Clinic
Baldwin Area Medical Center, INC.
Baldwin Area Medical Center, INC. was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoBALDWIN AREA MEDICAL CENTER, INC.
BALDWIN, WI 54002
BALDWIN, WI 54002
33aNPI1336228865assigned 11/03/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.36M
24GClaims36,481
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#6 of 84
Median peer was paid$117K
This provider vs. median12×
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 | 4,529 | $156K | |
| 2019 | 5,031 | $177K | |
| 2020 | 3,671 | $141K | |
| 2021 | 5,469 | $202K | |
| 2022 | 5,924 | $228K | |
| 2023 | 6,312 | $227K | |
| 2024incomplete | 5,545 | $227K |
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 | 37% | 14,844 | 12,931 | $499K |
| 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 | 28% | 7,785 | 6,751 | $380K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 3,802 | 2,177 | $177K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 889 | 768 | $56K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.5% | 1,093 | 1,018 | $47K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 715 | 399 | $47K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.4% | 803 | 739 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 480 | 443 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 300 | 296 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 729 | 662 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 707 | 678 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 103 | 94 | $5K |
23 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 297 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 187 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 75 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 100 | $3K |
| 92015 | Determination of refractive state | <1% | 341 | $3K |
| 99173 | <1% | 111 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 64 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $1K |
| 92551 | <1% | 58 | $883.35 | |
| 90686 | <1% | 177 | $776.95 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $696.75 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $682.98 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $580.69 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 26 | $543.25 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $365.51 |
| 90785 | <1% | 18 | $136.90 | |
| 90677 | <1% | 12 | $15.00 | |
| 90670 | <1% | 69 | $10.26 | |
| 90647 | <1% | 25 | $3.31 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,430 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 480 | $0.00 |
| 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) | 0% | 667 | $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 officialPEDERSON, EILIDH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Baldwin Area Medical Center, INC. | Baldwin, WI | $3.09M |
| Baldwin Area Medical Center, INC. | Roberts, WI | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.