ST Clare Memorial Hospital, INC
ST Clare Memorial Hospital, INC was paid $26K by Medicaid between Mar 2023 and Apr 2023, across 26 billing codes. Its largest line is 87651, Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe — 24% of everything it billed.
OCONTO FALLS, WI 54154
Next to other Clinical Medical Laboratory providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 1,759 | $26K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 24% | 242 | 220 | $6K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 14% | 141 | 130 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 11% | 139 | 129 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.5% | 66 | 62 | $3K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 6.3% | 66 | 56 | $2K |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 4.3% | 75 | 65 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 3.2% | 50 | 42 | $831.44 |
| 86803 | 2.9% | 81 | 74 | $753.78 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 2.8% | 129 | 122 | $737.10 |
| 80061 | Lipid panel | 2.7% | 75 | 71 | $701.62 |
| 80053 | Comprehensive metabolic panel | 2.6% | 87 | 77 | $689.25 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.5% | 99 | 85 | $660.90 |
14 more codes
| 84443 | Thyroid stimulating hormone (TSH) | 2.5% | 52 | $646.48 |
| 86780 | 2.3% | 84 | $611.46 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.2% | 84 | $566.48 |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 58 | $376.23 |
| 84439 | <1% | 35 | $227.66 | |
| 87340 | <1% | 38 | $219.93 | |
| 87186 | <1% | 30 | $216.77 | |
| 87077 | <1% | 31 | $210.56 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 17 | $208.66 |
| 86038 | <1% | 16 | $135.91 | |
| 87088 | <1% | 15 | $105.66 | |
| 83735 | <1% | 14 | $88.24 | |
| 82043 | <1% | 14 | $76.07 | |
| 82570 | <1% | 21 | $68.17 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.