Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Sauk City › NPI 1235163494
Physician

Sauk Prairie Healthcare, INC.

Sauk Prairie Healthcare, INC. was paid $260K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoSAUK PRAIRIE HEALTHCARE, INC.
SAUK CITY, WI 53583
33aNPI1235163494assigned 07/11/2006
28Total paid$260K
24GClaims11,001
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Wisconsin

Rank by total paid#21 of 160
Median peer was paid$6K
This provider vs. median44×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,069$24K
20191,645$35K
20201,702$35K
20211,753$32K
20221,632$35K
20231,969$47K
2024incomplete1,231$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80% 7,064 6,548 $207K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.2% 817 780 $16K
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 2.2% 138 131 $6K
90686 1.6% 599 586 $4K
99000 1.6% 1,129 1,062 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 344 316 $4K
3008F 1.4% 378 373 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 52 52 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 205 191 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 47 47 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 54 53 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 15 14 $2K
5 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 16 $914.70
80305 <1% 73 $869.76
90656 <1% 43 $658.88
90670 <1% 14 $43.03
96127 <1% 13 $31.97

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 officialDREGNEY, JAMES (VICE PRESIDENT FINANCE & OPERATIONS)
Same official

Other billing entities under DREGNEY, JAMES

Full network →
ProviderLocationPaid
Sauk Prairie Healthcare INCPrairie Du Sac, WI$2.79M
Sauk Prairie Healthcare INCPrairie Du Sac, WI$154K
Sauk Prairie Healthcare INCSpring Green, WI$32K
Sauk Prairie Healthcare INCLodi, WI$23K
Sauk Prairie Healthcare INCPlain, WI$6K
Sauk Prairie Healthcare INCMazomanie, WI$4K
Sauk Prairie Healthcare INCPrairie Du Sac, WI$2K
Sauk Prairie Healthcare INCPrairie Du Sac, WI$575.92
Sauk Prairie Healthcare INCPrairie Du Sac, WI$280.66

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.