Physician
ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis
ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis was paid $12.21M by Medicaid between Jan 2018 and Dec 2024, across 210 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
GREEN BAY, WI 54304
GREEN BAY, WI 54304
33aNPI1285613638assigned 01/13/2006
33bProvider typePediatrics Physician
28Total paid$12.21M
24GClaims379,742
24DCodes billed210
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#1 of 200
Median peer was paid$4K
This provider vs. median2,798×
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 | 49,662 | $1.52M | |
| 2019 | 51,471 | $1.67M | |
| 2020 | 43,248 | $1.51M | |
| 2021 | 63,111 | $1.79M | |
| 2022 | 60,148 | $1.74M | |
| 2023 | 63,540 | $1.91M | |
| 2024incomplete | 48,562 | $2.07M |
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 | 28% | 112,128 | 99,198 | $3.38M |
| 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 | 17% | 51,313 | 45,820 | $2.10M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.9% | 12,386 | 11,171 | $593K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 4.7% | 446 | 391 | $578K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 8,136 | 7,846 | $483K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 8,282 | 7,746 | $475K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 4,836 | 4,676 | $288K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 10,577 | 7,330 | $280K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 5,061 | 4,578 | $221K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.7% | 8,859 | 3,856 | $204K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.2% | 2,295 | 1,808 | $151K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 2,156 | 1,961 | $143K |
198 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 2,277 | $138K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 7,436 | $138K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 6,534 | $135K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.1% | 4,954 | $132K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 834 | $122K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 776 | $118K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,591 | $117K |
| 3008F | <1% | 12,121 | $116K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 823 | $114K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 2,973 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,515 | $91K |
| D1206 | Topical application of fluoride varnish | <1% | 3,180 | $85K |
| D0191 | <1% | 4,365 | $85K | |
| 0002A | <1% | 2,428 | $78K | |
| 96139 | <1% | 931 | $75K | |
| 0001A | <1% | 2,602 | $68K | |
| 90686 | <1% | 11,074 | $66K | |
| 96133 | <1% | 752 | $65K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,217 | $60K |
| 93320 | <1% | 810 | $51K | |
| 95951 | <1% | 264 | $51K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,180 | $49K |
| 80306 | <1% | 3,126 | $45K | |
| 93325 | <1% | 1,246 | $40K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 619 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 695 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,443 | $35K |
| 96132 | <1% | 785 | $34K | |
| 96116 | <1% | 1,051 | $34K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 432 | $34K |
| 90837 | Psychotherapy session, about an hour | <1% | 781 | $31K |
| 96119 | <1% | 259 | $30K | |
| 95813 | <1% | 187 | $30K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,010 | $28K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 77 | $24K |
| 96118 | <1% | 248 | $24K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 392 | $24K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,850 | $23K |
| 99243 | <1% | 395 | $23K | |
| 95819 | <1% | 308 | $23K | |
| 93000 | <1% | 1,532 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,039 | $21K |
| 99223 | Prolong inpt eval add15 m | <1% | 296 | $19K |
| 90670 | <1% | 4,282 | $19K | |
| 0004A | <1% | 562 | $19K | |
| 93227 | <1% | 1,090 | $18K | |
| 88307 | <1% | 227 | $17K | |
| 88312 | <1% | 718 | $17K | |
| 92567 | <1% | 1,143 | $17K | |
| 0071A | <1% | 640 | $16K | |
| 95720 | <1% | 119 | $15K | |
| 93296 | <1% | 1,455 | $15K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 593 | $15K |
| 59025 | Fetal non-stress test | <1% | 473 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,151 | $14K |
| 0072A | <1% | 487 | $14K | |
| 73630 | <1% | 695 | $13K | |
| 64642 | <1% | 194 | $13K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,923 | $12K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 152 | $12K |
| 0031A | <1% | 438 | $12K | |
| 95812 | <1% | 87 | $11K | |
| 90677 | <1% | 461 | $11K | |
| 76820 | <1% | 261 | $11K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 152 | $11K |
| 93040 | <1% | 818 | $10K | |
| 90723 | <1% | 1,643 | $10K | |
| 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% | 128 | $9K |
| 90647 | <1% | 1,216 | $9K | |
| 96138 | <1% | 738 | $9K | |
| 64643 | <1% | 191 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,012 | $8K |
