Physician
Community Memorial Hospital of Menomonee Falls, INC
Community Memorial Hospital of Menomonee Falls, INC was paid $190K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoCOMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC
MENOMONEE FALLS, WI 53051
MENOMONEE FALLS, WI 53051
33aNPI1952841868assigned 02/27/2017
33bProvider typeFamily Medicine Physician
28Total paid$190K
24GClaims5,545
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#50 of 359
Median peer was paid$4K
This provider vs. median49×
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 | 148 | $6K | |
| 2019 | 414 | $13K | |
| 2020 | 806 | $23K | |
| 2021 | 1,645 | $53K | |
| 2022 | 1,020 | $35K | |
| 2023 | 993 | $34K | |
| 2024incomplete | 519 | $27K |
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 | 57% | 2,537 | 2,295 | $109K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 2,456 | 2,263 | $75K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 43 | 41 | $3K |
| 90686 | 1.1% | 242 | 206 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 93 | 58 | $1K |
| 99441 | <1% | 83 | 55 | $430.65 | |
| 90670 | <1% | 28 | 25 | $65.92 | |
| 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) | 0% | 12 | 12 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 28 | 27 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | 17 | $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 officialLUX, TERESA (PRESIDENT)
Parent organizationCOMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC
| Provider | Location | Paid |
|---|---|---|
| Community Memorial Hospital of Menomonee Falls INC | Menomonee Falls, WI | $10.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.