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NPI 1558364034 · Sparta, WI · Primary Care Clinic/Center
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County Of Monroe is a primary care clinic/center provider located in Sparta, Wisconsin. This profile covers 7 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | County Of Monroe |
| Address | 315 W Oak St Ste B |
| City | Sparta |
| State | WI |
| ZIP | 54656 |
| Taxonomy | Primary Care Clinic/Center |
| NPI Enumerated | May 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $34.9K |
| Medicare | $27.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 190 | $50 | $9.5K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 50 | $140 | $6.8K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 20 | $250 | $5.4K |
| G0008 | Administration of influenza virus vaccine | 210 | $20 | $3.2K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 50 | $40 | $1.9K |
| G0009 | Administration of pneumococcal vaccine | 20 | $20 | $330 |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 20 | $10 | $270 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 1,070 | $20 | $19.2K |
| H1003 | Prenatal care, at-risk enhanced service; education | 290 | $30 | $9.4K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 160 | $10 | $1.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 190 | $10 | $1.3K |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | 40 | $30 | $1.3K |
| 90678 | This code represents a bivalent prefusion F vaccine product administered into the muscle to protect against respiratory syncytial virus. | 20 | $30 | $620 |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 50 | $10 | $450 |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 40 | $10 | $350 |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 30 | $10 | $300 |
| 36416 | In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site. | 40 | $1 | $90 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 181 | 220 | 7,110 | $70 | $1.7M |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 205 | 350 | 300 | $50 | $157.9K |
| H1003 | Prenatal care, at-risk enhanced service; education | 13 | 30 | 150 | $30 | $23.6K |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 119 | 150 | 260 | $10 | $22.4K |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | 30 | 30 | 210 | $30 | $16K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 72 | 130 | 30 | $80 | $8K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 57 | 80 | 40 | $20 | $4K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 125 | 270 | 80 | $1 | $3K |
| 36416 | In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site. | 123 | 150 | 420 | $1 | $2.3K |
| 90656 | This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage. | 105 | 210 | 40 | $10 | $2.2K |
Showing 1–10 of 12
Other providers in the same ZIP code as County Of Monroe, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region, Inc. | WI | Critical Access Hospital | $0 | $8.4M |
| County Of Monroe | WI | Community/Behavioral Health Agency | $0 | $4.7M |
| Chiropractic Place LLC | WI | Chiropractor | $0 | $1.8M |
| Sparta Area Ambulance Service Ltd | WI | Land Ambulance | $333.3K | $634.6K |
| Kelly Seib | WI | Geriatric Medicine (Internal Medicine) Physician | $87.9K | $0 |
| Heidi Stenerson | WI | Nurse Practitioner | $32.1K | $0 |
| Zachary April | WI | Family Medicine Physician | $30.1K | $0 |
| Christina Deboer-collins | WI | Family Medicine Physician | $18.5K | $0 |
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