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ROGERS MEMORIAL HOSPITAL INCORPORATED

Psychiatric Hospital·OCONOMOWOC, WI·NPI: 1053329581Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$54.3M

$54,287,953

Total Claims

564K

Beneficiaries

128K

4.4 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$8.2M
-16%
2019
$6.9M
+34%
2020
$9.2M
-45%
2021
$5.1M
+36%
2022
$6.9M
+47%
2023
$10.2M
-22%
2024
$7.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 91% of total spending.

H2012Normal range

Behavioral health day treatment, per hour

$49.4M

400K claims · 90.9%

Your Cost: $123.34/claim|Median: $137.86
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$913K

11K claims · 1.7%

Your Cost: $84.39/claim|Median: $108.91
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$740K

46K claims · 1.4%

Your Cost: $16.11/claim|Median: $23.99
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$701K

15K claims · 1.3%

Your Cost: $45.70/claim|Median: $43.85
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$594K

22K claims · 1.1%

Your Cost: $26.94/claim|Median: $35.30
0.8× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$557K

19K claims · 1.0%

Your Cost: $29.25/claim|Median: $53.41
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$402K

9,165 claims · 0.7%

Your Cost: $43.83/claim|Median: $67.32
0.7× median
99253Normal range

$271K

9,267 claims · 0.5%

Your Cost: $29.29/claim|Median: $55.16
0.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$170K

1,825 claims · 0.3%

Your Cost: $93.41/claim|Median: $77.33
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$117K

3,235 claims · 0.2%

Your Cost: $36.14/claim|Median: $74.09
0.5× median
99254Normal range

$106K

3,032 claims · 0.2%

Your Cost: $35.10/claim|Median: $81.43
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$98K

1,019 claims · 0.2%

Your Cost: $96.64/claim|Median: $99.21
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$79K

6,822 claims · 0.1%

Your Cost: $11.59/claim|Median: $16.77
0.7× median
Q3014Normal range

Telehealth originating site facility fee

$67K

8,913 claims · 0.1%

Your Cost: $7.56/claim|Median: $15.37
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$35K

2,373 claims · 0.1%

Your Cost: $14.59/claim|Median: $37.81
0.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$32K

1,891 claims · 0.1%

Your Cost: $16.66/claim|Median: $51.25
0.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$17K

477 claims · 0.0%

Your Cost: $35.23/claim|Median: $38.83
0.9× median
90846Normal range

Family psychotherapy without patient, 50 min

$9K

132 claims · 0.0%

Your Cost: $70.55/claim|Median: $76.61
0.9× median
99221Normal range

Initial hospital care, straightforward/low

$9K

418 claims · 0.0%

Your Cost: $22.18/claim|Median: $39.96
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$9K

1,250 claims · 0.0%

Your Cost: $7.35/claim|Median: $5.60
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$4K

261 claims · 0.0%

Your Cost: $15.73/claim|Median: $37.22
0.4× median
99252Normal range

$2K

116 claims · 0.0%

Your Cost: $21.48/claim|Median: $38.63
0.6× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$0

503 claims · 0.0%

Your Cost: $0.00/claim|Median: $148.53
99418Normal range

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.93