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NPI 1831279793 · Platteville, WI · Critical Access Hospital
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Southwest Health Center, Inc is a critical access hospital provider located in Platteville, Wisconsin. This profile covers 5 Medicare and 173 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 | Southwest Health Center, Inc |
| Address | 1400 Eastside Rd |
| City | Platteville |
| State | WI |
| ZIP | 53818 |
| Taxonomy | Critical Access Hospital |
| NPI Enumerated | October 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.3M |
| Medicare | $225.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 9,570 | $10 | $76.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 190 | $380 | $74.5K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 120 | $330 | $37.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 100 | $250 | $25.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 60 | $210 | $11.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
173 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 5,300 | $280 | $1.5M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 7,110 | $140 | $1M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 7,290 | $140 | $983.7K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 5,040 | $140 | $705.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 8,220 | $70 | $534.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 6,090 | $70 | $450.7K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 2,540 | $170 | $434.2K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 880 | $270 | $240.2K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 7,420 | $30 | $185.4K |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 2,180 | $80 | $174.1K |
Showing 1–10 of 173
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
173 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 50 | 140 | 3,200 | $160 | $1.1M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 103 | 360 | 1,550 | $70 | $614.4K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 96 | 430 | 760 | $60 | $484.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 91 | 150 | 450 | $150 | $480.6K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 45 | 190 | 1,790 | $90 | $390.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 78 | 170 | 690 | $150 | $372.4K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 65 | 140 | 2,200 | $90 | $358.4K |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 137 | 330 | 1,350 | $60 | $338K |
| 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… | 114 | 170 | 720 | $70 | $272.7K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 85 | 260 | 3,590 | $20 | $232.2K |
Showing 1–10 of 173
Other providers in the same ZIP code as Southwest Health Center, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wal-mart Stores East LP | WI | Community/Retail Pharmacy | $159.6K | $2.3K |
| Joshua Lindsey | WI | Orthopaedic Surgery Physician | $154.3K | $0 |
| Walgreen Co | WI | Pharmacy | $139.9K | $7.6K |
| Jeffrey White | WI | Family Medicine Physician | $72.6K | $0 |
| Terrence Norton | WI | Psychiatry Physician | $55.8K | $0 |
| Scott Kjar | WI | Foot & Ankle Surgery Podiatrist | $28K | $0 |
| Jacob Hiatt | WI | Family Medicine Physician | $21.1K | $0 |
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