Physician
MCHS Hospitals INC
MCHS Hospitals INC was paid $4.14M by Medicaid between Mar 2019 and Dec 2024, across 143 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMCHS HOSPITALS INC
EAU CLAIRE, WI 54701
EAU CLAIRE, WI 54701
33aNPI1316416035assigned 11/26/2018
33bProvider typeAnesthesiology Physician
28Total paid$4.14M
24GClaims162,029
24DCodes billed143
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Wisconsin
Rank by total paid#3 of 39
Median peer was paid$10K
This provider vs. median410×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 26,795 | $608K | |
| 2020 | 29,273 | $702K | |
| 2021 | 35,175 | $866K | |
| 2022 | 29,668 | $671K | |
| 2023 | 25,035 | $649K | |
| 2024incomplete | 16,083 | $646K |
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 | 33% | 43,850 | 39,148 | $1.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 22,885 | 20,485 | $504K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.6% | 6,073 | 5,428 | $232K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 3,347 | 2,987 | $147K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 2,984 | 2,500 | $125K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.7% | 568 | 518 | $113K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.5% | 3,429 | 3,071 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 2,183 | 2,029 | $97K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.3% | 3,812 | 3,437 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 1,702 | 1,631 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.8% | 2,889 | 2,682 | $76K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.6% | 3,374 | 3,077 | $68K |
131 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 13,891 | $66K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 397 | $54K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 891 | $53K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 1,053 | $53K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 1,422 | $49K |
| 90791 | Psychiatric diagnostic evaluation | 1.1% | 438 | $47K |
| 96132 | 1.1% | 636 | $47K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 2,069 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,048 | $46K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.0% | 1,633 | $43K |
| 92015 | Determination of refractive state | 1.0% | 5,983 | $43K |
| 92557 | <1% | 1,237 | $32K | |
| 96139 | <1% | 383 | $29K | |
| 99243 | <1% | 541 | $27K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,267 | $26K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,758 | $25K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,797 | $24K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 412 | $17K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 261 | $17K |
| 92567 | <1% | 1,224 | $17K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 272 | $17K |
| 99205 | Prolong outpt/office vis | <1% | 290 | $17K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 268 | $16K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 358 | $15K |
| 73630 | <1% | 2,010 | $13K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 467 | $13K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 155 | $12K |
| 20610 | <1% | 410 | $12K | |
| 0002A | <1% | 296 | $11K | |
| 92341 | <1% | 553 | $10K | |
| 0001A | <1% | 271 | $10K | |
| 96138 | <1% | 510 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,562 | $9K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 151 | $9K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 136 | $9K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 306 | $9K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 357 | $8K |
| 3008F | <1% | 965 | $8K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 349 | $8K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 314 | $7K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,976 | $7K |
| 20611 | <1% | 199 | $7K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 180 | $7K |
| 94060 | <1% | 1,240 | $7K | |
| 73030 | <1% | 982 | $7K | |
| 73610 | <1% | 916 | $6K | |
| 73562 | <1% | 880 | $6K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 831 | $5K |
| 64483 | <1% | 57 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 149 | $5K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 135 | $5K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 93 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 395 | $4K |
