Clinic
Cumberland Memorial Hospital INC
Cumberland Memorial Hospital INC was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 18% of everything it billed.
33Billing provider infoCUMBERLAND MEMORIAL HOSPITAL INC
CUMBERLAND, WI 54829
CUMBERLAND, WI 54829
33aNPI1831243757assigned 01/22/2007
33bProvider typeRural Health Clinic/Center
28Total paid$1.59M
24GClaims47,099
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#5 of 84
Median peer was paid$117K
This provider vs. median14×
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 | 3,420 | $103K | |
| 2019 | 4,797 | $149K | |
| 2020 | 4,340 | $115K | |
| 2021 | 6,958 | $261K | |
| 2022 | 8,344 | $346K | |
| 2023 | 10,490 | $273K | |
| 2024incomplete | 8,750 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 18% | 1,481 | 1,151 | $290K |
| 96361 | Intravenous infusion, hydration; each additional hour | 15% | 698 | 442 | $247K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 1,935 | 1,447 | $228K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 1,958 | 1,341 | $170K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 7.4% | 732 | 391 | $118K |
| 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 | 6.2% | 2,622 | 2,125 | $99K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5.4% | 4,433 | 1,234 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 4,915 | 2,817 | $75K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.1% | 751 | 603 | $66K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2.8% | 626 | 474 | $45K |
| 80053 | Comprehensive metabolic panel | 1.4% | 3,760 | 2,657 | $23K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.4% | 300 | 208 | $22K |
50 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 4,649 | $18K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 140 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 282 | $12K |
| 11043 | <1% | 34 | $9K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,266 | $8K |
| 84145 | <1% | 484 | $5K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 475 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 325 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 836 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 68 | $4K |
| 84484 | <1% | 536 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 121 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 325 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 376 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $3K |
| 86140 | <1% | 1,386 | $3K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 373 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 304 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 438 | $2K |
| A0425 | Ground mileage, per statute mile | <1% | 154 | $2K |
| 83735 | <1% | 608 | $2K | |
| 93041 | <1% | 720 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 661 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,042 | $1K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 30 | $969.54 |
| 85610 | <1% | 271 | $934.60 | |
| 97162 | <1% | 17 | $903.66 | |
| 80061 | Lipid panel | <1% | 120 | $880.37 |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 17 | $833.91 |
| 83605 | <1% | 206 | $799.61 | |
| A0390 | Als mileage (per mile) | <1% | 29 | $737.34 |
| 81015 | <1% | 636 | $705.28 | |
| 81003 | <1% | 354 | $434.12 | |
| 81001 | <1% | 298 | $382.19 | |
| 73630 | <1% | 19 | $360.03 | |
| 82550 | <1% | 53 | $170.50 | |
| 86756 | <1% | 45 | $161.65 | |
| 85730 | <1% | 68 | $140.20 | |
| 82553 | <1% | 31 | $138.56 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 500 | $132.43 |
| 71045 | Radiologic examination, chest; single view | <1% | 42 | $116.69 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 33 | $108.42 |
| 81007 | <1% | 51 | $108.30 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 50 | $73.64 |
| 83690 | <1% | 21 | $71.20 | |
| 83550 | <1% | 16 | $64.02 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 190 | $58.49 |
| 83540 | <1% | 16 | $48.45 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 115 | $13.20 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 45 | $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 officialDILLEY, EMILY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cumberland HC Medical Clinic | Cumberland, WI | $216K |
| Cumberland Memorial Hospital INC | Turtle Lake, WI | $24K |
| Cumberland Memorial Hospital INC | Cumberland, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.