Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Weston › NPI 1902437650
Hospital

MCHS Hospitals INC

MCHS Hospitals INC was paid $6.40M by Medicaid between Aug 2020 and Dec 2024, across 264 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 12% of everything it billed.

33Billing provider infoMCHS HOSPITALS INC
WESTON, WI 54476
33aNPI1902437650assigned 01/31/2020
28Total paid$6.40M
24GClaims308,480
24DCodes billed264
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#21 of 60
Median peer was paid$2.90M
This provider vs. median2.2×

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.

Entity ProliferationAuthorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202012,402$234K
202159,477$1.20M
202278,790$1.52M
202385,123$1.81M
2024incomplete72,688$1.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 12,518 10,962 $798K
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 12% 12,440 10,757 $760K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.1% 10,118 8,322 $581K
96361 Intravenous infusion, hydration; each additional hour 8.2% 4,555 3,014 $526K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.9% 7,343 5,845 $378K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.3% 2,701 2,351 $148K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.3% 2,498 1,775 $147K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 2,307 1,985 $143K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.0% 3,027 2,485 $131K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.0% 2,304 2,162 $129K
80053 Comprehensive metabolic panel 1.9% 10,718 8,159 $122K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.8% 1,960 1,834 $113K
252 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 1.6% 1,552 $101K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.5% 1,919 $95K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 2,317 $93K
70450 Computed tomography, head or brain; without contrast material 1.3% 1,282 $82K
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 1.3% 1,039 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 1,919 $80K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 13,687 $80K
99215 Doctor's office visit, returning patient (complex) 1.2% 1,303 $76K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.1% 1,832 $70K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.0% 1,409 $64K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,166 $63K
99244 Office or other outpatient consultation, moderate to high complexity <1% 984 $62K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,104 $59K
99203 Doctor's office visit, new patient (routine) <1% 1,006 $55K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 791 $53K
84443 Thyroid stimulating hormone (TSH) <1% 2,627 $48K
80048 Basic metabolic panel (calcium, ionized) <1% 4,612 $47K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 572 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,021 $42K
99204 Doctor's office visit, new patient (more involved) <1% 838 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 7,333 $40K
90670 <1% 978 $36K
84484 <1% 3,515 $33K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 497 $29K
80061 Lipid panel <1% 2,027 $29K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 333 $28K
81001 <1% 7,425 $27K
90674 <1% 1,741 $27K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 938 $26K
87634 <1% 572 $26K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,425 $25K
83735 <1% 5,410 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 603 $23K
81025 <1% 2,307 $23K
83036 Hemoglobin; glycosylated (A1C) <1% 2,270 $22K
99243 <1% 341 $21K
82728 <1% 1,360 $20K
83880 <1% 708 $20K
84145 <1% 844 $19K
90680 <1% 932 $18K
85610 <1% 2,464 $18K
83690 <1% 3,507 $17K
93296 <1% 610 $17K
85027 <1% 2,301 $16K
84702 <1% 493 $15K
87186 <1% 835 $14K
90633 <1% 566 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 585 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 843 $14K
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% 883 $13K
83605 <1% 1,349 $13K
82962 <1% 2,845 $12K
86140 <1% 3,055 $12K
80306 <1% 658 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 212 $11K
11721 <1% 251 $10K
90715 <1% 825 $9K
90651 <1% 265 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 133 $9K
80050 General health panel <1% 1,937 $8K
86803 <1% 596 $8K
59025 Fetal non-stress test <1% 114 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,409 $8K
0001A <1% 569 $8K
0002A <1% 498 $7K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 52 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,222 $7K
88142 <1% 425 $7K
81514 <1% 50 $6K
90619 <1% 179 $6K
82077 <1% 699 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 81 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 94 $6K
93298 <1% 172 $6K
87081 <1% 260 $6K
71046 Radiologic examination, chest; 2 views <1% 960 $5K
85379 <1% 716 $5K
96367 <1% 86 $5K
74018 <1% 646 $5K
93976 <1% 180 $5K
84439 <1% 671 $5K
85730 <1% 1,153 $5K
86850 <1% 1,293 $5K
90686 <1% 550 $5K
83550 <1% 722 $5K
86780 <1% 447 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 109 $4K
87340 <1% 549 $4K
90698 <1% 496 $4K
81513 <1% 56 $4K
97597 <1% 53 $4K
73630 <1% 1,101 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 97 $4K
87653 <1% 75 $4K
86703 <1% 306 $3K
84703 <1% 439 $3K
93297 <1% 169 $3K
85652 <1% 1,663 $3K
83540 <1% 684 $3K
82784 <1% 330 $3K
83655 <1% 158 $3K
82950 <1% 231 $3K
86762 <1% 143 $3K
85018 <1% 648 $3K
86900 <1% 1,216 $3K
87040 <1% 385 $2K
96376 <1% 2,116 $2K
90716 <1% 75 $2K
73562 <1% 481 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 982 $2K
G0378 Hospital observation service, per hour <1% 848 $2K
86901 <1% 1,215 $2K
0012A <1% 119 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 82 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 41 $2K
82570 <1% 492 $2K
76801 <1% 47 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 97 $2K
72100 <1% 192 $2K
87077 <1% 259 $2K
87070 <1% 150 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 41 $2K
86364 <1% 192 $2K
90661 <1% 228 $2K
96415 <1% 18 $2K
82607 <1% 126 $2K
90696 <1% 88 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 84 $1K
94060 <1% 46 $1K
87481 <1% 56 $1K
0011A <1% 129 $1K
90734 <1% 50 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 28 $1K
99205 Prolong outpt/office vis <1% 15 $1K
G0008 Administration of influenza virus vaccine <1% 753 $1K
96375 Therapeutic injection; each additional sequential IV push <1% 5,420 $1K
71045 Radiologic examination, chest; single view <1% 3,109 $1K
84450 <1% 332 $1K
99245 <1% 30 $1K
83970 <1% 52 $1K
0240U <1% 47 $1K
80051 <1% 233 $1K
82947 <1% 295 $1K
0004A <1% 26 $968.23
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 73 $929.58
84460 <1% 224 $926.50
36415 Collection of venous blood by venipuncture <1% 19,487 $919.04
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 14 $910.90
20610 <1% 12 $895.30
76830 Ultrasound, transvaginal <1% 40 $884.45
86618 <1% 45 $865.58
90677 <1% 336 $850.58
82565 <1% 263 $830.64
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 35 $774.50
81003 <1% 214 $769.85
73610 <1% 397 $750.73
90697 <1% 538 $709.22
87075 <1% 35 $694.01
90744 <1% 123 $691.67
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 16 $636.60
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 779 $621.75
82043 <1% 170 $619.55
84520 <1% 233 $580.10
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 141 $577.46
88720 <1% 19 $546.82
82040 <1% 170 $542.70
84075 <1% 142 $492.68
70355 <1% 63 $483.32
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 46 $460.78
36591 <1% 417 $455.79
90656 <1% 66 $440.39
87205 <1% 149 $404.90
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 12 $364.24
90710 <1% 95 $333.98
84156 <1% 148 $325.61
0031A <1% 14 $311.98
90480 <1% 12 $270.55
90707 <1% 73 $246.98
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 16 $199.04
83001 <1% 13 $192.00
74019 <1% 121 $188.30
80069 <1% 49 $162.27
86038 <1% 16 $138.51
36592 <1% 4,291 $108.02
73502 <1% 12 $102.96
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 188 $77.34
76937 <1% 18 $71.18
82550 <1% 18 $60.57
85007 <1% 18 $44.28
87210 <1% 15 $42.00
73030 <1% 67 $37.22
0124A <1% 31 $37.17
51798 <1% 59 $35.78
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 37 $31.17
87088 <1% 15 $25.08
94664 <1% 13 $18.23
0072A <1% 40 $12.39
90472 Immunization administration, each additional vaccine (list separately) <1% 27 $6.19
J2704 Injection, propofol, 10 mg <1% 1,703 $4.34
J3490 Unclassified drugs <1% 2,275 $2.48
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 2,927 $1.03
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,450 $0.82
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,984 $0.69
J1815 Injection, insulin, per 5 units <1% 18 $0.23
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,463 $0.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,222 $0.07
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 229 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 39 $0.00
73130 0% 33 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 327 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 1,197 $0.00
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 0% 26 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 313 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 738 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 226 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 1,781 $0.00
73110 0% 16 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 197 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 177 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 19 $0.00
99152 0% 21 $0.00
0071A 0% 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 27 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 16 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 50 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 18 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 21 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 85 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 1,713 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 1,750 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 64 $0.00
C1769 Guide wire 0% 307 $0.00
J2060 Injection, lorazepam, 2 mg 0% 347 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 2,194 $0.00
3044F 0% 49 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 937 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 2,534 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 277 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 52 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 275 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 2,850 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 161 $0.00
A9270 Non-covered item or service 0% 1,212 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 144 $0.00
J3535 Drug administered through a metered dose inhaler 0% 95 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 16 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 18 $0.00
G0009 Administration of pneumococcal vaccine 0% 34 $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% 94 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 37 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 31 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 22 $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 officialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent organizationMARSHFEILD CLINIC HEALTH SYSTEM INC
Same official

