Agency
City of Eau Claire
City of Eau Claire was paid $802K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 35% of everything it billed.
33Billing provider infoCITY OF EAU CLAIRE
EAU CLAIRE, WI 54703
EAU CLAIRE, WI 54703
33aNPI1740263326assigned 11/28/2005
33bProvider typePublic Health or Welfare Agency
28Total paid$802K
24GClaims22,090
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Wisconsin
Rank by total paid#13 of 67
Median peer was paid$52K
This provider vs. median15×
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 | 4,586 | $150K | |
| 2019 | 5,034 | $127K | |
| 2020 | 2,440 | $81K | |
| 2021 | 2,604 | $113K | |
| 2022 | 2,521 | $106K | |
| 2023 | 3,082 | $131K | |
| 2024incomplete | 1,823 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 35% | 3,402 | 2,340 | $277K |
| H1010 | Non-medical family planning education, per session | 33% | 3,692 | 3,028 | $263K |
| T1016 | Case management, each 15 minutes | 13% | 1,238 | 1,216 | $104K |
| H1000 | Prenatal care, at-risk assessment | 6.5% | 1,060 | 1,046 | $52K |
| A4267 | Contraceptive supply, condom, male, each | 4.1% | 2,156 | 1,783 | $33K |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | 3.1% | 1,029 | 581 | $25K |
| 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 | 1.3% | 272 | 245 | $11K |
| 99000 | 1.1% | 2,790 | 2,386 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 799 | 732 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 203 | 192 | $7K |
| 83655 | <1% | 523 | 507 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 456 | 368 | $4K |
13 more codes
| A4268 | Contraceptive supply, condom, female, each | <1% | 169 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 63 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $849.85 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 87 | $596.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 13 | $477.36 |
| 81025 | <1% | 41 | $353.01 | |
| 99201 | <1% | 14 | $265.20 | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 13 | $257.76 |
| 81002 | <1% | 77 | $247.08 | |
| 36416 | <1% | 155 | $57.57 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,435 | $0.00 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 884 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,501 | $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 officialTHOUNE, RICHARD (DIRECTOR)