Clinic
MCHS Hospitals INC
MCHS Hospitals INC was paid $1.16M by Medicaid between Oct 2020 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoMCHS HOSPITALS INC
MINOCQUA, WI 54548
MINOCQUA, WI 54548
33aNPI1750934493assigned 07/22/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.16M
24GClaims25,853
24DCodes billed39
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#7 of 84
Median peer was paid$117K
This provider vs. median9.9×
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 MUNSON, JOLYN controls 20+ 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 | |
|---|---|---|---|
| 2020 | 966 | $16K | |
| 2021 | 8,058 | $332K | |
| 2022 | 6,765 | $296K | |
| 2023 | 6,005 | $288K | |
| 2024incomplete | 4,059 | $229K |
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 | 36% | 6,980 | 6,053 | $419K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 7,354 | 6,476 | $287K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.3% | 906 | 805 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 1,454 | 1,330 | $80K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 1,377 | 1,324 | $79K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.6% | 883 | 520 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 494 | 478 | $29K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.1% | 1,496 | 934 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.6% | 150 | 124 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 167 | 150 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 217 | 213 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 265 | 249 | $11K |
27 more codes
| 92015 | Determination of refractive state | <1% | 944 | $8K |
| 0002A | <1% | 134 | $5K | |
| 3008F | <1% | 567 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 82 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 85 | $3K |
| 90674 | <1% | 435 | $3K | |
| 90670 | <1% | 552 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | $3K |
| 99243 | <1% | 46 | $2K | |
| 94010 | <1% | 165 | $2K | |
| 0001A | <1% | 66 | $1K | |
| 90677 | <1% | 82 | $1K | |
| 90661 | <1% | 45 | $799.73 | |
| 90680 | <1% | 126 | $678.04 | |
| 90633 | <1% | 86 | $646.54 | |
| 0031A | <1% | 17 | $541.87 | |
| 90686 | <1% | 169 | $522.24 | |
| 90651 | <1% | 52 | $499.51 | |
| 99459 | <1% | 20 | $205.79 | |
| 90698 | <1% | 52 | $155.33 | |
| 90710 | <1% | 14 | $37.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 42 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 110 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 39 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 17 | $0.00 |
| 90715 | 0% | 12 | $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 officialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent organizationMARSHFIELD CLINIC HEALTH SYSTEM INC
| Provider | Location | Paid |
|---|---|---|
| MCHS Hospitals INC | Marshfield, WI | $45.31M |
| Marshfield Clinic INC | Marshfield, WI | $19.61M |
| MCHS Hospitals INC | Eau Claire, WI | $12.41M |
| MCHS Hospitals INC | Marshfield, WI | $11.82M |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $10.58M |
| Dickinson County Healthcare System | Iron Mountain, MI | $10.23M |
| MCHS Hospitals INC | Ladysmith, WI | $7.36M |
| MCHS Hospitals INC | Weston, WI | $6.40M |
| MCHS Hospitals INC | Eau Claire, WI | $4.14M |
| MCHS Hospitals INC | Minocqua, WI | $2.90M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.44M |
| Dickinson County Healthcare System | Iron Mountain, MI | $2.29M |
| MCHS Hospitals INC | Wausau, WI | $1.84M |
| MCHS Hospitals INC | Weston, WI | $1.22M |
| MCHS Hospitals INC | Marshfield, WI | $988K |
| MCHS Hospitals INC | Ladysmith, WI | $867K |
| Beaver Dam Community Hospitals INC | Beaver Dam, WI | $847K |
| Dickinson County Healthcare System | Iron Mountain, MI | $648K |
| MCHS Hospitals INC | Marshfield, WI | $563K |
| MCHS Hospitals INC | Minocqua, WI | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.