Other billing entities under MUNSON, JOLYN

Full network →
ProviderLocationPaid
MCHS Hospitals INCMarshfield, WI$45.31M
Marshfield Clinic INCMarshfield, WI$19.61M
MCHS Hospitals INCEau Claire, WI$12.41M
MCHS Hospitals INCMarshfield, WI$11.82M
Beaver Dam Community Hospitals INCBeaver Dam, WI$10.58M
Dickinson County Healthcare SystemIron Mountain, MI$10.23M
MCHS Hospitals INCLadysmith, WI$7.36M
MCHS Hospitals INCEau Claire, WI$4.14M
MCHS Hospitals INCMinocqua, WI$2.90M
Dickinson County Healthcare SystemIron Mountain, MI$2.44M
Dickinson County Healthcare SystemIron Mountain, MI$2.29M
MCHS Hospitals INCWausau, WI$1.84M
MCHS Hospitals INCWeston, WI$1.22M
MCHS Hospitals INCMinocqua, WI$1.16M
MCHS Hospitals INCMarshfield, WI$988K
MCHS Hospitals INCLadysmith, WI$867K
Beaver Dam Community Hospitals INCBeaver Dam, WI$847K
Dickinson County Healthcare SystemIron Mountain, MI$648K
MCHS Hospitals INCMarshfield, WI$563K
MCHS Hospitals INCMinocqua, WI$338K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.