Agency
School District of Sheboygan Falls
School District of Sheboygan Falls was paid $693K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 50% of everything it billed.
33Billing provider infoSCHOOL DISTRICT OF SHEBOYGAN FALLS
SHEBOYGAN FALLS, WI 53085
SHEBOYGAN FALLS, WI 53085
33aNPI1649459181assigned 11/01/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$693K
24GClaims70,777
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Wisconsin
Rank by total paid#91 of 364
Median peer was paid$240K
This provider vs. median2.9×
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 | 9,243 | $94K | |
| 2019 | 8,848 | $95K | |
| 2020 | 4,799 | $55K | |
| 2021 | 9,997 | $103K | |
| 2022 | 13,813 | $132K | |
| 2023 | 14,751 | $127K | |
| 2024incomplete | 9,326 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 50% | 42,207 | 2,940 | $345K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 19% | 7,777 | 1,934 | $129K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 16% | 6,883 | 1,259 | $108K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 10% | 6,696 | 601 | $71K |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.3% | 5,471 | 1,536 | $30K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 1,310 | 352 | $6K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 433 | 249 | $5K |
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 officialBLAHA, MARY (BUSINESS MANAGER)