Physician
ST. Nicholas Hospital-Sisters of the Third Order of ST Francis
ST. Nicholas Hospital-Sisters of the Third Order of ST Francis was paid $853K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
33aNPI1275799413assigned 08/06/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$853K
24GClaims30,216
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Wisconsin
Rank by total paid#5 of 72
Median peer was paid$544.40
This provider vs. median1,568×
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 | 4,412 | $114K | |
| 2019 | 4,813 | $127K | |
| 2020 | 2,934 | $90K | |
| 2021 | 4,657 | $108K | |
| 2022 | 4,596 | $120K | |
| 2023 | 5,295 | $148K | |
| 2024incomplete | 3,509 | $146K |
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% | 11,624 | 9,801 | $352K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 17% | 5,151 | 3,242 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 4,850 | 4,080 | $128K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 2,395 | 2,057 | $115K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.1% | 106 | 25 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.8% | 106 | 83 | $16K |
| 0002A | 1.6% | 412 | 379 | $13K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 201 | 189 | $11K |
| 0001A | 1.3% | 462 | 383 | $11K | |
| 98942 | 1.0% | 745 | 202 | $9K | |
| 73630 | <1% | 412 | 258 | $6K | |
| 93000 | <1% | 485 | 402 | $5K |
30 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 107 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $4K |
| 0012A | <1% | 94 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 69 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 155 | $2K |
| 0011A | <1% | 103 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 87660 | <1% | 53 | $1K | |
| 0031A | <1% | 46 | $978.97 | |
| 90686 | <1% | 57 | $796.50 | |
| 87480 | <1% | 52 | $796.35 | |
| 92567 | <1% | 47 | $717.57 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 33 | $714.33 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 18 | $612.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 61 | $599.36 |
| 0071A | <1% | 29 | $472.15 | |
| 87510 | <1% | 51 | $454.50 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 44 | $441.50 |
| 99152 | <1% | 19 | $427.13 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $322.54 |
| 99205 | Prolong outpt/office vis | <1% | 19 | $305.17 |
| 99459 | <1% | 16 | $154.30 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 106 | $35.38 |
| 81003 | <1% | 15 | $10.64 | |
| 91300 | <1% | 859 | $3.79 | |
| 91301 | <1% | 191 | $0.48 | |
| 0502F | 0% | 874 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 91303 | 0% | 45 | $0.00 | |
| 91307 | 0% | 49 | $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 officialWAGNER, JOHN (MARKET COO)
Parent organizationST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
| Provider | Location | Paid |
|---|---|---|
| ST Josephs Hospital of the Hospital Sisters of the Third Order of ST F | Chippewa Falls, WI | $4.46M |
| ST Josephs Hospital of the Hospital Sisters of the Third Order of ST F | Chippewa Falls, WI | $516K |
| ST Josephs Hospital of the Hospital Sisters of the Third Order of ST F | Chippewa Falls, WI | $210K |
| ST. Josephs Hospital of the Hospital Sisters of the Third Order of ST | Chippewa Falls, WI | $162K |
| WGM Obstetrics and Gynecology,pc | East Northport, NY | $92K |
| ST. Joseph's Hospital of the Hospital Sisters of the 3RD Order of ST F | Chippewa Falls, WI | $27K |
| ST Josephs Hospital of the Hospital Sisters of the 3RD Order of ST Fra | Eau Claire, WI | $12K |
| John Wagner Psychological Services LLC | Cincinnati, OH | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.