Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST CLARE MEMORIAL HOSPITAL, INC

NPI: 1467583096 · OCONTO FALLS, WI 54154 · Family Medicine Physician · NPI assigned 03/07/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ALLEN, PATRICIA controls 18+ related entities in our dataset. Read more

$43K
Total Medicaid Paid
1,228
Total Claims
1,150
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CFO)
Parent OrganizationST CLARE MEMORIAL HOSPITAL, INC
NPI Enumeration Date03/07/2007

Related Entities

Other providers sharing the same authorized official: ALLEN, PATRICIA

ProviderCityStateTotal Paid
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $58.07M
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $14.72M
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $9.09M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5.63M
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC TAVARES FL $5.52M
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $5.04M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS EAU CLAIRE WI $4.62M
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $2.63M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $1.15M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $996K
ABUNDANT LIFE NURSING LLC MOUNT DORA FL $307K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $287K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $63K
ST CLARE MEMORIAL HOSPITAL, INC LENA WI $44K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $26K
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $5K
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 247 $14K
2019 75 $3K
2020 178 $4K
2021 254 $7K
2022 294 $9K
2023 149 $6K
2024 31 $390.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99307 565 532 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 194 177 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 168 162 $4K
99308 Subsequent nursing facility care, per day, straightforward 85 78 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 13 $679.69