Clinic
Columbia ST Mary's Hospital Ozaukee, INC.
Columbia ST Mary's Hospital Ozaukee, INC. was paid $807K by Medicaid between Jan 2018 and Mar 2022, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoCOLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.
MEQUON, WI 53097
MEQUON, WI 53097
33aNPI1376582775assigned 06/05/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$807K
24GClaims33,928
24DCodes billed33
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#18 of 40
Median peer was paid$333K
This provider vs. median2.4×
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 | 10,074 | $255K | |
| 2019 | 8,907 | $199K | |
| 2020 | 5,921 | $150K | |
| 2021 | 8,227 | $181K | |
| 2022 | 799 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 18,470 | 14,234 | $566K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 7,108 | 5,838 | $161K |
| 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 | 2.8% | 241 | 218 | $22K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 2.0% | 637 | 588 | $16K |
| 99000 | 1.2% | 3,305 | 2,892 | $10K | |
| 80305 | <1% | 603 | 453 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 101 | 97 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 243 | 95 | $4K |
| 90686 | <1% | 620 | 571 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 56 | 40 | $2K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 84 | 42 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 91 | 78 | $2K |
21 more codes
| 80053 | Comprehensive metabolic panel | <1% | 166 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 156 | $1K |
| 93000 | <1% | 108 | $1K | |
| 90674 | <1% | 97 | $802.04 | |
| 0002A | <1% | 23 | $791.00 | |
| 0001A | <1% | 32 | $741.69 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $656.86 |
| 11721 | <1% | 62 | $506.61 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 28 | $479.92 |
| 80061 | Lipid panel | <1% | 30 | $353.29 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 287 | $123.95 |
| 3008F | <1% | 19 | $120.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 32 | $115.20 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $105.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,004 | $87.60 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 20 | $54.38 |
| 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 | <1% | 141 | $0.36 |
| 91300 | <1% | 56 | $0.11 | |
| 91301 | <1% | 16 | $0.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 53 | $0.00 |
| 90461 | 0% | 12 | $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 officialHANSELMAN, MATTHEW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Columbia ST Mary's Hospital Ozaukee, INC. | Mequon, WI | $2.10M |
| Columbia ST Mary's Hospital Ozaukee, INC. | Mequon, WI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.