Clinic
Southwest Health Center, INC.
Southwest Health Center, INC. was paid $2.29M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoSOUTHWEST HEALTH CENTER, INC.
PLATTEVILLE, WI 53818
PLATTEVILLE, WI 53818
33aNPI1669871620assigned 08/15/2014
33bProvider typeRural Health Clinic/Center
28Total paid$2.29M
24GClaims60,933
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#2 of 84
Median peer was paid$117K
This provider vs. median19×
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 | 8,684 | $293K | |
| 2019 | 8,736 | $290K | |
| 2020 | 7,101 | $239K | |
| 2021 | 9,332 | $336K | |
| 2022 | 10,119 | $407K | |
| 2023 | 9,582 | $370K | |
| 2024incomplete | 7,379 | $353K |
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 | 46% | 20,378 | 17,777 | $1.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 25,536 | 22,166 | $914K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.6% | 1,341 | 1,248 | $82K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 3,253 | 2,918 | $65K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 608 | 394 | $62K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 860 | 525 | $48K |
| 92015 | Determination of refractive state | <1% | 2,942 | 2,656 | $19K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 445 | 385 | $9K |
| 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 | <1% | 93 | 81 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 170 | 111 | $7K |
| 90686 | <1% | 454 | 434 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | 40 | $4K |
14 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 41 | $2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 173 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 185 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 23 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $805.42 |
| 87430 | <1% | 61 | $773.39 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $762.45 |
| 92341 | <1% | 30 | $700.50 | |
| 0012A | <1% | 16 | $610.56 | |
| 92134 | <1% | 37 | $598.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,727 | $335.13 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 29 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 28 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 429 | $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 officialSOOKOCHOFF, JESSE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southwest Health Center, INC | Platteville, WI | $8.29M |
| Southwest Health Center, INC. | Platteville, WI | $34K |
| Southwest Health Center, INC. | Kieler, WI | $27K |
| Southwest Health Center, INC. | Lancaster, WI | $21K |
| Southwest Health Center, INC. | Darlington, WI | $13K |
| Southwest Health Center, INC | Kieler, WI | $4K |
| Southwest Health Center INC | Platteville, WI | $340.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.