Physician
Tomah Memorial Hospital, INC.
Tomah Memorial Hospital, INC. was paid $459K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoTOMAH MEMORIAL HOSPITAL, INC.
TOMAH, WI 54660
TOMAH, WI 54660
33aNPI1992970453assigned 04/25/2008
33bProvider typeEmergency Medicine Physician
28Total paid$459K
24GClaims19,470
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Wisconsin
Rank by total paid#15 of 230
Median peer was paid$7K
This provider vs. median64×
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 | 2,141 | $41K | |
| 2019 | 2,468 | $56K | |
| 2020 | 1,646 | $46K | |
| 2021 | 2,748 | $67K | |
| 2022 | 3,378 | $78K | |
| 2023 | 3,844 | $84K | |
| 2024incomplete | 3,245 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 7,356 | 6,572 | $190K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 5,812 | 5,360 | $128K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 2,146 | 2,010 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 1,821 | 1,677 | $32K |
| 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 | 6.2% | 723 | 678 | $28K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.1% | 885 | 814 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 125 | 117 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 522 | 484 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | 53 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 26 | 25 | $430.92 |
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 officialDALY, DEREK (CEO)
Parent organizationTOMAH MEMORIAL HOSPITAL INC