Clinic
ST. Joseph's Health Services, INC.
ST. Joseph's Health Services, INC. was paid $3.90M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 15% of everything it billed.
33Billing provider infoST. JOSEPH'S HEALTH SERVICES, INC.
HILLSBORO, WI 54634
HILLSBORO, WI 54634
33aNPI1972591410assigned 10/10/2005
33bProvider typeRural Health Clinic/Center
28Total paid$3.90M
24GClaims98,425
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#1 of 84
Median peer was paid$117K
This provider vs. median33×
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 | 10,490 | $393K | |
| 2019 | 8,625 | $341K | |
| 2020 | 9,480 | $306K | |
| 2021 | 19,183 | $613K | |
| 2022 | 18,763 | $707K | |
| 2023 | 17,823 | $909K | |
| 2024incomplete | 14,061 | $632K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 15% | 3,211 | 2,139 | $573K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 6,511 | 5,298 | $545K |
| 96361 | Intravenous infusion, hydration; each additional hour | 14% | 1,871 | 938 | $528K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 4,079 | 1,968 | $507K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 4,217 | 3,233 | $423K |
| 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 | 9.5% | 5,824 | 4,745 | $371K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.7% | 1,189 | 689 | $183K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 3.2% | 503 | 280 | $124K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 1,857 | 1,228 | $89K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 2,021 | 1,596 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 2,758 | 1,631 | $46K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 644 | 539 | $44K |
89 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,797 | $31K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,192 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,170 | $26K |
| 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 | <1% | 278 | $20K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 2,214 | $18K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 133 | $18K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 565 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,831 | $15K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,761 | $15K |
| 80061 | Lipid panel | <1% | 1,094 | $14K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 219 | $13K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 309 | $11K |
| 82565 | <1% | 2,897 | $11K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 85 | $11K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,472 | $10K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 451 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 691 | $10K |
| 84460 | <1% | 3,449 | $9K | |
| 80051 | <1% | 1,089 | $8K | |
| 99285 | Emergency room visit (most serious) | <1% | 54 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 87 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 298 | $6K |
| 82040 | <1% | 2,022 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,057 | $5K |
| 84075 | <1% | 2,220 | $5K | |
| 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 | <1% | 253 | $4K |
| 81001 | <1% | 1,966 | $4K | |
| 82247 | <1% | 2,278 | $4K | |
| 85610 | <1% | 1,136 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 365 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 54 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 47 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | $3K |
| 0012A | <1% | 79 | $3K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 54 | $3K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 818 | $2K |
| 84155 | <1% | 1,806 | $2K | |
| 0011A | <1% | 74 | $2K | |
| 99443 | <1% | 100 | $2K | |
| 84450 | <1% | 499 | $2K | |
| 82728 | <1% | 197 | $2K | |
| 83605 | <1% | 658 | $2K | |
| 87081 | <1% | 219 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,755 | $2K |
| 82947 | <1% | 490 | $2K | |
| 83735 | <1% | 410 | $1K | |
| 90688 | <1% | 103 | $1K | |
| 84132 | <1% | 438 | $1K | |
| 87077 | <1% | 274 | $1K | |
| 84145 | <1% | 125 | $1K | |
| 86140 | <1% | 542 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 108 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 33 | $847.20 |
| 82607 | <1% | 81 | $835.68 | |
| 99442 | <1% | 39 | $664.08 | |
| 87186 | <1% | 151 | $589.01 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 18 | $587.50 |
| 84484 | <1% | 233 | $580.05 | |
| 71045 | Radiologic examination, chest; single view | <1% | 423 | $531.87 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 53 | $529.29 |
| 82310 | <1% | 139 | $519.52 | |
| 81003 | <1% | 365 | $512.78 | |
| 82043 | <1% | 69 | $504.80 | |
| 72100 | <1% | 19 | $358.48 | |
| 81025 | <1% | 50 | $339.46 | |
| 84520 | <1% | 146 | $328.09 | |
| 74019 | <1% | 34 | $312.73 | |
| 90658 | <1% | 18 | $261.16 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 387 | $241.34 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 349 | $223.49 |
| 85027 | <1% | 48 | $219.32 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 20 | $166.10 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,441 | $163.56 |
| 83690 | <1% | 30 | $156.64 | |
| 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% | 563 | $148.50 |
| 82962 | <1% | 108 | $141.16 | |
| 84295 | <1% | 34 | $122.22 | |
| 83550 | <1% | 15 | $90.30 | |
| 87040 | <1% | 74 | $76.01 | |
| 83540 | <1% | 15 | $66.90 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 426 | $11.67 |
| A9270 | Non-covered item or service | <1% | 3,783 | $6.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | $3.20 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 543 | $1.42 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 218 | $1.19 |
| J3490 | Unclassified drugs | <1% | 16 | $0.98 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 179 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 47 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 194 | $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 officialNELSON, ROBIN (CFO)