ST. CROIX REGIONAL MEDICAL CENTER
NPI: 1851652374
· WEBSTER, WI 54893
· Rural Health Clinic/Center
· NPI assigned 05/31/2012
$387K
Total Medicaid Paid
Provider Details
| Authorized Official | YOUSO, MIKE (CFO) |
| NPI Enumeration Date | 05/31/2012 |
Related Entities
Other providers sharing the same authorized official: YOUSO, MIKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
625 |
$25K |
| 2019 |
3,028 |
$94K |
| 2020 |
1,935 |
$60K |
| 2021 |
1,802 |
$54K |
| 2022 |
1,461 |
$53K |
| 2023 |
1,337 |
$45K |
| 2024 |
1,228 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,999 |
5,162 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,588 |
3,071 |
$177K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
185 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
35 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
81 |
$2K |
| 0012A |
|
54 |
54 |
$2K |
| 0011A |
|
52 |
51 |
$1K |
| 99441 |
|
129 |
107 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$962.26 |
| 87081 |
|
138 |
130 |
$852.28 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
27 |
$752.03 |
| 90686 |
|
72 |
71 |
$685.54 |
| 99442 |
|
15 |
14 |
$273.78 |
| 36415 |
Collection of venous blood by venipuncture |
776 |
673 |
$65.06 |
| 91301 |
|
128 |
118 |
$0.80 |