <1% | 24 | $49.64 | |
| 0353U | <1% | 38 | $45.54 | |
| 84460 | <1% | 16 | $44.96 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,259 | $20.22 |
| 96376 | <1% | 225 | $5.92 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 50 | $2.99 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 831 | $0.70 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 511 | $0.27 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 0% | 260 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 43 | $0.00 |
| 97803 | 0% | 16 | $0.00 | |
| J2060 | Injection, lorazepam, 2 mg | 0% | 61 | $0.00 |
| G0378 | Hospital observation service, per hour | 0% | 49 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 67 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 37 | $0.00 |
| 91306 | 0% | 45 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialLALUZERNE, ANDREW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Door County Memorial Hospital | Sturgeon Bay, WI | $1.49M |
| Door County Memorial Hospital | Sturgeon Bay, WI | $1.02M |
| Door County Memorial Hospital | Sister Bay, WI | $17K |
| Door County Memorial Hospital | Algoma, WI | $12K |
| Door County Memorial Hospital | Sturgeon Bay, WI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.