Physician
Beloit Health System INC
Beloit Health System INC was paid $4.88M by Medicaid between Jan 2018 and Dec 2024, across 124 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoBELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
BELOIT, WI 53511
33aNPI1679616361assigned 02/14/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$4.88M
24GClaims187,150
24DCodes billed124
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Wisconsin
Rank by total paid#1 of 21
Median peer was paid$3K
This provider vs. median1,522×
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 | 32,046 | $709K | |
| 2019 | 29,419 | $683K | |
| 2020 | 25,805 | $647K | |
| 2021 | 26,712 | $653K | |
| 2022 | 27,319 | $775K | |
| 2023 | 28,307 | $780K | |
| 2024incomplete | 17,542 | $630K |
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 | 31% | 65,035 | 54,009 | $1.52M |
| 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 | 30% | 45,561 | 38,471 | $1.44M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 5,767 | 5,063 | $304K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 4,446 | 4,191 | $249K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.9% | 1,084 | 939 | $141K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 2,137 | 2,020 | $119K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 1,689 | 880 | $106K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.6% | 655 | 553 | $80K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.4% | 1,704 | 580 | $67K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 5,470 | 2,229 | $55K |
| 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 | 1.1% | 1,069 | 965 | $54K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.0% | 679 | 624 | $50K |
112 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,683 | $49K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,902 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,396 | $44K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,357 | $38K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,052 | $35K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 150 | $35K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 931 | $33K |
| 99223 | Prolong inpt eval add15 m | <1% | 892 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 502 | $28K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,412 | $26K |
| 90648 | <1% | 3,991 | $21K | |
| 76881 | <1% | 434 | $17K | |
| 90723 | <1% | 3,088 | $16K | |
| 90670 | <1% | 3,835 | $15K | |
| 99173 | <1% | 778 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 320 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 248 | $12K |
| 90686 | <1% | 2,314 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 365 | $11K |
| 59025 | Fetal non-stress test | <1% | 365 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 594 | $11K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 90 | $11K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 578 | $10K |
| 90633 | <1% | 2,125 | $10K | |
| 92015 | Determination of refractive state | <1% | 1,753 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 360 | $9K |
| 90677 | <1% | 670 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 431 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 198 | $7K |
| 99350 | Prolong home eval add 15m | <1% | 146 | $7K |
| 73630 | <1% | 649 | $6K | |
| 95115 | <1% | 1,736 | $6K | |
| 90681 | <1% | 1,151 | $5K | |
| 92134 | <1% | 451 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 106 | $5K |
| 99460 | <1% | 41 | $4K | |
| 11720 | <1% | 734 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,237 | $4K |
| 90688 | <1% | 460 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 342 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 332 | $2K |
| 20610 | <1% | 70 | $2K | |
| 17000 | <1% | 214 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 35 | $2K |
| 59426 | <1% | 25 | $2K | |
| 93971 | <1% | 121 | $2K | |
| 99384 | <1% | 25 | $2K | |
| 90649 | <1% | 331 | $1K | |
| 31575 | <1% | 22 | $1K | |
| 90710 | <1% | 309 | $1K | |
| 90698 | <1% | 447 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $1K |
| 11721 | <1% | 123 | $1K | |
| 3008F | <1% | 176 | $1K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 33 | $1K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 15 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 43 | $960.28 |
| 99385 | <1% | 17 | $936.05 | |
| 93018 | <1% | 104 | $927.66 | |
| 99442 | <1% | 57 | $923.55 | |
| 69210 | <1% | 179 | $912.72 | |
| 99243 | <1% | 19 | $897.56 | |
| 93458 | <1% | 13 | $885.70 | |
| 93016 | <1% | 61 | $805.75 | |
| 99383 | <1% | 17 | $753.11 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 94 | $737.27 |
| 99349 | <1% | 44 | $707.19 | |
| 94060 | <1% | 100 | $698.51 | |
| 20611 | <1% | 19 | $678.66 | |
| 90685 | <1% | 242 | $673.94 | |
| 95251 | <1% | 54 | $669.80 | |
| 90734 | <1% | 98 | $654.76 | |
| 90733 | <1% | 27 | $627.18 | |
| 31231 | <1% | 13 | $600.55 | |
| 90696 | <1% | 153 | $577.21 | |
| 82948 | <1% | 540 | $561.95 | |
| 17110 | <1% | 118 | $542.81 | |
| 90715 | <1% | 63 | $540.23 | |
| 99219 | <1% | 16 | $531.66 | |
| 90687 | <1% | 199 | $523.59 | |
| 91321 | <1% | 26 | $479.20 | |
| 0111A | <1% | 12 | $459.83 | |
| 90744 | <1% | 130 | $438.43 | |
| 96127 | <1% | 126 | $435.12 | |
| 73564 | <1% | 38 | $415.55 | |
| 90656 | <1% | 138 | $404.09 | |
| 94726 | <1% | 67 | $397.68 | |
| 95819 | <1% | 12 | $383.56 | |
| 90707 | <1% | 109 | $379.05 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $373.26 |
| 90716 | <1% | 113 | $356.81 | |
| 99152 | <1% | 15 | $323.82 | |
| 92504 | <1% | 17 | $322.56 | |
| 94729 | <1% | 66 | $280.31 | |
| 99443 | <1% | 14 | $221.41 | |
| 90700 | <1% | 67 | $216.09 | |
| 92567 | <1% | 13 | $194.13 | |
| 93308 | <1% | 14 | $186.98 | |
| 92083 | <1% | 12 | $160.42 | |
| 73030 | <1% | 17 | $136.57 | |
| 73562 | <1% | 21 | $101.53 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 39 | $93.94 |
| 99441 | <1% | 19 | $87.12 | |
| 93793 | <1% | 23 | $77.17 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 24 | $58.80 |
| 93321 | <1% | 13 | $43.67 | |
| 87210 | <1% | 28 | $34.06 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 56 | $33.64 |
| 93325 | <1% | 15 | $24.11 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 22 | $9.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 76 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 51 | $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 officialHOWEN, ALEATHA (DIRECTOR OF REVENUE CYCLE)
Parent organizationBELOIT HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| Beloit Health System INC | Beloit, WI | $22.72M |
| Beloit Health System INC | Beloit, WI | $2.01M |
| Beloit Health System INC | Beloit, WI | $0.00 |
| Beloit Health System INC | Roscoe, IL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.