Clinic
Vernon Memorial Healthcare, INC
Vernon Memorial Healthcare, INC was paid $692K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoVERNON MEMORIAL HEALTHCARE, INC
VIROQUA, WI 54665
VIROQUA, WI 54665
33aNPI1144226507assigned 06/21/2005
33bProvider typeRural Health Clinic/Center
28Total paid$692K
24GClaims16,902
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#16 of 84
Median peer was paid$117K
This provider vs. median5.9×
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 | 3,232 | $121K | |
| 2019 | 2,815 | $103K | |
| 2020 | 1,674 | $65K | |
| 2021 | 2,174 | $92K | |
| 2022 | 2,421 | $92K | |
| 2023 | 2,584 | $105K | |
| 2024incomplete | 2,002 | $114K |
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 | 53% | 6,844 | 6,105 | $370K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,963 | 5,280 | $225K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 266 | 141 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 734 | 686 | $19K |
| 99307 | 1.6% | 235 | 224 | $11K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.5% | 208 | 200 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 90 | 75 | $8K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 100 | 89 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 117 | 75 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 147 | 119 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $2K |
| 90686 | <1% | 122 | 121 | $2K |
8 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 99442 | <1% | 37 | $702.57 | |
| 99443 | <1% | 16 | $379.80 | |
| 0011A | <1% | 14 | $278.25 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 27 | $254.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,874 | $104.93 |
| 91301 | <1% | 19 | $0.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 63 | $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 officialHARTBERG, DAVID (CEO)
Parent organizationVERNON MEMORIAL HEALTHCARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Vernon Memorial Healthcare, INC. | Viroqua, WI | $9.01M |
| Vernon Memorial Healthcare, INC. | La Farge, WI | $233K |
| Vernon Memorial Healthcare, INC. | Soldiers Grove, WI | $43K |
| Vernon Memorial Healthcare, INC. | Westby, WI | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.