Three Oaks Health S.C.

Three Oaks Health S.C. was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoTHREE OAKS HEALTH S.C.
JOHNSON CREEK, WI 53038

33aNPI1760931026assigned 09/28/2016

33bProvider typeFamily Medicine Physician

28Total paid$118K

24GClaims5,534

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#68 of 359

Median peer was paid$4K

This provider vs. median30×

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	401	$7K
2019	320	$7K
2020	934	$15K
2021	1,174	$22K
2022	1,023	$21K
2023	1,296	$28K
2024incomplete	386	$18K

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	49%	2,801	2,349	$58K
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	44%	1,944	1,614	$52K
99349		4.7%	274	260	$6K
99335		<1%	91	85	$976.33
99348		<1%	67	64	$694.69
0002A		<1%	14	12	$362.06
90686		<1%	26	25	$193.53
99336		<1%	39	31	$165.32
90688		<1%	12	12	$73.51
36415	Collection of venous blood by venipuncture	<1%	266	224	$56.94

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 officialMILFORD, JAMES (PROVIDER)