Physician
ST Clare Memorial Hospital, INC
ST Clare Memorial Hospital, INC was paid $43K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99307, — 37% of everything it billed.
33Billing provider infoST CLARE MEMORIAL HOSPITAL, INC
OCONTO FALLS, WI 54154
OCONTO FALLS, WI 54154
33aNPI1467583096assigned 03/07/2007
33bProvider typeFamily Medicine Physician
28Total paid$43K
24GClaims1,228
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#100 of 359
Median peer was paid$4K
This provider vs. median11×
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 ALLEN, PATRICIA controls 18+ 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 | 247 | $14K | |
| 2019 | 75 | $3K | |
| 2020 | 178 | $4K | |
| 2021 | 254 | $7K | |
| 2022 | 294 | $9K | |
| 2023 | 149 | $6K | |
| 2024incomplete | 31 | $390.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99307 | 37% | 565 | 532 | $16K | |
| 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 | 27% | 194 | 177 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 203 | 188 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 9.9% | 168 | 162 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.8% | 85 | 78 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 13 | 13 | $679.69 |
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 officialALLEN, PATRICIA (CFO)
Parent organizationST CLARE MEMORIAL HOSPITAL, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.