Hospital
Sauk Prairie Healthcare INC
Sauk Prairie Healthcare INC was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 13% of everything it billed.
33Billing provider infoSAUK PRAIRIE HEALTHCARE INC
PRAIRIE DU SAC, WI 53578
PRAIRIE DU SAC, WI 53578
33aNPI1861466153assigned 02/14/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.79M
24GClaims125,572
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Wisconsin
Rank by total paid#32 of 60
Median peer was paid$2.90M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 13,329 | $309K | |
| 2019 | 13,091 | $309K | |
| 2020 | 13,107 | $299K | |
| 2021 | 21,061 | $415K | |
| 2022 | 21,437 | $460K | |
| 2023 | 25,341 | $525K | |
| 2024incomplete | 18,206 | $472K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 5,448 | 4,824 | $363K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,760 | 5,167 | $323K |
| 96361 | Intravenous infusion, hydration; each additional hour | 11% | 2,850 | 2,181 | $301K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.1% | 3,940 | 3,465 | $199K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.8% | 3,673 | 3,146 | $161K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.6% | 2,578 | 2,265 | $155K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 3,273 | 2,887 | $155K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.1% | 2,248 | 1,777 | $143K |
| 80053 | Comprehensive metabolic panel | 4.4% | 5,778 | 4,710 | $122K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.1% | 924 | 797 | $85K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.9% | 1,864 | 1,591 | $81K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.1% | 1,351 | 1,219 | $60K |
93 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 1,398 | $56K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.6% | 2,027 | $44K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 6,296 | $34K |
| 81001 | 1.2% | 3,510 | $34K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.2% | 480 | $33K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.2% | 558 | $32K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 495 | $27K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 473 | $26K |
| 84703 | <1% | 2,450 | $25K | |
| 87081 | <1% | 762 | $25K | |
| 87088 | <1% | 3,419 | $24K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 671 | $22K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 796 | $19K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 175 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 264 | $15K |
| 82962 | <1% | 1,447 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 889 | $15K |
| 81003 | <1% | 1,923 | $15K | |
| 84484 | <1% | 1,851 | $14K | |
| 83605 | <1% | 1,176 | $10K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,508 | $9K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 64 | $9K |
| 82948 | <1% | 511 | $9K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,401 | $8K |
| 83690 | <1% | 1,652 | $8K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 205 | $8K |
| 85027 | <1% | 1,585 | $7K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 89 | $7K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 105 | $6K |
| 87186 | <1% | 808 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,722 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 383 | $4K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 12 | $4K |
| 87077 | <1% | 787 | $4K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 78 | $4K |
| 83735 | <1% | 955 | $4K | |
| 80306 | <1% | 249 | $3K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 43 | $3K |
| 85610 | <1% | 752 | $3K | |
| 73610 | <1% | 559 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 55 | $2K |
| 88720 | <1% | 26 | $2K | |
| 85379 | <1% | 364 | $2K | |
| 84145 | <1% | 118 | $2K | |
| 73630 | <1% | 320 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 3,020 | $1K |
| 83880 | <1% | 62 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,993 | $1K |
| 0012A | <1% | 53 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,296 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 26 | $989.44 |
| 0011A | <1% | 52 | $956.82 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 152 | $841.75 |
| 71045 | Radiologic examination, chest; single view | <1% | 1,124 | $840.78 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 95 | $780.41 |
| G0382 | Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) | <1% | 58 | $778.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,787 | $687.61 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 43 | $671.76 |
| 86140 | <1% | 67 | $473.83 | |
| 85730 | <1% | 109 | $397.44 | |
| 80320 | <1% | 155 | $380.71 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,264 | $340.05 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 73 | $324.82 |
| G0381 | Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) | <1% | 13 | $259.73 |
| 0064A | <1% | 23 | $180.48 | |
| 29799 | <1% | 16 | $127.32 | |
| 73502 | <1% | 80 | $125.94 | |
| 80061 | Lipid panel | <1% | 13 | $95.08 |
| 97161 | <1% | 12 | $82.33 | |
| 73030 | <1% | 39 | $65.24 | |
| 87210 | <1% | 15 | $48.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,290 | $22.64 |
| J2704 | Injection, propofol, 10 mg | <1% | 2,022 | $8.24 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 4,195 | $5.33 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 404 | $4.59 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 3,015 | $3.65 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,714 | $1.97 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 1,666 | $1.57 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,347 | $1.11 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 2,115 | $0.37 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,418 | $0.36 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 864 | $0.00 |
| A9270 | Non-covered item or service | 0% | 390 | $0.00 |
| 73560 | 0% | 30 | $0.00 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 24 | $0.00 |
| 96376 | 0% | 47 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 14 | $0.00 |
| J7699 | Noc drugs, inhalation solution administered through dme | 0% | 12 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 200 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 26 | $0.00 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 14 | $0.00 |
| 73562 | 0% | 13 | $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 officialDREGNEY, JAMES (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sauk Prairie Healthcare, INC. | Sauk City, WI | $260K |
| Sauk Prairie Healthcare INC | Prairie Du Sac, WI | $154K |
| Sauk Prairie Healthcare INC | Spring Green, WI | $32K |
| Sauk Prairie Healthcare INC | Lodi, WI | $23K |
| Sauk Prairie Healthcare INC | Plain, WI | $6K |
| Sauk Prairie Healthcare INC | Mazomanie, WI | $4K |
| Sauk Prairie Healthcare INC | Prairie Du Sac, WI | $2K |
| Sauk Prairie Healthcare INC | Prairie Du Sac, WI | $575.92 |
| Sauk Prairie Healthcare INC | Prairie Du Sac, WI | $280.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.