Clinic
Baldwin Area Medical Center, INC.
Baldwin Area Medical Center, INC. was paid $34K by Medicaid between Oct 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoBALDWIN AREA MEDICAL CENTER, INC.
ROBERTS, WI 54023
ROBERTS, WI 54023
33aNPI1447759428assigned 02/06/2018
33bProvider typeRural Health Clinic/Center
28Total paid$34K
24GClaims1,062
24DCodes billed6
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#53 of 84
Median peer was paid$117K
This provider vs. median0.3×
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 | 47 | $1K | |
| 2019 | 170 | $4K | |
| 2020 | 98 | $3K | |
| 2022 | 102 | $2K | |
| 2023 | 545 | $19K | |
| 2024incomplete | 100 | $5K |
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 | 43% | 365 | 287 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 357 | 312 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 197 | 91 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 107 | 77 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 21 | 15 | $337.12 |
| 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% | 15 | 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 officialPEDERSON, EILIDH (CEO)
Parent organizationBALDWIN AREA MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Baldwin Area Medical Center, INC. | Baldwin, WI | $3.09M |
| Baldwin Area Medical Center, INC. | Baldwin, WI | $1.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.