MCHS Hospitals INC
MCHS Hospitals INC was paid $906K by Medicaid between Jul 2022 and Dec 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
STEVENS POINT, WI 54482
Next to other General Acute Care Hospital providers in Wisconsin
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 5,357 | $122K | |
| 2023 | 19,083 | $433K | |
| 2024incomplete | 14,054 | $352K |
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 | 26% | 3,516 | 3,029 | $235K |
| 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 | 21% | 3,237 | 2,800 | $191K |
| 96361 | Intravenous infusion, hydration; each additional hour | 5.9% | 537 | 324 | $53K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.0% | 843 | 690 | $45K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 578 | 496 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 540 | 465 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 487 | 426 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.0% | 442 | 422 | $28K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.1% | 965 | 793 | $19K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.0% | 292 | 214 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 253 | 230 | $17K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.8% | 242 | 202 | $17K |
73 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 205 | $15K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 641 | $14K |
| 99285 | Emergency room visit (most serious) | 1.5% | 254 | $14K |
| 80053 | Comprehensive metabolic panel | 1.4% | 2,317 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 155 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 2,326 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 178 | $9K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.0% | 1,077 | $9K |
| 80061 | Lipid panel | <1% | 1,004 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 129 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 176 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 696 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 104 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 874 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 500 | $5K |
| 90674 | <1% | 373 | $4K | |
| 85027 | <1% | 930 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 591 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 191 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 48 | $3K |
| 81001 | <1% | 1,321 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $2K |
| 82728 | <1% | 235 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 667 | $2K |
| 91322 | <1% | 18 | $2K | |
| 83690 | <1% | 457 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $1K |
| 84484 | <1% | 266 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 744 | $1K |
| 81514 | <1% | 16 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 50 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 255 | $1K |
| 81025 | <1% | 170 | $1K | |
| 86140 | <1% | 360 | $1K | |
| 90670 | <1% | 12 | $966.76 | |
| 73630 | <1% | 105 | $810.94 | |
| 83735 | <1% | 270 | $772.13 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 263 | $698.31 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 18 | $544.72 |
| 0240U | <1% | 21 | $505.97 | |
| 82803 | <1% | 31 | $463.36 | |
| 90480 | <1% | 15 | $426.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,562 | $420.88 |
| 90633 | <1% | 14 | $356.60 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 17 | $326.34 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 17 | $326.34 |
| 84439 | <1% | 43 | $288.92 | |
| 83880 | <1% | 12 | $210.15 | |
| 85610 | <1% | 142 | $203.19 | |
| G0008 | Administration of influenza virus vaccine | <1% | 185 | $178.36 |
| 83550 | <1% | 26 | $157.11 | |
| 90656 | <1% | 22 | $134.94 | |
| 80050 | General health panel | <1% | 154 | $117.05 |
| 83540 | <1% | 26 | $116.39 | |
| 83605 | <1% | 31 | $109.80 | |
| 85652 | <1% | 69 | $84.55 | |
| 90677 | <1% | 13 | $44.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $39.75 |
| 84450 | <1% | 17 | $32.10 | |
| 82962 | <1% | 17 | $16.50 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 280 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 721 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 244 | $0.00 |
| 36592 | 0% | 323 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 466 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 33 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 253 | $0.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 529 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 102 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 14 | $0.00 |
| J3490 | Unclassified drugs | 0% | 39 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 13 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $9.98M |
| Flambeau Hospital INC | Park Falls, WI | $6.99M |
| Memorial Hospital INC | Neillsville, WI | $4.01M |
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $2.24M |
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $1.64M |
| Dickinson County Healthcare System | Iron Mountain, MI | $564K |
| Memorial Hospital INC | Colby, WI | $477K |
| Memorial Hospital INC | Neillsville, WI | $457K |
| Flambeau Hospital INC | Park Falls, WI | $421K |
| Dickinson County Healthcare System | Marquette, MI | $108K |
| MCHS Hospitals INC | Stevens Point, WI | $100K |
| Flambeau Hospital INC | Phillips, WI | $85K |
| Lakeview Medical Center INC of Rice Lake | Hayward, WI | $62K |
| MCHS Hospitals, INC. | Plover, WI | $60K |
| Lakeview Medical Center INC of Rice Lake | Cumberland, WI | $49K |
| Memorial Hospital INC | Greenwood, WI | $26K |
| Marshfield Clinic INC | Marshfield, WI | $9K |
| MCHS Hospitals INC | Chippewa Falls, WI | $5K |
| MCHS Hospitals INC | Wausau, WI | $5K |
| Memorial Hospital INC | Stratford, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.