Flambeau Hospital INC
Flambeau Hospital INC was paid $421K by Medicaid between Jun 2021 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
PARK FALLS, WI 54552
Next to other Rural Health Clinic/Center 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 | |
|---|---|---|---|
| 2021 | 1,595 | $58K | |
| 2022 | 2,880 | $133K | |
| 2023 | 2,332 | $129K | |
| 2024incomplete | 1,450 | $101K |
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 | 60% | 4,132 | 3,671 | $252K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,915 | 2,587 | $117K |
| 99310 | Prolong nursin fac eval 15m | 7.5% | 282 | 266 | $31K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 138 | 74 | $9K |
| 90674 | <1% | 283 | 252 | $4K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 73 | 65 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | 87 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $665.14 |
| 92015 | Determination of refractive state | <1% | 65 | 63 | $582.86 |
| 0002A | <1% | 15 | 14 | $497.99 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | 12 | $213.14 |
| 3008F | <1% | 12 | 12 | $120.00 |
1 more codes
| G0008 | Administration of influenza virus vaccine | 0% | 219 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $9.98M |
| Flambeau Hospital INC | Park Falls, WI | $6.99M |
| Memorial Hospital INC | Neillsville, WI | $4.01M |
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $2.24M |
| Lakeview Medical Center INC of Rice Lake | Rice Lake, WI | $1.64M |
| MCHS Hospitals INC | Stevens Point, WI | $906K |
| Dickinson County Healthcare System | Iron Mountain, MI | $564K |
| Memorial Hospital INC | Colby, WI | $477K |
| Memorial Hospital INC | Neillsville, WI | $457K |
| Dickinson County Healthcare System | Marquette, MI | $108K |
| MCHS Hospitals INC | Stevens Point, WI | $100K |
| Flambeau Hospital INC | Phillips, WI | $85K |
| Lakeview Medical Center INC of Rice Lake | Hayward, WI | $62K |
| MCHS Hospitals, INC. | Plover, WI | $60K |
| Lakeview Medical Center INC of Rice Lake | Cumberland, WI | $49K |
| Memorial Hospital INC | Greenwood, WI | $26K |
| Marshfield Clinic INC | Marshfield, WI | $9K |
| MCHS Hospitals INC | Chippewa Falls, WI | $5K |
| MCHS Hospitals INC | Wausau, WI | $5K |
| Memorial Hospital INC | Stratford, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.