Clinic
Divine Savior Healthcare, INC.
Divine Savior Healthcare, INC. was paid $717K by Medicaid between Oct 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoDIVINE SAVIOR HEALTHCARE, INC.
PORTAGE, WI 53901
PORTAGE, WI 53901
33aNPI1386154417assigned 10/03/2017
33bProvider typeRural Health Clinic/Center
28Total paid$717K
24GClaims20,108
24DCodes billed28
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#15 of 84
Median peer was paid$117K
This provider vs. median6.1×
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 YANG, JERRY controls 20+ related entities in our dataset. Read more
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 | 195 | $0.00 | |
| 2019 | 835 | $37K | |
| 2020 | 988 | $48K | |
| 2021 | 4,578 | $131K | |
| 2022 | 4,844 | $162K | |
| 2023 | 4,564 | $158K | |
| 2024incomplete | 4,104 | $181K |
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 | 44% | 6,456 | 5,722 | $316K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 8,689 | 7,593 | $285K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 524 | 477 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 450 | 437 | $26K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.0% | 1,263 | 1,128 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 144 | 141 | $8K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.0% | 281 | 253 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 144 | 137 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 72 | 72 | $5K |
| 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% | 63 | 60 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 39 | $2K |
| 0012A | <1% | 62 | 61 | $2K |
16 more codes
| 90686 | <1% | 231 | $2K | |
| 99307 | <1% | 50 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 117 | $1K |
| 90670 | <1% | 228 | $965.95 | |
| 99000 | <1% | 188 | $623.49 | |
| Q3014 | Telehealth originating site facility fee | <1% | 79 | $550.64 |
| 0011A | <1% | 14 | $534.24 | |
| 98926 | <1% | 16 | $467.12 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 18 | $432.42 |
| 90723 | <1% | 100 | $321.41 | |
| 90633 | <1% | 25 | $220.02 | |
| 90647 | <1% | 61 | $188.67 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $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% | 676 | $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 officialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Parent organizationDIVINE SAVIOR HEALTHCARE, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.