Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TOMAH MEMORIAL HOSPITAL, INC.

NPI: 1992970453 · TOMAH, WI 54660 · Emergency Medicine Physician · NPI assigned 04/25/2008

$459K
Total Medicaid Paid
19,470
Total Claims
17,790
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDALY, DEREK (CEO)
Parent OrganizationTOMAH MEMORIAL HOSPITAL INC
NPI Enumeration Date04/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,245 $87K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,356 6,572 $190K
99283 Emergency department visit for the evaluation and management, moderate severity 5,812 5,360 $128K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,146 2,010 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,821 1,677 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 723 678 $28K
99284 Emergency department visit for the evaluation and management, high severity 885 814 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 125 117 $6K
71046 Radiologic examination, chest; 2 views 522 484 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 54 53 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 26 25 $430.92