Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › ALGOMA › DOOR COUNTY MEMORIAL HOSPITAL

DOOR COUNTY MEMORIAL HOSPITAL

NPI: 1952639833 · ALGOMA, WI 54201 · Rural Health Clinic/Center · NPI assigned 12/03/2009

$12K
Total Medicaid Paid
332
Total Claims
280
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLALUZERNE, ANDREW (CFO)
NPI Enumeration Date12/03/2009

Related Entities

Other providers sharing the same authorized official: LALUZERNE, ANDREW

ProviderCityStateTotal Paid
DOOR COUNTY MEMORIAL HOSPITAL STURGEON BAY WI $7.48M
DOOR COUNTY MEMORIAL HOSPITAL STURGEON BAY WI $1.49M
DOOR COUNTY MEMORIAL HOSPITAL STURGEON BAY WI $1.02M
DOOR COUNTY MEMORIAL HOSPITAL SISTER BAY WI $17K
DOOR COUNTY MEMORIAL HOSPITAL STURGEON BAY WI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $4K
2019 83 $4K
2020 44 $1K
2021 14 $387.37
2022 28 $803.89
2023 29 $927.43
2024 65 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 152 135 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69 63 $2K
90834 Psychotherapy, 45 minutes with patient 81 55 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 30 27 $578.68