| 90672 | <1% | 357 | $8K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 279 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 169 | $7K |
| 91320 | <1% | 69 | $7K | |
| 93295 | <1% | 338 | $7K | |
| 80050 | General health panel | <1% | 136 | $6K |
| 92579 | <1% | 265 | $6K | |
| 76801 | <1% | 56 | $6K | |
| 0012A | <1% | 174 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 44 | $6K |
| 90656 | <1% | 375 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 187 | $6K |
| 0124A | <1% | 166 | $6K | |
| 0011A | <1% | 218 | $5K | |
| 80053 | Comprehensive metabolic panel | <1% | 528 | $5K |
| 90633 | <1% | 1,043 | $5K | |
| 80061 | Lipid panel | <1% | 369 | $5K |
| 86140 | <1% | 974 | $5K | |
| 90480 | <1% | 206 | $5K | |
| 93458 | <1% | 27 | $5K | |
| 90698 | <1% | 1,297 | $4K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 230 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 309 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 107 | $4K |
| 0054A | <1% | 141 | $4K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 333 | $4K |
| 93298 | <1% | 304 | $4K | |
| 76821 | <1% | 50 | $4K | |
| 95708 | <1% | 37 | $4K | |
| 73610 | <1% | 167 | $4K | |
| 73562 | <1% | 175 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 171 | $4K |
| 87660 | <1% | 241 | $4K | |
| 85652 | <1% | 1,505 | $4K | |
| 87480 | <1% | 242 | $3K | |
| 83655 | <1% | 277 | $3K | |
| 90651 | <1% | 611 | $3K | |
| 93294 | <1% | 327 | $3K | |
| 0081A | <1% | 115 | $3K | |
| 0082A | <1% | 85 | $3K | |
| 93018 | <1% | 285 | $3K | |
| 76813 | <1% | 29 | $3K | |
| 0064A | <1% | 107 | $2K | |
| 94060 | <1% | 124 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 60 | $2K |
| 20610 | <1% | 56 | $2K | |
| 99152 | <1% | 103 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 168 | $2K |
| 80076 | <1% | 309 | $2K | |
| 87510 | <1% | 168 | $2K | |
| 95700 | <1% | 30 | $2K | |
| 92015 | Determination of refractive state | <1% | 313 | $2K |
| V5266 | Battery for use in hearing device | <1% | 176 | $2K |
| 92557 | <1% | 51 | $2K | |
| 90681 | <1% | 332 | $2K | |
| 90734 | <1% | 384 | $2K | |
| 74018 | <1% | 95 | $2K | |
| 93042 | <1% | 202 | $1K | |
| 73110 | <1% | 69 | $1K | |
| 90685 | <1% | 416 | $1K | |
| 82565 | <1% | 276 | $1K | |
| 84439 | <1% | 176 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 78 | $1K |
| 36416 | <1% | 628 | $1K | |
| 0003A | <1% | 38 | $1K | |
| 73130 | <1% | 49 | $1K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 25 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 273 | $1K |
| 81001 | <1% | 458 | $1K | |
| 51798 | <1% | 151 | $1K | |
| 93299 | <1% | 13 | $1K | |
| 87210 | <1% | 224 | $997.14 | |
| 20611 | <1% | 18 | $824.05 | |
| 91319 | <1% | 23 | $820.76 | |
| 76642 | <1% | 20 | $773.57 | |
| 73030 | <1% | 52 | $764.09 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $751.89 |
| 94729 | <1% | 60 | $689.17 | |
| 69210 | <1% | 86 | $670.56 | |
| 84481 | <1% | 43 | $615.58 | |
| 88112 | <1% | 14 | $559.75 | |
| 93225 | <1% | 13 | $554.90 | |
| 85018 | <1% | 241 | $554.80 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 69 | $551.60 |
| 0083A | <1% | 15 | $538.82 | |
| 81003 | <1% | 412 | $532.99 | |
| 82607 | <1% | 50 | $513.49 | |
| 88304 | <1% | 43 | $491.47 | |
| 0051A | <1% | 14 | $478.53 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $462.84 |
| 90680 | <1% | 135 | $445.96 | |
| 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% | 574 | $421.67 |
| 51701 | <1% | 12 | $406.80 | |
| 94010 | <1% | 30 | $403.45 | |
| 90744 | <1% | 106 | $376.06 | |
| 72040 | <1% | 14 | $325.30 | |
| 93971 | <1% | 32 | $298.28 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 36 | $278.58 |
| 73140 | <1% | 15 | $264.25 | |
| 90710 | <1% | 79 | $259.06 | |
| 88342 | <1% | 12 | $253.87 | |
| 95251 | <1% | 16 | $237.70 | |
| 82728 | <1% | 31 | $228.39 | |
| 90715 | <1% | 67 | $225.97 | |
| 92555 | <1% | 13 | $196.89 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 15 | $162.10 |
| 90696 | <1% | 50 | $159.08 | |
| 88313 | <1% | 12 | $144.07 | |
| 85027 | <1% | 38 | $143.37 | |
| 99441 | <1% | 15 | $139.28 | |
| 90648 | <1% | 40 | $129.23 | |
| 99307 | <1% | 12 | $85.98 | |
| 91307 | <1% | 1,213 | $40.04 | |
| 91300 | <1% | 5,542 | $12.18 | |
| 91301 | <1% | 382 | $1.26 | |
| 91308 | <1% | 290 | $0.18 | |
| 91305 | <1% | 263 | $0.02 | |
| 0502F | 0% | 6,933 | $0.00 | |
| 91312 | 0% | 170 | $0.00 | |
| 99177 | 0% | 269 | $0.00 | |
| D1330 | 0% | 16 | $0.00 | |
| 91317 | 0% | 24 | $0.00 | |
| 91303 | 0% | 423 | $0.00 | |
| 91306 | 0% | 112 | $0.00 | |
| D1310 | 0% | 16 | $0.00 | |
| 0500F | 0% | 14 | $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 officialCROUCH, AMY (CFO WI MARKET)
Parent organizationST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
| Provider | Location | Paid |
|---|---|---|
| ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis | Green Bay, WI | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.