Clinic
ST. Croix Regional Medical Center
ST. Croix Regional Medical Center was paid $267K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoST. CROIX REGIONAL MEDICAL CENTER
FREDERIC, WI 54837
FREDERIC, WI 54837
33aNPI1811256126assigned 05/07/2012
33bProvider typeRural Health Clinic/Center
28Total paid$267K
24GClaims6,957
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#27 of 84
Median peer was paid$117K
This provider vs. median2.3×
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 | 621 | $29K | |
| 2019 | 794 | $30K | |
| 2020 | 905 | $35K | |
| 2021 | 928 | $32K | |
| 2022 | 1,211 | $43K | |
| 2023 | 1,340 | $46K | |
| 2024incomplete | 1,158 | $53K |
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 | 52% | 2,747 | 2,411 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 3,007 | 2,719 | $107K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.0% | 438 | 374 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 26 | 18 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 18 | 12 | $1K |
| 0012A | <1% | 26 | 25 | $801.36 | |
| 0011A | <1% | 24 | 23 | $725.04 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 13 | 13 | $370.60 |
| 99441 | <1% | 39 | 36 | $359.37 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $195.84 |
| 99173 | <1% | 14 | 14 | $180.00 | |
| 90686 | <1% | 13 | 13 | $115.63 |
3 more codes
| 91301 | <1% | 78 | $0.10 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 106 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 395 | $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 officialYOUSO, MIKE (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST. Croix Regional Medical Center | Saint Croix Falls, WI | $7.03M |
| ST. Croix Regional Medical Center | Saint Croix Falls, WI | $958K |
| ST. Croix Regional Medical Center | Webster, WI | $387K |
| ST. Croix Regional Medical Center | Balsam Lake, WI | $311K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.