NPI: 1376541748 · CHILTON, WI 53014 · Critical Access Hospital · NPI assigned 07/11/2005
Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | MCCULLOUGH, MICHAEL (CFO) |
| NPI Enumeration Date | 07/11/2005 |
Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,721 | $324K |
| 2019 | 17,602 | $341K |
| 2020 | 13,110 | $375K |
| 2021 | 15,250 | $476K |
| 2022 | 16,820 | $736K |
| 2023 | 18,555 | $878K |
| 2024 | 9,007 | $651K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 6,591 | 4,917 | $1.04M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 4,792 | 3,353 | $598K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11,669 | 7,363 | $418K |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2,894 | 1,770 | $416K |
| 96361 | Intravenous infusion, hydration; each additional hour | 921 | 521 | $303K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,634 | 4,648 | $271K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 859 | 670 | $118K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,244 | 1,006 | $65K |
| 80053 | Comprehensive metabolic panel | 6,253 | 4,324 | $54K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1,630 | 1,277 | $36K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 601 | 481 | $36K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 562 | 443 | $35K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 782 | 240 | $32K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5,676 | 3,868 | $24K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 631 | 513 | $23K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 703 | 541 | $21K |
| 84443 | Thyroid stimulating hormone (TSH) | 1,952 | 1,479 | $21K |
| 80061 | Lipid panel | 1,964 | 1,600 | $18K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2,485 | 1,749 | $16K |
| 80306 | 1,480 | 1,078 | $16K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 93 | 62 | $15K |
| 87634 | 357 | 276 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 969 | 804 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 784 | 596 | $14K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2,508 | 1,682 | $13K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 49 | 36 | $11K |
| 81001 | 3,536 | 2,514 | $11K | |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 207 | 129 | $10K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1,541 | 1,087 | $9K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 678 | 558 | $9K |
| 71046 | Radiologic examination, chest; 2 views | 516 | 397 | $9K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 577 | 456 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,434 | 1,141 | $8K |
| 87631 | 52 | 44 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 43 | 25 | $5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 71 | 56 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 705 | 544 | $4K |
| 84484 | 778 | 458 | $4K | |
| 85027 | 1,233 | 838 | $4K | |
| 99001 | 739 | 605 | $4K | |
| 99215 | Prolong outpt/office vis | 43 | 34 | $4K |
| 85610 | 1,984 | 1,037 | $3K | |
| 90686 | 181 | 149 | $3K | |
| A0380 | Bls mileage (per mile) | 73 | 56 | $3K |
| 87081 | 359 | 297 | $3K | |
| 99152 | 108 | 70 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | 873 | 545 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 128 | 100 | $2K |
| 36415 | Collection of venous blood by venipuncture | 11,424 | 7,500 | $2K |
| 76000 | 263 | 152 | $2K | |
| 83690 | 370 | 266 | $2K | |
| G0008 | Administration of influenza virus vaccine | 72 | 58 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 64 | 52 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 91 | 75 | $1K |
| 83735 | 384 | 271 | $1K | |
| 81025 | 209 | 158 | $1K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 69 | 25 | $1K |
| 99406 | 199 | 101 | $1K | |
| 71045 | Radiologic examination, chest; single view | 661 | 444 | $814.42 |
| 85007 | 362 | 269 | $761.07 | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 35 | 32 | $739.00 |
| 86140 | 249 | 169 | $723.29 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 18 | 13 | $528.52 |
| 93793 | 1,095 | 233 | $468.88 | |
| 85379 | 79 | 54 | $374.44 | |
| 83605 | 56 | 39 | $316.67 | |
| 85730 | 47 | 40 | $171.94 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 155 | 107 | $155.47 |
| 87186 | 34 | 28 | $135.38 | |
| 82077 | 16 | 12 | $115.30 | |
| 82728 | 18 | 12 | $113.32 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 208 | 158 | $92.91 |
| 90674 | 21 | 18 | $73.64 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 1,009 | 671 | $65.39 |
| 87077 | 16 | 14 | $58.42 | |
| 82043 | 14 | 12 | $32.89 | |
| A0425 | Ground mileage, per statute mile | 405 | 239 | $31.65 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 471 | 221 | $26.39 |
| 82962 | 18 | 12 | $23.62 | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 537 | 241 | $21.93 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 446 | 290 | $4.52 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 54 | 31 | $1.66 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 107 | 61 | $1.14 |
| A9270 | Non-covered item or service | 1,819 | 1,225 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 28 | 24 | $0.00 |