Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Winona Health Services

Winona Health Services was paid $13.43M by Medicaid between Jan 2018 and Dec 2024, across 191 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoWINONA HEALTH SERVICES
WINONA, MN 55987
33aNPI1295789352assigned 05/20/2006
33bProvider typeGeneral Practice Physician
28Total paid$13.43M
24GClaims378,326
24DCodes billed191
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Minnesota

Rank by total paid#1 of 23
Median peer was paid$636K
This provider vs. median21×

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$200K$400K2018201920202021202220232024
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
201856,121$682K
201958,027$1.93M
202056,859$2.02M
202162,224$2.76M
202257,667$2.41M
202353,151$2.15M
2024incomplete34,277$1.48M
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 21% 70,729 60,153 $2.79M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 16,534 13,061 $1.82M
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 11% 27,285 24,170 $1.51M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.0% 16,045 12,996 $1.21M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8.2% 19,278 16,813 $1.11M
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 6.5% 12,387 9,215 $876K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.3% 3,298 2,586 $577K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.1% 11,124 8,758 $278K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 3,491 3,342 $228K
11721 1.3% 10,679 8,531 $181K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 2,920 2,513 $172K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 9,031 8,332 $142K
179 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,197 $132K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,739 $129K
36415 Collection of venous blood by venipuncture <1% 40,528 $128K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 2,070 $123K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,263 $121K
99308 Subsequent nursing facility care, per day, straightforward <1% 3,256 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,832 $114K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,110 $96K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,891 $94K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,256 $91K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,035 $86K
99215 Doctor's office visit, returning patient (complex) <1% 745 $82K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 610 $75K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,969 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 877 $62K
90834 Psychotherapy session, about 45 minutes <1% 1,076 $58K
92588 <1% 5,592 $56K
90472 Immunization administration, each additional vaccine (list separately) <1% 5,215 $47K
92015 Determination of refractive state <1% 3,669 $44K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 10,052 $42K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 2,450 $40K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 704 $36K
96127 <1% 7,978 $35K
99232 Hospital visit by a doctor, follow-up day <1% 1,014 $30K
99239 Hospital discharge day management, more than 30 minutes <1% 607 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 282 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 10,816 $25K
80053 Comprehensive metabolic panel <1% 5,797 $24K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 155 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 1,511 $24K
96375 Therapeutic injection; each additional sequential IV push <1% 453 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 687 $19K
71046 Radiologic examination, chest; 2 views <1% 2,621 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,017 $17K
81514 <1% 123 $17K
80061 Lipid panel <1% 1,667 $15K
77067 Screening mammography, bilateral, including computer-aided detection <1% 691 $15K
83021 <1% 1,399 $14K
0002A <1% 673 $13K
80048 Basic metabolic panel (calcium, ionized) <1% 2,915 $13K
99188 <1% 997 $13K
0001A <1% 701 $13K
91320 <1% 179 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 500 $11K
90792 Psychiatric diagnostic evaluation with medical services <1% 82 $10K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 235 $10K
99348 <1% 165 $9K
71045 Radiologic examination, chest; single view <1% 796 $9K
99349 <1% 94 $9K
90480 <1% 362 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 503 $8K
99173 <1% 4,651 $8K
86769 <1% 355 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $7K
90837 Psychotherapy session, about an hour <1% 142 $7K
