Physician
Meriter Hospital, INC.
Meriter Hospital, INC. was paid $803K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoMERITER HOSPITAL, INC.
MADISON, WI 53715
MADISON, WI 53715
33aNPI1932572955assigned 11/13/2015
33bProvider typeGeneral Practice Physician
28Total paid$803K
24GClaims35,691
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Wisconsin
Rank by total paid#7 of 20
Median peer was paid$18K
This provider vs. median46×
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 | 4,185 | $78K | |
| 2019 | 5,238 | $101K | |
| 2020 | 3,899 | $76K | |
| 2021 | 6,383 | $126K | |
| 2022 | 4,589 | $92K | |
| 2023 | 5,641 | $147K | |
| 2024incomplete | 5,756 | $183K |
Box 24 · Service lines
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 | 45% | 12,266 | 10,983 | $360K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 7,417 | 6,667 | $152K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.2% | 2,557 | 962 | $58K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 4,114 | 1,792 | $54K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.0% | 730 | 666 | $40K |
| 99223 | Prolong inpt eval add15 m | 4.5% | 806 | 729 | $36K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.7% | 288 | 246 | $21K |
| 90686 | 1.8% | 2,112 | 1,997 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 212 | 183 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 153 | 146 | $7K |
| 0002A | <1% | 384 | 374 | $7K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 396 | 159 | $7K |
23 more codes
| 0001A | <1% | 379 | $6K | |
| 3008F | <1% | 857 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 95 | $3K |
| 0012A | <1% | 127 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 76 | $2K |
| 0011A | <1% | 106 | $2K | |
| 90656 | <1% | 104 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 63 | $1K |
| 99173 | <1% | 98 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | $1K |
| 96156 | <1% | 38 | $887.29 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $734.24 |
| 92551 | <1% | 67 | $709.02 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 31 | $688.27 |
| 99188 | <1% | 12 | $155.07 | |
| 0072A | <1% | 27 | $116.32 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 498 | $53.26 |
| 36415 | Collection of venous blood by venipuncture | <1% | 702 | $39.25 |
| 90670 | <1% | 12 | $23.17 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 41 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 749 | $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 officialERDMAN, BETH (CFO)
| Provider | Location | Paid |
|---|---|---|
| Meriter Hospital, INC. | Madison, WI | $25.44M |
| Meriter Health Enterprises INC. | Madison, WI | $1.05M |
| Meriter Hospital, INC. | Madison, WI | $289K |
| Meriter Hospital, INC. | Madison, WI | $513.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.