The Monroe Clinic, INC.
The Monroe Clinic, INC. was paid $37K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoTHE MONROE CLINIC, INC.
MONROE, WI 53566
MONROE, WI 53566
33aNPI1386720548assigned 10/31/2006
33bProvider typeSpecialist
28Total paid$37K
24GClaims3,662
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#12 of 37
Median peer was paid$19K
This provider vs. median2.0×
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.
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 | 1,098 | $5K | |
| 2019 | 555 | $5K | |
| 2020 | 420 | $4K | |
| 2021 | 646 | $5K | |
| 2022 | 463 | $7K | |
| 2023 | 436 | $9K | |
| 2024incomplete | 44 | $3K |
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 | 31% | 639 | 596 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 672 | 595 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.4% | 117 | 111 | $3K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 8.8% | 67 | 67 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.4% | 234 | 196 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.8% | 1,162 | 986 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.8% | 114 | 112 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 125 | 114 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.7% | 14 | 12 | $1K |
| 0001A | 2.3% | 22 | 21 | $839.52 | |
| 0002A | 2.3% | 22 | 22 | $839.52 | |
| 90961 | 1.3% | 14 | 14 | $491.96 |
4 more codes
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 officialCURRAN-MEULI, JANE (PRESIDENT)
Parent organizationTHE MONROE CLINIC, INC.