90686 <1% 3,184 $7K
70450 Computed tomography, head or brain; without contrast material <1% 383 $7K
62323 <1% 12 $7K
99307 <1% 389 $6K
99335 <1% 95 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 268 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 93 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 268 $5K
X5622 <1% 81 $5K
G0008 Administration of influenza virus vaccine <1% 331 $5K
0064A <1% 321 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 41 $5K
90677 <1% 55 $5K
99442 <1% 184 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 194 $4K
97803 <1% 138 $4K
90670 <1% 806 $4K
0004A <1% 186 $4K
0134A <1% 181 $4K
99222 Initial hospital care, per day, moderate complexity <1% 84 $4K
82728 <1% 261 $3K
99223 Prolong inpt eval add15 m <1% 27 $3K
90662 <1% 88 $3K
87205 <1% 450 $3K
0072A <1% 109 $3K
84443 Thyroid stimulating hormone (TSH) <1% 299 $3K
87808 <1% 302 $2K
99441 <1% 181 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 133 $2K
85610 <1% 1,170 $2K
0071A <1% 79 $2K
97597 <1% 60 $2K
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% 983 $2K
86140 <1% 294 $2K
90682 <1% 69 $2K
0124A <1% 80 $2K
87210 <1% 315 $2K
97161 <1% 33 $1K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 13 $1K
0054A <1% 48 $1K
92557 <1% 42 $1K
85027 <1% 198 $1K
90473 <1% 182 $1K
J7030 Infusion, normal saline solution , 1000 cc <1% 466 $1K
83605 <1% 336 $1K
80076 <1% 299 $881.52
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 45 $855.10
90656 <1% 246 $841.99
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 25 $839.55
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 75 $779.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 337 $766.10
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 14 $689.89
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $685.72
73030 <1% 30 $670.53
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 37 $668.33
86592 <1% 72 $594.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $581.79
99217 <1% 14 $511.49
J2704 Injection, propofol, 10 mg <1% 770 $509.18
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 27 $439.56
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician <1% 18 $403.03
99443 <1% 22 $384.96
88304 <1% 52 $383.86
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 33 $332.74
99490 Ccm add 20min <1% 76 $288.68
83735 <1% 267 $286.17
J3010 Injection, fentanyl citrate, 0.1 mg <1% 644 $285.32
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 368 $284.25
92567 <1% 49 $283.57
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $279.94
76830 Ultrasound, transvaginal <1% 12 $273.11
88142 <1% 38 $242.30
84145 <1% 35 $240.22
86780 <1% 13 $183.14
84484 <1% 62 $179.91
87631 <1% 12 $157.50
J7120 Ringers lactate infusion, up to 1000 cc <1% 103 $143.36
81000 <1% 133 $121.40
99406 <1% 14 $116.50
73630 <1% 51 $109.94
86703 <1% 13 $107.98
80305 <1% 12 $101.40
84703 <1% 16 $98.07
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) <1% 47 $95.51
73564 <1% 38 $89.96
82077 <1% 15 $87.34
87653 <1% 13 $86.60
87899 <1% 13 $82.63
73610 <1% 30 $71.23
81001 <1% 41 $62.92
85730 <1% 54 $59.14
82043 <1% 12 $54.30
J0690 Injection, cefazolin sodium, 500 mg <1% 49 $49.41
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 14 $49.13
83690 <1% 70 $45.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 474 $44.73
81025 <1% 14 $44.15
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 3,890 $24.11
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 50 $12.21
J1630 Injection, haloperidol, up to 5 mg <1% 26 $9.26
90648 <1% 800 $8.99
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15 $5.52
81002 <1% 13 $3.48
90723 <1% 191 $0.01
90680 <1% 161 $0.01
90633 <1% 176 $0.01
1111F 0% 1,467 $0.00
1123F 0% 27 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 58 $0.00
A4217 Sterile water/saline, 500 ml 0% 18 $0.00
90651 0% 54 $0.00
91319 0% 14 $0.00
2023F 0% 12 $0.00
0501F 0% 12 $0.00
86580 0% 15 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,201 $0.00
0502F 0% 1,275 $0.00
1124F 0% 127 $0.00
90734 0% 17 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 68 $0.00
99203 Doctor's office visit, new patient (routine) 0% 13 $0.00
90715 0% 13 $0.00
90685 0% 14 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 15 $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 officialSCHULTZ, RACHELLE (CEO)
Same official

Other billing entities under SCHULTZ, RACHELLE

Full network →
ProviderLocationPaid
Winona Health ServicesWinona, MN$1.00M

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