Clinic
Cumberland HC Medical Clinic
Cumberland HC Medical Clinic was paid $216K by Medicaid between Jan 2018 and Dec 2022, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCUMBERLAND HC MEDICAL CLINIC
CUMBERLAND, WI 54829
CUMBERLAND, WI 54829
33aNPI1497148274assigned 03/18/2015
33bProvider typeRural Health Clinic/Center
28Total paid$216K
24GClaims7,418
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#30 of 84
Median peer was paid$117K
This provider vs. median1.8×
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 | 1,603 | $47K | |
| 2019 | 1,634 | $42K | |
| 2020 | 1,163 | $35K | |
| 2021 | 2,220 | $65K | |
| 2022 | 798 | $28K |
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 | 45% | 3,939 | 3,341 | $97K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 27% | 1,436 | 793 | $58K |
| 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 | 16% | 1,262 | 935 | $36K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.3% | 267 | 231 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 101 | 97 | $5K |
| 0002A | 1.8% | 113 | 113 | $4K | |
| 0001A | 1.3% | 113 | 111 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.0% | 97 | 43 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 23 | 22 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 33 | 24 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | 13 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | 16 | $561.45 |
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 officialDILLEY, EMILY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cumberland Memorial Hospital INC | Cumberland, WI | $1.59M |
| Cumberland Memorial Hospital INC | Turtle Lake, WI | $24K |
| Cumberland Memorial Hospital INC | Cumberland, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.