ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis

ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis was paid $14K by Medicaid between May 2018 and Feb 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
GREEN BAY, WI 54301

33aNPI1316991169assigned 05/19/2006

33bProvider typeInfectious Disease Physician

28Total paid$14K

24GClaims358

24DCodes billed3

24AFirst – last monthMay 2018 – Feb 2024

Compared with peers

Next to other Infectious Disease Physician providers in Wisconsin

Rank by total paid#14 of 23

Median peer was paid$32K

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	58	$3K
2020	12	$678.63
2021	113	$4K
2022	106	$3K
2023	36	$2K
2024incomplete	33	$2K

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	69%	271	229	$10K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	28%	59	49	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.9%	28	14	$412.22

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 officialSCIALDONE, MICHAEL (SVP CHIEF FINANCIAL OFFICER)

Parent organizationST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS