Hospital
Edgerton Hospital and Health Services
Edgerton Hospital and Health Services was paid $3K by Medicaid between Apr 2018 and Sep 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoEDGERTON HOSPITAL AND HEALTH SERVICES
MILTON, WI 53563
MILTON, WI 53563
33aNPI1326192261assigned 01/22/2007
33bProvider typeCritical Access Hospital
28Total paid$3K
24GClaims128
24DCodes billed3
24AFirst – last monthApr 2018 – Sep 2023
Compared with peers
Next to other Critical Access Hospital providers in Wisconsin
Rank by total paid#46 of 48
Median peer was paid$4.30M
This provider vs. median0.0×
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 | 13 | $361.60 | |
| 2019 | 54 | $1K | |
| 2020 | 47 | $1K | |
| 2023 | 14 | $656.63 |
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 | 81% | 99 | 91 | $3K |
| 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 | 19% | 14 | 12 | $656.63 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | 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 officialROEDER, CHARLES (CFO)
Parent organizationEDGERTON HOSPITAL AND HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| Edgerton Hospital and Health Services INC | Edgerton, WI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.