Clinic
ST. Croix Regional Medical Center
ST. Croix Regional Medical Center was paid $958K by Medicaid between Feb 2019 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoST. CROIX REGIONAL MEDICAL CENTER
SAINT CROIX FALLS, WI 54024
SAINT CROIX FALLS, WI 54024
33aNPI1669988861assigned 12/26/2017
33bProvider typeRural Health Clinic/Center
28Total paid$958K
24GClaims23,813
24DCodes billed25
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#13 of 84
Median peer was paid$117K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 2,965 | $118K | |
| 2020 | 3,924 | $151K | |
| 2021 | 4,459 | $172K | |
| 2022 | 4,180 | $177K | |
| 2023 | 4,394 | $165K | |
| 2024incomplete | 3,891 | $174K |
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% | 8,707 | 7,531 | $444K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 9,476 | 8,418 | $334K |
| 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 | 7.5% | 1,042 | 956 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 365 | 349 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 376 | 334 | $21K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.8% | 832 | 750 | $18K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 195 | 123 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 433 | 408 | $10K |
| 99441 | <1% | 644 | 579 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 59 | 53 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 51 | 49 | $3K |
| 90686 | <1% | 252 | 236 | $2K |
13 more codes
| 99442 | <1% | 83 | $2K | |
| 64615 | <1% | 16 | $1K | |
| V5266 | Battery for use in hearing device | <1% | 91 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $895.72 |
| 95886 | <1% | 25 | $879.20 | |
| 20553 | <1% | 17 | $670.66 | |
| 0011A | <1% | 15 | $513.02 | |
| 0012A | <1% | 12 | $457.92 | |
| 64405 | <1% | 16 | $403.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 911 | $5.27 |
| 91301 | <1% | 65 | $1.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 28 | $0.00 |
| 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) | 0% | 87 | $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 officialYOUSO, MIKE (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST. Croix Regional Medical Center | Saint Croix Falls, WI | $7.03M |
| ST. Croix Regional Medical Center | Webster, WI | $387K |
| ST. Croix Regional Medical Center | Balsam Lake, WI | $311K |
| ST. Croix Regional Medical Center | Frederic, WI | $267K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.