Physician
Oconto Hospital & Medical Center INC
Oconto Hospital & Medical Center INC was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoOCONTO HOSPITAL & MEDICAL CENTER INC
MARINETTE, WI 54143
MARINETTE, WI 54143
33aNPI1528412673assigned 04/14/2016
33bProvider typeAllergy & Immunology Physician
28Total paid$4.19M
24GClaims164,292
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Wisconsin
Rank by total paid#4 of 11
Median peer was paid$26K
This provider vs. median159×
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 | 17,421 | $494K | |
| 2019 | 17,388 | $501K | |
| 2020 | 16,008 | $401K | |
| 2021 | 22,644 | $651K | |
| 2022 | 29,127 | $679K | |
| 2023 | 34,700 | $769K | |
| 2024incomplete | 27,004 | $696K |
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 | 32% | 24,614 | 22,294 | $1.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 27,780 | 25,253 | $938K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 21% | 35,169 | 29,423 | $878K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 1,362 | 1,335 | $116K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 1,971 | 1,916 | $101K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,984 | 1,871 | $89K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 1,455 | 1,416 | $76K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 766 | 741 | $71K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 1,289 | 1,238 | $68K |
| 80053 | Comprehensive metabolic panel | <1% | 4,102 | 3,747 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,414 | 2,227 | $34K |
| 3008F | <1% | 4,838 | 4,549 | $30K |
80 more codes
| 80061 | Lipid panel | <1% | 2,580 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 581 | $26K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 935 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,937 | $26K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 590 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,186 | $22K |
| 80050 | General health panel | <1% | 476 | $22K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 568 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,433 | $17K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 139 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 260 | $16K |
| 87428 | <1% | 445 | $16K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,086 | $14K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 501 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,445 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,083 | $11K |
| 0240U | <1% | 357 | $11K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 572 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 183 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 137 | $10K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 110 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 274 | $6K |
| 90686 | <1% | 1,164 | $6K | |
| 81001 | <1% | 1,616 | $4K | |
| 90677 | <1% | 109 | $4K | |
| 0012A | <1% | 105 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 77 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 149 | $4K |
| 87634 | <1% | 56 | $3K | |
| 0011A | <1% | 112 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,236 | $3K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 18 | $2K |
| 0064A | <1% | 74 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 155 | $2K |
| 84439 | <1% | 273 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 274 | $2K |
| 0001A | <1% | 47 | $2K | |
| 82728 | <1% | 161 | $2K | |
| 92567 | <1% | 115 | $2K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 73 | $1K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 20 | $1K |
| 85027 | <1% | 219 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $1K |
| 0002A | <1% | 32 | $1K | |
| 99243 | <1% | 13 | $913.06 | |
| 90670 | <1% | 515 | $906.92 | |
| 74018 | <1% | 89 | $902.61 | |
| 81025 | <1% | 115 | $852.93 | |
| 0072A | <1% | 37 | $805.92 | |
| 0071A | <1% | 31 | $765.48 | |
| 87210 | <1% | 143 | $749.59 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 137 | $595.89 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 251 | $567.81 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 21 | $500.74 |
| 92557 | <1% | 12 | $456.36 | |
| 86140 | <1% | 100 | $428.17 | |
| 73630 | <1% | 27 | $404.58 | |
| 90656 | <1% | 25 | $402.30 | |
| 90723 | <1% | 196 | $395.86 | |
| 90647 | <1% | 149 | $346.16 | |
| 87807 | <1% | 28 | $305.22 | |
| 90680 | <1% | 96 | $145.13 | |
| 85018 | <1% | 61 | $132.77 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 357 | $52.38 |
| 90674 | <1% | 23 | $49.65 | |
| 90633 | <1% | 16 | $46.72 | |
| 85007 | <1% | 14 | $45.82 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 124 | $22.22 |
| 3074F | <1% | 10,375 | $0.02 | |
| 3078F | <1% | 9,474 | $0.02 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 1,184 | $0.02 |
| 91307 | 0% | 115 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 99 | $0.00 |
| 3079F | 0% | 160 | $0.00 | |
| 91301 | 0% | 212 | $0.00 | |
| 91306 | 0% | 57 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 91305 | 0% | 12 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 96 | $0.00 |
| 91300 | 0% | 176 | $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 officialENGEBOSE, ABBY (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Bellin Memorial Hospital INC. | Green Bay, WI | $29.28M |
| Bellin Memorial Hospital INC | Green Bay, WI | $19.80M |
| Bellin Memorial Hospital INC | Algoma, WI | $249K |
| Bellin Memorial Hospital INC | Kewaunee, WI | $175K |
| Bellin Memorial Hospital INC | Brillion, WI | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.