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NPI 1881129351 · Marinette, WI · Ambulatory Surgical Clinic/Center
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Oconto Hospital & Medical Center, Inc. is a ambulatory surgical clinic/center provider located in Marinette, Wisconsin. This profile covers 12 Medicare and 2 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 | Oconto Hospital & Medical Center, Inc. |
| Address | 2820 Roosevelt Rd |
| City | Marinette |
| State | WI |
| ZIP | 54143 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 21, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $235.5K |
| Medicaid | $5.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 110 | $390 | $44.1K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 70 | $430 | $31.6K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 80 | $400 | $31.2K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 110 | $280 | $30.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $400 | $20.9K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 70 | $240 | $16.3K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 30 | $610 | $15.9K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 70 | $240 | $15.8K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 10 | $1,010 | $13.1K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 40 | $310 | $11.9K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 116 | 320 | 60 | $230 | $16.8K |
| 29881 | 9 | 10 | 20 | $780 | $14K |
| 64721 | 38 | 80 | 30 | $390 | $12.3K |
| 45380 | 36 | 300 | 40 | $130 | $7.6K |
| 62323 | 141 | 160 | 40 | $120 | $7.3K |
| G0105 | 19 | 180 | 20 | $220 | $6.4K |
| G0121 | 3 | 120 | 20 | $230 | $5.3K |
| 43239 | 100 | 320 | 50 | $80 | $4.8K |
| 43248 | 2 | 50 | 20 | $130 | $4.1K |
| 20610 | 616 | 810 | 40 | $40 | $3.1K |
Showing 1–10 of 12
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 10 | $360 | $4.4K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 10 | $90 | $1.1K |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 114 | 120 | 400 | $180 | $186.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 76 | 80 | 240 | $180 | $109.1K |
Other providers in the same ZIP code as Oconto Hospital & Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aurora Medical Center Bay Area, Inc | WI | General Acute Care Hospital | $0 | $9.7M |
| County Of Marinette | WI | Community/Behavioral Health Agency | $0 | $4M |
| County Of Marinette | WI | Community Health Clinic/Center | $0 | $2M |
| County Of Marinette | WI | Case Management Agency | $0 | $1.8M |
| Aurora Medical Center Bay Area, Inc | WI | Land Ambulance | $0 | $1.6M |
| Nicholas Grimm | WI | Physician Assistant | $164.3K | $0 |
| Yasser Salem | WI | Cardiovascular Disease Physician | $138K | $3K |
| Andrew Barker | WI | Physical Therapist | $103.5K | $0 |
| Katie Livingston | WI | Radiation Oncology Physician | $85.9K | $0 |
| Molly Dahlke | WI | Family Nurse Practitioner | $79.3K | $0 |
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