Clinic
Lafayette County
Lafayette County was paid $986K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoLAFAYETTE COUNTY
DARLINGTON, WI 53530
DARLINGTON, WI 53530
33aNPI1114987054assigned 03/24/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$986K
24GClaims13,197
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Wisconsin
Rank by total paid#2 of 17
Median peer was paid$87K
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 | 2,078 | $85K | |
| 2019 | 1,289 | $94K | |
| 2020 | 962 | $62K | |
| 2021 | 1,657 | $113K | |
| 2022 | 2,103 | $171K | |
| 2023 | 2,695 | $248K | |
| 2024incomplete | 2,413 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,393 | 1,987 | $262K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 887 | 649 | $186K |
| 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 | 15% | 1,210 | 1,017 | $150K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 12% | 1,989 | 1,503 | $122K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 9.3% | 392 | 316 | $92K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.1% | 349 | 205 | $50K |
| 96361 | Intravenous infusion, hydration; each additional hour | 4.5% | 101 | 77 | $44K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.7% | 243 | 167 | $36K |
| 87631 | <1% | 105 | 96 | $9K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,617 | 1,289 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,600 | 1,267 | $5K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 91 | 86 | $4K |
26 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 831 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 31 | $2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 41 | $1K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 73 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 52 | $514.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 17 | $443.30 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | $387.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $331.39 |
| 81001 | <1% | 226 | $296.45 | |
| 84484 | <1% | 65 | $236.24 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $211.98 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 18 | $82.04 |
| 85027 | <1% | 31 | $66.90 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 19 | $51.96 |
| 81003 | <1% | 40 | $45.63 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 130 | $17.54 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 115 | $13.44 |
| 85610 | <1% | 16 | $5.01 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 78 | $0.00 |
| 92015 | Determination of refractive state | 0% | 227 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 39 | $0.00 |
| A9270 | Non-covered item or service | 0% | 52 | $0.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 13 | $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 officialWAMSLEY, MARIE (CEO)