Mainstreet Clinic SC

Mainstreet Clinic SC was paid $144K by Medicaid between Jan 2018 and May 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoMAINSTREET CLINIC SC
ASHLAND, WI 54806

33aNPI1134137557assigned 08/03/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$144K

24GClaims7,520

24DCodes billed13

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in Wisconsin

Rank by total paid#8 of 17

Median peer was paid$87K

This provider vs. median1.7×

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	3,351	$59K
2019	2,998	$60K
2020	965	$25K
2021	165	$0.00
2022	27	$0.00
2023	14	$0.00

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	52%	3,566	2,852	$75K
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	46%	2,055	1,630	$66K
99000		<1%	359	290	$991.76
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	12	$517.77
3008F		<1%	625	493	$510.24
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	33	27	$445.61
80305		<1%	44	28	$394.34
85027		<1%	67	52	$295.68
90658		<1%	36	32	$167.76
81003		<1%	17	12	$19.92
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	115	106	$12.53
90472	Immunization administration, each additional vaccine (list separately)	0%	14	14	$0.00

1 more codes

36415

Collection of venous blood by venipuncture

575

$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 officialDEWITT, KARYL (ADMINISTRATOR)