Clinic
Ladd Memorial Hospital
Ladd Memorial Hospital was paid $464K by Medicaid between Apr 2019 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoLADD MEMORIAL HOSPITAL
OSCEOLA, WI 54020
OSCEOLA, WI 54020
33aNPI1801394549assigned 01/29/2018
33bProvider typeRural Health Clinic/Center
28Total paid$464K
24GClaims11,168
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#22 of 84
Median peer was paid$117K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2019 | 878 | $31K | |
| 2020 | 639 | $33K | |
| 2021 | 1,985 | $78K | |
| 2022 | 2,437 | $97K | |
| 2023 | 3,192 | $123K | |
| 2024incomplete | 2,037 | $104K |
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 | 52% | 7,016 | 6,047 | $240K |
| 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 | 47% | 3,945 | 3,375 | $217K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 59 | 52 | $4K |
| 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% | 14 | 12 | $749.15 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $731.76 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 40 | 39 | $524.21 |
| 90686 | <1% | 51 | 49 | $417.89 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | 14 | $79.23 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | 12 | $12.60 |
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 officialMACKEN-MARBLE, KELLY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Ladd Memorial Hospital | Osceola, WI | $1.21M |
| United Surgeons, LLC | Mishawaka, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.