Clinic
Tri-County Memorial Hospital, INC.
Tri-County Memorial Hospital, INC. was paid $200K by Medicaid between Jan 2018 and Sep 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTRI-COUNTY MEMORIAL HOSPITAL, INC.
WHITEHALL, WI 54773
WHITEHALL, WI 54773
33aNPI1417201864assigned 11/07/2012
33bProvider typeRural Health Clinic/Center
28Total paid$200K
24GClaims5,648
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#34 of 84
Median peer was paid$117K
This provider vs. median1.7×
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 | 1,026 | $41K | |
| 2019 | 976 | $37K | |
| 2020 | 780 | $26K | |
| 2021 | 1,982 | $56K | |
| 2022 | 819 | $37K | |
| 2023 | 65 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 3,132 | 2,675 | $110K |
| 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 | 23% | 854 | 700 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 15% | 408 | 396 | $30K |
| 0012A | 2.4% | 142 | 139 | $5K | |
| 0011A | 1.7% | 149 | 141 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.2% | 171 | 153 | $2K |
| 0002A | 1.1% | 58 | 57 | $2K | |
| 90686 | <1% | 127 | 124 | $946.61 | |
| 0001A | <1% | 25 | 25 | $915.84 | |
| 90688 | <1% | 30 | 29 | $330.19 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 44 | 41 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 99 | 97 | $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 officialSCHLEICH, ROXANE (CFO, REGIONAL)
Parent organizationTRI-COUNTY MEMORIAL HOSPITAL, INC.
| Provider | Location | Paid |
|---|---|---|
| Tri-County Memorial Hospital, INC. | Whitehall, WI | $4.13M |
| Tri-County Memorial Hospital, INC. | Blair, WI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.