Prairie Ridge Health, INC.

Prairie Ridge Health, INC. was paid $87K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoPRAIRIE RIDGE HEALTH, INC.
COLUMBUS, WI 53925

33aNPI1154403657assigned 10/20/2006

33bProvider typeCritical Access Hospital

28Total paid$87K

24GClaims4,780

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Critical Access Hospital providers in Wisconsin

Rank by total paid#38 of 48

Median peer was paid$4.30M

This provider vs. median0.0×

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	450	$8K
2019	267	$5K
2020	269	$3K
2021	979	$17K
2022	1,247	$23K
2023	1,036	$19K
2024incomplete	532	$13K

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	74%	2,412	2,328	$65K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	15%	1,899	1,497	$13K
0002A		4.9%	117	113	$4K
0001A		4.2%	127	123	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	61	61	$1K
91300		0%	164	134	$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 officialMANGAN, MELISSA (VICE PRESIDENT/CFO)