Clinic
Agnesian Healthcare INC
Agnesian Healthcare INC was paid $2.25M by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 67% of everything it billed.
33Billing provider infoAGNESIAN HEALTHCARE INC
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
33aNPI1760902191assigned 06/27/2017
28Total paid$2.25M
24GClaims48,959
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin
Rank by total paid#18 of 108
Median peer was paid$332K
This provider vs. median6.8×
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 | 20,152 | $410K | |
| 2019 | 4,793 | $456K | |
| 2020 | 5,798 | $317K | |
| 2021 | 5,561 | $397K | |
| 2022 | 2,693 | $144K | |
| 2023 | 8,048 | $413K | |
| 2024incomplete | 1,914 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 67% | 25,126 | 1,330 | $1.52M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 14% | 3,659 | 573 | $325K |
| 0365T | 10.0% | 7,273 | 324 | $224K | |
| 0369T | 4.6% | 2,358 | 274 | $103K | |
| 0364T | 1.8% | 7,712 | 326 | $40K | |
| 0368T | 1.7% | 2,669 | 277 | $38K | |
| 0370T | <1% | 140 | 39 | $4K | |
| 97156 | 0% | 22 | 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 officialMINERATH, JOSEPH (SYSTEM DIRECTOR - GOV'T REIMB.)
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care of Wisconsin, INC. | Madison, WI | $14.70M |
| SSM Health Care of Wisconsin INC | Baraboo, WI | $9.78M |
| SSM Health Care of Wisconsin, INC. | Janesville, WI | $8.37M |
| SSM Health Care of Wisconsin, INC | Madison, WI | $6.40M |
| Ripon Medical Center INC | Ripon, WI | $4.30M |
| SSM Health Care of Wisconsin INC | Janesville, WI | $1.03M |
| Agnesian Healthcare INC | Fond Du Lac, WI | $172K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.