Agency
Pierce County Reproductive Health
Pierce County Reproductive Health was paid $661K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is H1010, Non-medical family planning education, per session — 52% of everything it billed.
33Billing provider infoPIERCE COUNTY REPRODUCTIVE HEALTH
RIVER FALLS, WI 54022
RIVER FALLS, WI 54022
33aNPI1952349573assigned 06/04/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$661K
24GClaims15,412
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Wisconsin
Rank by total paid#15 of 67
Median peer was paid$52K
This provider vs. median13×
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 | 3,601 | $105K | |
| 2019 | 3,208 | $103K | |
| 2020 | 1,960 | $85K | |
| 2021 | 2,052 | $116K | |
| 2022 | 1,855 | $92K | |
| 2023 | 1,493 | $87K | |
| 2024incomplete | 1,243 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1010 | Non-medical family planning education, per session | 52% | 4,227 | 3,721 | $343K |
| S4993 | Contraceptive pills for birth control | 37% | 3,566 | 2,491 | $245K |
| A4267 | Contraceptive supply, condom, male, each | 4.0% | 1,681 | 1,521 | $26K |
| 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 | 1.7% | 310 | 252 | $11K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.1% | 480 | 445 | $8K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 1,438 | 1,134 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 1,399 | 1,096 | $7K |
| 99000 | <1% | 1,378 | 1,181 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 162 | 154 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 106 | 98 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 45 | 41 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 107 | 100 | $1K |
6 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $724.56 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $414.12 |
| 81025 | <1% | 69 | $284.13 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 12 | $19.75 |
| A4268 | Contraceptive supply, condom, female, each | 0% | 394 | $0.00 |
| 88142 | 0% | 12 | $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 officialHODGSON, CARALYNN (DIRECTOR/HEALTH OFFICER)