Agnesian Healthcare INC
Agnesian Healthcare INC was paid $7.40M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoAGNESIAN HEALTHCARE INC
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
33aNPI1730162991assigned 11/22/2005
33bProvider typeOptometrist
28Total paid$7.40M
24GClaims299,024
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#1 of 412
Median peer was paid$7K
This provider vs. median1,129×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GRINNELL, AMY controls 11+ related entities in our dataset. Read more
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 | 40,054 | $995K | |
| 2019 | 35,609 | $897K | |
| 2020 | 35,174 | $786K | |
| 2021 | 53,112 | $1.18M | |
| 2022 | 51,378 | $1.22M | |
| 2023 | 50,032 | $1.17M | |
| 2024incomplete | 33,665 | $1.15M |
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 | 32% | 90,318 | 80,308 | $2.36M |
| 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 | 20% | 45,061 | 39,579 | $1.47M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.2% | 14,840 | 13,713 | $460K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.0% | 12,875 | 7,487 | $367K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 5,233 | 4,921 | $293K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 3.3% | 13,940 | 7,283 | $246K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 4,164 | 4,041 | $244K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 2.7% | 2,513 | 2,380 | $197K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.2% | 26,978 | 22,029 | $164K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 1,558 | 1,283 | $129K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.4% | 4,598 | 4,225 | $106K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 1,468 | 1,395 | $84K |
110 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 4,312 | $80K |
| 11721 | <1% | 4,022 | $71K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,918 | $68K |
| 99285 | Emergency room visit (most serious) | <1% | 2,017 | $67K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 4,554 | $64K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,976 | $59K |
| 3008F | <1% | 6,881 | $57K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,458 | $55K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,112 | $45K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 757 | $41K |
| 90677 | <1% | 680 | $34K | |
| 90686 | <1% | 5,242 | $32K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 876 | $32K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,648 | $31K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 326 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 845 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 498 | $26K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 523 | $26K |
| 90837 | Psychotherapy session, about an hour | <1% | 624 | $24K |
| 0012A | <1% | 585 | $20K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,885 | $20K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 406 | $18K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 120 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 565 | $17K |
| 0011A | <1% | 584 | $17K | |
| 90723 | <1% | 2,291 | $17K | |
| 92015 | Determination of refractive state | <1% | 2,567 | $16K |
| 90647 | <1% | 2,131 | $16K | |
| 90670 | <1% | 3,104 | $16K | |
| 93000 | <1% | 1,657 | $14K | |
| 99223 | Prolong inpt eval add15 m | <1% | 349 | $13K |
| 99305 | <1% | 560 | $13K | |
| 90680 | <1% | 1,724 | $13K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 380 | $12K |
| 99243 | <1% | 195 | $12K | |
| V5266 | Battery for use in hearing device | <1% | 968 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 436 | $10K |
| 0002A | <1% | 261 | $9K | |
| 98940 | <1% | 758 | $9K | |
| 31231 | <1% | 206 | $8K | |
| 0001A | <1% | 205 | $7K | |
| 95886 | <1% | 131 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 302 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 114 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 308 | $6K |
| 0064A | <1% | 308 | $6K | |
| 99460 | <1% | 71 | $5K | |
| 94726 | <1% | 857 | $5K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 13 | $4K |
| 92551 | <1% | 323 | $4K | |
| 99173 | <1% | 238 | $4K | |
| 99219 | <1% | 110 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,263 | $4K |
| 94729 | <1% | 854 | $3K | |
| 92504 | <1% | 177 | $3K | |
| 0031A | <1% | 87 | $3K | |
| 94060 | <1% | 369 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 83 | $3K |
| 90633 | <1% | 420 | $2K | |
| 0004A | <1% | 68 | $2K | |
| 20610 | <1% | 57 | $2K | |
| 90656 | <1% | 117 | $2K | |
| 90961 | <1% | 21 | $2K | |
| 0072A | <1% | 87 | $2K | |
| 93016 | <1% | 113 | $1K | |
| 69210 | <1% | 140 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 50 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 54 | $1K |
| 31575 | <1% | 12 | $1K | |
| 00126 | <1% | 24 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 93018 | <1% | 113 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 18 | $955.08 |
| 59025 | Fetal non-stress test | <1% | 40 | $878.95 |
| 0071A | <1% | 60 | $867.22 | |
| 75574 | <1% | 14 | $844.98 | |
| 17110 | <1% | 39 | $828.66 | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 13 | $822.04 |
| L3260 | Surgical boot/shoe, each | <1% | 45 | $720.62 |
| 95816 | <1% | 13 | $688.36 | |
| 99000 | <1% | 191 | $682.92 | |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 17 | $681.81 |
| 90836 | <1% | 18 | $637.91 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 120 | $586.49 |
| 90651 | <1% | 110 | $564.33 | |
| 99221 | <1% | 17 | $523.02 | |
| 0052A | <1% | 19 | $499.90 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $490.89 |
| 93295 | <1% | 24 | $472.49 | |
| 90480 | <1% | 15 | $463.65 | |
| 73630 | <1% | 42 | $414.17 | |
| 92567 | <1% | 26 | $355.62 | |
| 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) | <1% | 506 | $292.06 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 106 | $272.10 |
| 51798 | <1% | 48 | $262.44 | |
| 99152 | <1% | 15 | $256.91 | |
| 90700 | <1% | 26 | $228.86 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 568 | $206.70 |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | <1% | 16 | $205.60 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 34 | $188.67 |
| 90734 | <1% | 12 | $185.25 | |
| 90716 | <1% | 12 | $180.75 | |
| 90707 | <1% | 12 | $180.75 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | $179.94 |
| 93308 | <1% | 14 | $120.22 | |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $104.59 |
| 99441 | <1% | 23 | $77.31 | |
| 90710 | <1% | 26 | $70.36 | |
| 94010 | <1% | 15 | $64.27 | |
| G0008 | Administration of influenza virus vaccine | 0% | 61 | $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 officialGRINNELL, AMY (VP-FINANCE, CFO)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.