Stoughton Hospital Association

Stoughton Hospital Association was paid $8.94M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoSTOUGHTON HOSPITAL ASSOCIATION
STOUGHTON, WI 53589

33aNPI1679558647assigned 12/13/2005

33bProvider typePsychiatric Hospital

28Total paid$8.94M

24GClaims154,487

24DCodes billed103

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric Hospital providers in Wisconsin

Rank by total paid#1 of 7

Median peer was paid$111K

This provider vs. median81×

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	17,034	$748K
2019	18,693	$860K
2020	17,472	$997K
2021	23,975	$1.31M
2022	25,663	$1.43M
2023	30,046	$2.17M
2024incomplete	21,604	$1.43M

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	26%	18,174	14,664	$2.30M
96361	Intravenous infusion, hydration; each additional hour	12%	2,950	2,118	$1.11M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	7,345	6,154	$1.10M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	8.4%	5,144	3,683	$753K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.6%	3,188	2,375	$415K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	3.5%	1,636	1,197	$314K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	1,662	1,455	$309K
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	3.3%	2,129	1,596	$298K
41899	Unlisted procedure, dentoalveolar structures	3.3%	294	231	$294K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	3.2%	1,918	1,489	$290K
74177	Computed tomography, abdomen and pelvis; with contrast material	2.9%	1,047	921	$257K
70450	Computed tomography, head or brain; without contrast material	2.2%	895	771	$194K

91 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.6%	728	$143K
95810	Polysomnography; sleep staging with 4 or more additional parameters	1.5%	170	$137K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.1%	1,247	$97K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.1%	3,116	$97K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	2,115	$87K
87631		<1%	877	$82K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	741	$74K
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%	1,459	$73K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	3,545	$53K
80053	Comprehensive metabolic panel	<1%	6,251	$50K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	420	$39K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	7,785	$39K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	101	$27K
87430		<1%	960	$26K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	504	$20K
U0005	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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	1,287	$19K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	492	$18K
84484		<1%	2,924	$18K
80048	Basic metabolic panel (calcium, ionized)	<1%	2,672	$16K
81025		<1%	2,090	$16K
83690		<1%	3,001	$14K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,499	$13K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	35	$12K
71046	Radiologic examination, chest; 2 views	<1%	1,591	$10K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	26	$10K
81001		<1%	3,644	$9K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	46	$9K
95806		<1%	40	$8K
83735		<1%	2,066	$8K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	3,459	$7K
87400		<1%	763	$7K
87086	Culture, bacterial; quantitative colony count, urine	<1%	1,250	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,652	$7K
71045	Radiologic examination, chest; single view	<1%	2,130	$5K
81003		<1%	1,819	$4K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	136	$4K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	136	$4K
82077		<1%	503	$3K
71275	Computed tomographic angiography, chest, with contrast material	<1%	17	$3K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	3,797	$3K
96375	Therapeutic injection; each additional sequential IV push	<1%	2,823	$3K
83605		<1%	430	$2K
87481		<1%	80	$2K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	81	$2K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	123	$2K
80306		<1%	147	$2K
87077		<1%	359	$2K
85610		<1%	633	$2K
85379		<1%	300	$2K
84703		<1%	294	$2K
85027		<1%	328	$1K
83880		<1%	106	$1K
36415	Collection of venous blood by venipuncture	<1%	6,177	$1K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	70	$913.96
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	3,334	$868.57
84443	Thyroid stimulating hormone (TSH)	<1%	110	$853.36
J7030	Infusion, normal saline solution , 1000 cc	<1%	4,005	$804.57
87186		<1%	132	$653.55
73610		<1%	75	$643.45
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	36	$621.96
87040		<1%	108	$603.66
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	53	$353.43
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	24	$351.42
84145		<1%	30	$255.37
87808		<1%	17	$221.20
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,478	$215.70
87420		<1%	16	$212.22
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	1,936	$208.44
80143		<1%	13	$180.08
87905		<1%	17	$176.82
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	710	$149.45
J7050	Infusion, normal saline solution, 250 cc	<1%	3,616	$130.75
96376		<1%	646	$119.99
73030		<1%	14	$110.01
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	3,595	$99.58
J2704	Injection, propofol, 10 mg	<1%	1,607	$92.43
J2060	Injection, lorazepam, 2 mg	<1%	360	$91.80
86140		<1%	21	$80.25
87220		<1%	19	$66.15
J7120	Ringers lactate infusion, up to 1000 cc	<1%	1,848	$58.46
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	1,617	$40.48
J1170	Injection, hydromorphone, up to 4 mg	<1%	630	$32.57
00170	Anesthesia for intraoral procedures, including biopsy	<1%	282	$30.60
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	338	$21.12
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	35	$9.13
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	61	$2.47
73110		0%	16	$0.00
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	0%	47	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	180	$0.00
G0378	Hospital observation service, per hour	0%	18	$0.00
J0131	Injection, acetaminophen, not otherwise specified,10 mg	0%	16	$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 officialDEGROOT, DANIEL (PRESIDENT)