Clinic
Reedsburg Area Medical Center, INC.
Reedsburg Area Medical Center, INC. was paid $1.95M by Medicaid between Oct 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoREEDSBURG AREA MEDICAL CENTER, INC.
REEDSBURG, WI 53959
REEDSBURG, WI 53959
33aNPI1326550906assigned 11/03/2017
33bProvider typeRural Health Clinic/Center
28Total paid$1.95M
24GClaims51,327
24DCodes billed39
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#4 of 84
Median peer was paid$117K
This provider vs. median17×
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 | 1,838 | $54K | |
| 2019 | 6,717 | $209K | |
| 2020 | 6,655 | $218K | |
| 2021 | 8,211 | $308K | |
| 2022 | 9,402 | $334K | |
| 2023 | 9,950 | $356K | |
| 2024incomplete | 8,554 | $467K |
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 | 48% | 27,528 | 25,022 | $940K |
| 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 | 37% | 13,214 | 11,812 | $719K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 739 | 458 | $44K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 587 | 427 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 659 | 639 | $39K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.6% | 798 | 792 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 429 | 419 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 134 | 113 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 644 | 602 | $14K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 150 | 111 | $14K |
| 3008F | <1% | 1,362 | 1,308 | $13K | |
| 90686 | <1% | 1,112 | 1,048 | $12K |
27 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 166 | $10K |
| 90836 | <1% | 64 | $5K | |
| 99307 | <1% | 163 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 48 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 62 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $1K |
| 90670 | <1% | 279 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 763 | $1K |
| 90671 | <1% | 85 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 62 | $1K |
| 92551 | <1% | 97 | $1K | |
| 90656 | <1% | 55 | $974.32 | |
| 90647 | <1% | 168 | $956.05 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $935.19 |
| 90723 | <1% | 165 | $760.30 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $548.82 |
| 90785 | <1% | 56 | $509.63 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 165 | $476.64 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $469.20 |
| 99173 | <1% | 13 | $211.33 | |
| 90633 | <1% | 44 | $205.85 | |
| 90710 | <1% | 24 | $204.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $161.98 |
| 90680 | <1% | 42 | $129.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,110 | $117.70 |
| 90698 | <1% | 33 | $89.37 | |
| 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% | 233 | $49.74 |
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 officialWESTERMAN, JOLENE (DIRECTOR OF CLINIC SERVICES)