Physician
Grant Regional Health Center, INC
Grant Regional Health Center, INC was paid $141K by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoGRANT REGIONAL HEALTH CENTER, INC
LANCASTER, WI 53813
LANCASTER, WI 53813
33aNPI1518339480assigned 10/30/2015
33bProvider typeFamily Medicine Physician
28Total paid$141K
24GClaims6,053
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#61 of 359
Median peer was paid$4K
This provider vs. median36×
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 | 1,454 | $34K | |
| 2019 | 1,868 | $40K | |
| 2020 | 1,038 | $25K | |
| 2021 | 1,693 | $42K |
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 | 73% | 4,471 | 3,935 | $102K |
| 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 | 19% | 838 | 745 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 54 | 41 | $3K |
| 90686 | 1.9% | 313 | 281 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 133 | 126 | $3K |
| 0012A | 1.3% | 54 | 51 | $2K | |
| 0011A | 1.1% | 60 | 57 | $2K | |
| 0001A | <1% | 18 | 16 | $572.40 | |
| 99000 | <1% | 58 | 50 | $148.96 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | 12 | $69.66 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | 29 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 12 | 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 officialBANDY, DAWN (CFO)