Hospital
Ascension ST Clare's Hospital, INC
Ascension ST Clare's Hospital, INC was paid $1.11M by Medicaid between Jan 2018 and Jul 2020, across 67 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.
33Billing provider infoASCENSION ST CLARE'S HOSPITAL, INC
WESTON, WI 54476
WESTON, WI 54476
33aNPI1235177122assigned 06/03/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.11M
24GClaims54,252
24DCodes billed67
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Acute Care Hospital providers in Wisconsin
Rank by total paid#41 of 60
Median peer was paid$2.90M
This provider vs. median0.4×
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 | 20,690 | $422K | |
| 2019 | 22,736 | $434K | |
| 2020 | 10,826 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 3,741 | 3,323 | $259K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 4,217 | 3,487 | $251K |
| 96361 | Intravenous infusion, hydration; each additional hour | 20% | 1,812 | 1,371 | $225K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 2,678 | 2,201 | $143K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7.8% | 1,045 | 949 | $86K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 4.1% | 626 | 509 | $45K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 3.8% | 587 | 470 | $42K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 2.5% | 346 | 306 | $27K |
| G0378 | Hospital observation service, per hour | 1.3% | 996 | 653 | $15K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 44 | 26 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 104 | 100 | $2K |
| 76937 | <1% | 56 | 40 | $2K |
55 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,017 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 1,385 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 13 | $536.85 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | <1% | 596 | $527.43 |
| 84484 | <1% | 628 | $523.56 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 2,783 | $493.30 |
| A0425 | Ground mileage, per statute mile | <1% | 974 | $467.46 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 909 | $427.54 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 716 | $396.15 |
| 83735 | <1% | 304 | $216.77 | |
| 87634 | <1% | 12 | $212.85 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 41 | $200.24 |
| 81003 | <1% | 603 | $101.34 | |
| 71045 | Radiologic examination, chest; single view | <1% | 906 | $86.72 |
| 85610 | <1% | 270 | $81.50 | |
| 83690 | <1% | 255 | $73.50 | |
| 83880 | <1% | 12 | $51.23 | |
| 81001 | <1% | 195 | $44.26 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,272 | $40.76 |
| 86140 | <1% | 76 | $32.51 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 13 | $23.18 |
| 82550 | <1% | 14 | $18.69 | |
| 86900 | <1% | 46 | $18.13 | |
| 86901 | <1% | 46 | $18.13 | |
| C1769 | Guide wire | <1% | 283 | $17.68 |
| 86850 | <1% | 32 | $16.41 | |
| 83605 | <1% | 18 | $12.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,265 | $9.20 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 131 | $7.24 |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | <1% | 113 | $4.21 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 3,340 | $4.10 |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 360 | $3.83 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,502 | $3.50 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 520 | $3.30 |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | <1% | 90 | $2.54 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,050 | $2.48 |
| A9270 | Non-covered item or service | <1% | 2,593 | $2.35 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 2,085 | $0.51 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 0% | 111 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 931 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 538 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 876 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 0% | 121 | $0.00 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 0% | 203 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 131 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,102 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 1,575 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 817 | $0.00 |
| 96376 | 0% | 868 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 1,610 | $0.00 |
| A0434 | Specialty care transport (sct) | 0% | 121 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 19 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 462 | $0.00 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 0% | 14 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 33 | $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 officialSOHN, JONATHAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Ascension Wisconsin Pharmacy, INC. | Rhinelander, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.