Clinic
Door County Memorial Hospital
Door County Memorial Hospital was paid $17K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoDOOR COUNTY MEMORIAL HOSPITAL
SISTER BAY, WI 54234
SISTER BAY, WI 54234
33aNPI1508198961assigned 02/09/2010
33bProvider typeRural Health Clinic/Center
28Total paid$17K
24GClaims405
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#62 of 84
Median peer was paid$117K
This provider vs. median0.1×
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 | 42 | $1K | |
| 2020 | 26 | $976.85 | |
| 2021 | 101 | $4K | |
| 2022 | 127 | $6K | |
| 2023 | 53 | $2K | |
| 2024incomplete | 56 | $3K |
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 | 60% | 212 | 196 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 157 | 145 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.2% | 24 | 24 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 4.9% | 12 | 12 | $832.75 |
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 officialLALUZERNE, ANDREW (CFO)
| Provider | Location | Paid |
|---|---|---|
| Door County Memorial Hospital | Sturgeon Bay, WI | $7.48M |
| Door County Memorial Hospital | Sturgeon Bay, WI | $1.49M |
| Door County Memorial Hospital | Sturgeon Bay, WI | $1.02M |
| Door County Memorial Hospital | Algoma, WI | $12K |
| Door County Memorial Hospital | Sturgeon Bay, WI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.