Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

MCHS Hospitals INC

MCHS Hospitals INC was paid $2.90M by Medicaid between Jun 2020 and Dec 2024, across 164 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 11% of everything it billed.

33Billing provider infoMCHS HOSPITALS INC
MINOCQUA, WI 54548
33aNPI1376197665assigned 07/25/2019
28Total paid$2.90M
24GClaims125,592
24DCodes billed164
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#31 of 60
Median peer was paid$2.90M
This provider vs. median1.0×

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.

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20205,191$91K
202122,010$481K
202229,366$615K
202338,543$924K
2024incomplete30,482$792K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 3,817 3,382 $324K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 3,895 3,392 $322K
96361 Intravenous infusion, hydration; each additional hour 9.1% 2,073 1,493 $265K
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 7.3% 2,832 2,347 $211K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.3% 3,208 2,753 $184K
80053 Comprehensive metabolic panel 3.8% 6,345 5,134 $111K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.6% 1,529 1,145 $105K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.3% 1,480 1,344 $96K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3.2% 1,100 1,006 $92K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.9% 853 782 $85K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.7% 1,129 998 $78K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.5% 1,525 1,319 $74K
152 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 1,171 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 7,842 $58K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.8% 510 $52K
70450 Computed tomography, head or brain; without contrast material 1.4% 550 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.2% 217 $35K
81025 1.0% 1,314 $30K
80048 Basic metabolic panel (calcium, ionized) 1.0% 2,098 $30K
71046 Radiologic examination, chest; 2 views <1% 1,225 $28K
80061 Lipid panel <1% 1,492 $28K
84443 Thyroid stimulating hormone (TSH) <1% 977 $27K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 281 $24K
81001 <1% 3,996 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 552 $24K
84484 <1% 1,940 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 446 $21K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,485 $20K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 506 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 247 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 189 $15K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,264 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 441 $13K
99203 Doctor's office visit, new patient (routine) <1% 147 $13K
80050 General health panel <1% 928 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,038 $13K
82728 <1% 581 $13K
87634 <1% 218 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 268 $12K
87186 <1% 390 $11K
83605 <1% 875 $10K
82962 <1% 1,042 $10K
85027 <1% 1,176 $10K
99204 Doctor's office visit, new patient (more involved) <1% 190 $10K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 120 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,929 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,292 $9K
77067 Screening mammography, bilateral, including computer-aided detection <1% 335 $8K
85610 <1% 1,382 $8K
73630 <1% 575 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 71 $8K
83735 <1% 1,616 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 185 $7K
84145 <1% 234 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,291 $7K
83690 <1% 1,261 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 124 $6K
86803 <1% 319 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 137 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 69 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 113 $5K
86140 <1% 1,211 $5K
76801 <1% 81 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 60 $4K
88142 <1% 229 $4K
84153 <1% 192 $4K
83615 <1% 1,085 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,064 $4K
80306 <1% 123 $4K
86703 <1% 202 $3K
20610 <1% 32 $3K
82248 <1% 1,057 $3K
86780 <1% 213 $2K
84439 <1% 300 $2K
87040 <1% 215 $2K
59025 Fetal non-stress test <1% 37 $2K
85379 <1% 239 $2K
73610 <1% 113 $2K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 16 $2K
82607 <1% 109 $2K
74018 <1% 40 $2K
93976 <1% 75 $2K
83550 <1% 281 $2K
86850 <1% 391 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 15 $2K
83880 <1% 58 $2K
99215 Doctor's office visit, returning patient (complex) <1% 50 $2K
71045 Radiologic examination, chest; single view <1% 1,556 $2K
85730 <1% 385 $1K
73562 <1% 134 $1K
72100 <1% 71 $1K
83540 <1% 284 $1K
96375 Therapeutic injection; each additional sequential IV push <1% 2,216 $1K
73110 <1% 56 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 87 $1K
85018 <1% 27 $1K
76830 Ultrasound, transvaginal <1% 44 $1K
73030 <1% 180 $1K
81514 <1% 13 $1K
85652 <1% 471 $976.82
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 14 $916.20
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 13 $898.12
86618 <1% 65 $846.88
51798 <1% 65 $840.54
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $840.31
73564 <1% 17 $819.60
82570 <1% 128 $816.67
81003 <1% 28 $795.04
94010 <1% 48 $766.61
36415 Collection of venous blood by venipuncture <1% 10,549 $756.31
86900 <1% 357 $739.35
86901 <1% 357 $733.17
82077 <1% 60 $610.56
87340 <1% 72 $586.85
87077 <1% 96 $497.30
93922 <1% 13 $458.15
81513 <1% 14 $456.40
82950 <1% 45 $429.77
77063 Screening digital breast tomosynthesis, bilateral <1% 74 $423.64
82784 <1% 19 $413.76
36592 <1% 2,357 $394.63
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 15 $393.12
87481 <1% 14 $362.60
96376 <1% 420 $309.24
82565 <1% 13 $306.67
87468 <1% 14 $289.38
87469 <1% 14 $285.05
G0378 Hospital observation service, per hour <1% 71 $283.07
87484 <1% 14 $282.88
71250 <1% 14 $187.90
72125 Computed tomography, cervical spine; without contrast material <1% 12 $187.90
86762 <1% 13 $133.83
36591 <1% 59 $96.01
86787 <1% 14 $81.70
87070 <1% 15 $72.37
73130 <1% 24 $46.53
87205 <1% 16 $30.87
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 32 $28.88
J2704 Injection, propofol, 10 mg <1% 1,766 $2.21
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 866 $0.39
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 1,703 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 1,677 $0.00
J3490 Unclassified drugs 0% 998 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 418 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 33 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 24 $0.00
A9270 Non-covered item or service 0% 144 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 411 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 1,163 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 228 $0.00
94761 0% 185 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 781 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 15 $0.00
94760 0% 19 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 15 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 14 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 1,923 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 390 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 1,865 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 203 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 2,447 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 640 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 24 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 16 $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
Same official

Other billing entities under MUNSON, JOLYN

Full network →
ProviderLocationPaid
MCHS Hospitals INCMarshfield, WI$45.31M
Marshfield Clinic INCMarshfield, WI$19.61M
MCHS Hospitals INCEau Claire, WI$12.41M
MCHS Hospitals INCMarshfield, WI$11.82M
Beaver Dam Community Hospitals INCBeaver Dam, WI$10.58M
Dickinson County Healthcare SystemIron Mountain, MI$10.23M
MCHS Hospitals INCLadysmith, WI$7.36M
MCHS Hospitals INCWeston, WI$6.40M
MCHS Hospitals INCEau Claire, WI$4.14M
Dickinson County Healthcare SystemIron Mountain, MI$2.44M
Dickinson County Healthcare SystemIron Mountain, MI$2.29M
MCHS Hospitals INCWausau, WI$1.84M
MCHS Hospitals INCWeston, WI$1.22M
MCHS Hospitals INCMinocqua, WI$1.16M
MCHS Hospitals INCMarshfield, WI$988K
MCHS Hospitals INCLadysmith, WI$867K
Beaver Dam Community Hospitals INCBeaver Dam, WI$847K
Dickinson County Healthcare SystemIron Mountain, MI$648K
MCHS Hospitals INCMarshfield, WI$563K
MCHS Hospitals INCMinocqua, WI$338K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.