Flambeau Hospital INC
Flambeau Hospital INC was paid $85K by Medicaid between Jun 2021 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
PHILLIPS, WI 54555
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 | 314 | $4K | |
| 2022 | 735 | $18K | |
| 2023 | 1,177 | $25K | |
| 2024incomplete | 849 | $37K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 1,589 | 1,326 | $46K |
| 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 | 46% | 653 | 550 | $40K |
| 90674 | <1% | 16 | 12 | $163.04 | |
| 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 | 0% | 41 | 41 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 705 | 616 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | 13 | $0.00 |
| 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 | 0% | 41 | 41 | $0.00 |
| 80061 | Lipid panel | 0% | 14 | 14 | $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 |
| Flambeau Hospital INC | Park Falls, WI | $421K |
| Dickinson County Healthcare System | Marquette, MI | $108K |
| MCHS Hospitals INC | Stevens Point, WI | $100K |
| 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.