| 92579 | <1% | 138 | $4K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 306 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 119 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 115 | $4K |
| 73130 | <1% | 513 | $3K | |
| 94729 | <1% | 1,250 | $3K | |
| 0003A | <1% | 94 | $3K | |
| 99443 | <1% | 305 | $3K | |
| 73502 | <1% | 525 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 154 | $3K |
| 72100 | <1% | 289 | $2K | |
| 74018 | <1% | 479 | $2K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 106 | $2K |
| 93976 | <1% | 45 | $2K | |
| 92133 | <1% | 208 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 67 | $2K |
| 72141 | <1% | 31 | $2K | |
| 96136 | <1% | 68 | $2K | |
| 64493 | <1% | 25 | $2K | |
| 96116 | <1% | 56 | $2K | |
| 93018 | <1% | 206 | $2K | |
| 76536 | <1% | 65 | $1K | |
| 99460 | <1% | 16 | $1K | |
| 73110 | <1% | 232 | $1K | |
| 90674 | <1% | 402 | $1K | |
| 11750 | <1% | 19 | $1K | |
| 92083 | <1% | 178 | $1K | |
| 94726 | <1% | 210 | $951.29 | |
| 73564 | <1% | 120 | $944.95 | |
| 99242 | <1% | 27 | $900.30 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 72 | $895.45 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 39 | $846.70 |
| 0011A | <1% | 34 | $837.58 | |
| 73221 | <1% | 16 | $803.37 | |
| 0012A | <1% | 19 | $714.36 | |
| 31575 | <1% | 13 | $714.22 | |
| 0064A | <1% | 19 | $710.92 | |
| 90677 | <1% | 43 | $689.20 | |
| 95811 | <1% | 13 | $683.57 | |
| 76642 | <1% | 27 | $638.17 | |
| 93227 | <1% | 39 | $539.13 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 39 | $523.17 |
| 90961 | <1% | 15 | $473.74 | |
| 97597 | <1% | 51 | $458.63 | |
| 64494 | <1% | 28 | $450.31 | |
| 95886 | <1% | 16 | $357.39 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 25 | $345.45 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | $309.38 |
| 95885 | <1% | 15 | $269.28 | |
| 76770 | <1% | 13 | $249.99 | |
| 73560 | <1% | 46 | $237.74 | |
| 93295 | <1% | 13 | $185.97 | |
| 90697 | <1% | 12 | $185.25 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $180.01 |
| 95251 | <1% | 14 | $168.11 | |
| 92588 | <1% | 13 | $146.99 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $143.78 |
| 73080 | <1% | 16 | $142.94 | |
| 69210 | <1% | 14 | $134.14 | |
| 99152 | <1% | 16 | $106.34 | |
| 93294 | <1% | 12 | $91.59 | |
| 72170 | <1% | 17 | $90.51 | |
| 92592 | <1% | 14 | $90.51 | |
| 72040 | <1% | 14 | $84.28 | |
| 73590 | <1% | 14 | $70.72 | |
| 93297 | <1% | 14 | $49.16 | |
| 92020 | <1% | 18 | $41.16 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 14 | $25.99 |
| 99441 | <1% | 12 | $21.54 | |
| 99442 | <1% | 41 | $6.82 | |
| 80053 | Comprehensive metabolic panel | 0% | 19 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 40 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 31 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 101 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 34 | $0.00 |
| 92310 | 0% | 26 | $0.00 | |
| 80061 | Lipid panel | 0% | 25 | $0.00 |
| 0124A | 0% | 12 | $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 officialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent organizationMARSHFIELD CLINIC HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| MCHS Hospitals INC | Marshfield, WI | $45.31M |
| Marshfield Clinic INC | Marshfield, WI | $19.61M |
| MCHS Hospitals INC | Eau Claire, WI | $12.41M |
| MCHS Hospitals INC | Marshfield, WI | $11.82M |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $10.58M |
| Dickinson County Healthcare System | Iron Mountain, MI | $10.23M |
| MCHS Hospitals INC | Ladysmith, WI | $7.36M |
| MCHS Hospitals INC | Weston, WI | $6.40M |
| MCHS Hospitals INC | Minocqua, WI | $2.90M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.44M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.29M |
| MCHS Hospitals INC | Wausau, WI | $1.84M |
| MCHS Hospitals INC | Weston, WI | $1.22M |
| MCHS Hospitals INC | Minocqua, WI | $1.16M |
| MCHS Hospitals INC | Marshfield, WI | $988K |
| MCHS Hospitals INC | Ladysmith, WI | $867K |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $847K |
| Dickinson County Healthcare System | Iron Mountain, MI | $648K |
| MCHS Hospitals INC | Marshfield, WI | $563K |
| MCHS Hospitals INC | Minocqua, WI | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.