Clinic
MCHS Hospitals INC
MCHS Hospitals INC was paid $1.84M by Medicaid between Mar 2023 and Dec 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoMCHS HOSPITALS INC
WAUSAU, WI 54401
WAUSAU, WI 54401
33aNPI1164159109assigned 08/01/2022
33bProvider typeClinic/Center
28Total paid$1.84M
24GClaims70,704
24DCodes billed77
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Wisconsin
Rank by total paid#9 of 102
Median peer was paid$54K
This provider vs. median34×
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.
Entity ProliferationAuthorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2023 | 43,399 | $802K | |
| 2024incomplete | 27,305 | $1.04M |
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 | 41% | 15,997 | 14,622 | $762K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 9,495 | 8,693 | $318K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 5,592 | 4,181 | $285K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 963 | 870 | $55K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.5% | 771 | 737 | $46K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.1% | 1,747 | 1,451 | $38K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 408 | 312 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 458 | 442 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 392 | 381 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 366 | 341 | $21K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.0% | 879 | 433 | $19K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.0% | 242 | 172 | $19K |
65 more codes
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 707 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,515 | $14K |
| 80061 | Lipid panel | <1% | 2,048 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,894 | $12K |
| 80053 | Comprehensive metabolic panel | <1% | 2,136 | $12K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 41 | $11K |
| 80050 | General health panel | <1% | 411 | $11K |
| 90674 | <1% | 698 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,759 | $9K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 512 | $8K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,631 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 96 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 153 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 219 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 87 | $5K |
| 85027 | <1% | 1,256 | $4K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 71 | $3K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 40 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 29 | $3K |
| 3008F | <1% | 395 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 33 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 18 | $2K |
| 90677 | <1% | 76 | $2K | |
| 86140 | <1% | 633 | $2K | |
| 81001 | <1% | 1,308 | $2K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 46 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 43 | $2K |
| 90661 | <1% | 80 | $2K | |
| 11721 | <1% | 161 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 36 | $1K |
| 92567 | <1% | 94 | $1K | |
| 84153 | <1% | 102 | $1K | |
| 90680 | <1% | 41 | $852.93 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,026 | $844.60 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $827.39 |
| 85610 | <1% | 560 | $817.35 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 46 | $803.56 |
| 90697 | <1% | 29 | $764.40 | |
| 92015 | Determination of refractive state | <1% | 78 | $666.89 |
| 92557 | <1% | 27 | $661.24 | |
| 81025 | <1% | 137 | $553.81 | |
| 90670 | <1% | 41 | $532.80 | |
| 93298 | <1% | 53 | $486.12 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 15 | $340.24 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | $289.73 |
| 83735 | <1% | 75 | $248.20 | |
| 85652 | <1% | 152 | $214.92 | |
| 74018 | <1% | 17 | $211.52 | |
| 73630 | <1% | 16 | $202.80 | |
| 91321 | <1% | 13 | $166.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 147 | $163.97 |
| 84702 | <1% | 22 | $139.22 | |
| 87210 | <1% | 25 | $113.54 | |
| 80047 | <1% | 31 | $106.97 | |
| 85018 | <1% | 70 | $78.19 | |
| 82043 | <1% | 14 | $58.26 | |
| G0008 | Administration of influenza virus vaccine | <1% | 193 | $53.10 |
| 81003 | <1% | 14 | $43.06 | |
| 82570 | <1% | 14 | $41.43 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 13 | $21.09 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 20 | $17.59 |
| 93297 | <1% | 12 | $15.74 | |
| 99415 | Prolong outpt/office vis | <1% | 19 | $7.12 |
| 86580 | 0% | 91 | $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 officialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent organizationMARSHFIELD CLINIC HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| MCHS Hospitals INC | Marshfield, WI | $45.31M |
| Marshfield Clinic INC | Marshfield, WI | $19.61M |
| MCHS Hospitals INC | Eau Claire, WI | $12.41M |
| MCHS Hospitals INC | Marshfield, WI | $11.82M |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $10.58M |
| Dickinson County Healthcare System | Iron Mountain, MI | $10.23M |
| MCHS Hospitals INC | Ladysmith, WI | $7.36M |
| MCHS Hospitals INC | Weston, WI | $6.40M |
| MCHS Hospitals INC | Eau Claire, WI | $4.14M |
| MCHS Hospitals INC | Minocqua, WI | $2.90M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.44M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.29M |
| MCHS Hospitals INC | Weston, WI | $1.22M |
| MCHS Hospitals INC | Minocqua, WI | $1.16M |
| MCHS Hospitals INC | Marshfield, WI | $988K |
| MCHS Hospitals INC | Ladysmith, WI | $867K |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $847K |
| Dickinson County Healthcare System | Iron Mountain, MI | $648K |
| MCHS Hospitals INC | Marshfield, WI | $563K |
| MCHS Hospitals INC | Minocqua, WI | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.