Physician
Sacred Heart Hospital of the Hospital Sisters- 3RD Order of ST Francis
Sacred Heart Hospital of the Hospital Sisters- 3RD Order of ST Francis was paid $4.62M by Medicaid between Jan 2018 and Jun 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS
EAU CLAIRE, WI 54701
EAU CLAIRE, WI 54701
33aNPI1619355351assigned 05/14/2015
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$4.62M
24GClaims161,301
24DCodes billed94
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Wisconsin
Rank by total paid#1 of 8
Median peer was paid$2K
This provider vs. median1,868×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ALLEN, PATRICIA controls 18+ related entities in our dataset. Read more
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 | 15,825 | $382K | |
| 2019 | 20,988 | $550K | |
| 2020 | 21,070 | $562K | |
| 2021 | 30,079 | $822K | |
| 2022 | 29,149 | $918K | |
| 2023 | 36,352 | $1.06M | |
| 2024incomplete | 7,838 | $333K |
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 | 25% | 44,580 | 38,347 | $1.16M |
| 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% | 19,888 | 16,361 | $736K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 11% | 10,177 | 4,243 | $530K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.2% | 18,436 | 7,930 | $331K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 5,738 | 3,313 | $288K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.3% | 5,460 | 4,590 | $246K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.2% | 5,058 | 1,848 | $193K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.8% | 2,070 | 1,310 | $175K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.2% | 5,698 | 4,782 | $146K |
| 80305 | 2.0% | 12,079 | 6,934 | $93K | |
| 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% | 1,935 | 1,706 | $83K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.8% | 3,631 | 1,499 | $83K |
82 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.4% | 4,962 | $66K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 1,824 | $53K |
| 99223 | Prolong inpt eval add15 m | <1% | 767 | $41K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 827 | $41K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,243 | $36K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 449 | $33K |
| 0002A | <1% | 791 | $24K | |
| 0001A | <1% | 878 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,655 | $22K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 413 | $22K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 237 | $21K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 420 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 395 | $15K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 134 | $11K |
| 90686 | <1% | 984 | $10K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 154 | $10K |
| 0004A | <1% | 258 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 147 | $9K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 402 | $9K |
| 99221 | <1% | 172 | $8K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 372 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 328 | $5K |
| 0012A | <1% | 145 | $5K | |
| 0011A | <1% | 188 | $5K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 213 | $4K |
| 20610 | <1% | 108 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 30 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 289 | $3K |
| 99441 | <1% | 396 | $3K | |
| 0071A | <1% | 124 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 213 | $3K |
| 0124A | <1% | 81 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 481 | $2K |
| 91320 | <1% | 25 | $2K | |
| 0072A | <1% | 99 | $2K | |
| 0054A | <1% | 53 | $2K | |
| 92567 | <1% | 131 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $2K |
| 0031A | <1% | 54 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 41 | $1K |
| 80050 | General health panel | <1% | 31 | $1K |
| 86580 | <1% | 259 | $1K | |
| 80061 | Lipid panel | <1% | 117 | $1K |
| 90962 | <1% | 30 | $1K | |
| 90480 | <1% | 42 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 455 | $1K |
| 99442 | <1% | 80 | $988.15 | |
| 80053 | Comprehensive metabolic panel | <1% | 109 | $947.38 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $821.70 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $670.78 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 48 | $629.38 |
| 92557 | <1% | 32 | $606.19 | |
| V5266 | Battery for use in hearing device | <1% | 56 | $601.54 |
| 0064A | <1% | 23 | $542.26 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 68 | $487.91 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | $443.37 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 62 | $428.99 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 25 | $366.96 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 122 | $358.23 |
| 90961 | <1% | 13 | $281.13 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 107 | $238.55 |
| 87660 | <1% | 13 | $222.97 | |
| 87480 | <1% | 13 | $201.72 | |
| 87081 | <1% | 31 | $182.51 | |
| 87510 | <1% | 13 | $181.67 | |
| 93000 | <1% | 15 | $170.50 | |
| 85652 | <1% | 14 | $40.78 | |
| 90670 | <1% | 12 | $39.72 | |
| 90651 | <1% | 12 | $36.41 | |
| 81001 | <1% | 14 | $31.43 | |
| 91300 | <1% | 1,981 | $2.73 | |
| 91301 | <1% | 348 | $1.23 | |
| 91312 | 0% | 104 | $0.00 | |
| 99177 | 0% | 115 | $0.00 | |
| 91308 | 0% | 32 | $0.00 | |
| 91305 | 0% | 101 | $0.00 | |
| 91307 | 0% | 272 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 44 | $0.00 |
| 91303 | 0% | 54 | $0.00 | |
| 91306 | 0% | 23 | $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 officialALLEN, PATRICIA (CHIEF FINANCIAL OFFICER)
Parent organizationSACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.