Active NPI 1497776090 Individual Practitioner Female Practitioner

Dr. Barbara J Higgins , MD

Hospitalist • Beloit, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Barbara Higgins, MD is a certified Hospitalist practicing in Beloit, WI. With approximately 33 years of clinical experience since graduating from University Of Minnesota Medical School in 1993, Dr. Higgins delivers high-quality medical care to the local community at 1969 W HART RD.

Dr. Higgins is affiliated with University Of Wisconsin Medical Foundation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1969 W Hart Rd

Beloit, WI 535112230

Telephone 6083645011

Fax 6083645971

Associated Practice Facility / Clinic

🏢 Stateline Anesthesiologists Sc Facility NPI 1316937519

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Beloit, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +16.6 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Beloit, WI (896 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (33 Years) 33 Yrs

Beloit Specialty Average (16.4 Years) 16.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	242	99	$284.93	$72.95
99239 Hospital discharge day management, more than 30 minutes	57	56	$485.32	$106.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	34	$421.44	$109.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$742.85	$160.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$536.00	$120.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	248	101	$276.58	$74.01
99239 Hospital discharge day management, more than 30 minutes	57	57	$497.95	$107.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	26	$205.00	$46.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	24	$408.44	$111.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$509.69	$121.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$710.26	$162.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	228	84	$273.86	$67.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	57	$395.66	$96.32
99239 Hospital discharge day management, more than 30 minutes	47	46	$469.42	$99.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$683.80	$185.91
99225 Subsequent observation care, typically 25 minutes per day	21	14	$297.43	$66.92
99217 Hospital observation care on day of discharge	21	21	$313.45	$67.44
99238 Hospital discharge day management, 30 minutes or less	17	17	$328.66	$67.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	345	133	$263.31	$68.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	39	$376.44	$98.18
99239 Hospital discharge day management, more than 30 minutes	54	53	$505.30	$101.17
99238 Hospital discharge day management, 30 minutes or less	28	28	$315.68	$68.60
99217 Hospital observation care on day of discharge	15	15	$297.40	$66.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$650.00	$190.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$491.00	$123.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	416	181	$294.59	$69.93
99239 Hospital discharge day management, more than 30 minutes	91	88	$443.75	$103.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	53	$408.59	$100.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	39	$226.71	$37.67
99238 Hospital discharge day management, 30 minutes or less	47	46	$343.87	$70.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$908.78	$194.78
99291 Critical care, first 30-74 minutes	36	15	$1602.56	$213.65
99217 Hospital observation care on day of discharge	30	30	$264.20	$69.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$652.87	$132.77
99225 Subsequent observation care, typically 25 minutes per day	15	13	$307.67	$70.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	451	214	$295.89	$70.34
99239 Hospital discharge day management, more than 30 minutes	192	183	$427.36	$104.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	94	$416.43	$100.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	73	$218.00	$38.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	85	$927.05	$195.81
99291 Critical care, first 30-74 minutes	46	17	$1544.00	$214.28
99217 Hospital observation care on day of discharge	39	38	$253.10	$70.82
99225 Subsequent observation care, typically 25 minutes per day	26	21	$302.23	$70.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$717.38	$132.18
99238 Hospital discharge day management, 30 minutes or less	25	25	$366.12	$70.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	413	207	$282.34	$69.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	163	$388.90	$100.02
99239 Hospital discharge day management, more than 30 minutes	163	157	$404.43	$103.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	121	$874.48	$194.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	29	$204.93	$37.49
99238 Hospital discharge day management, 30 minutes or less	34	33	$331.39	$70.18
99291 Critical care, first 30-74 minutes	30	13	$1187.16	$212.22
99217 Hospital observation care on day of discharge	19	18	$238.76	$70.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$718.80	$130.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	402	193	$271.25	$69.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	302	160	$376.89	$99.71
99239 Hospital discharge day management, more than 30 minutes	172	161	$388.91	$102.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	101	97	$844.98	$194.40
99291 Critical care, first 30-74 minutes	72	29	$1141.50	$213.49
99238 Hospital discharge day management, 30 minutes or less	36	36	$311.94	$69.82
99217 Hospital observation care on day of discharge	27	27	$229.58	$69.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$181.33	$37.60
99220 Hospital observation care, typically 70 minutes	14	14	$568.58	$178.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$671.89	$131.01

Medical Specialties & State Licenses

CMS Verified: 2021-01-29

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License WI 36646

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IL 036-094234

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1497776090 (WI)

Hospital & Practice Group Affiliations

University Of Wisconsin Medical Foundation Inc

600 Highland Ave, Madison, WI 537920001

Phone: 6082636400

University Of Wisconsin Medical Foundation Inc

4602 Eastpark Blvd, Madison, WI 537182002

Phone: 6084406400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners

Dr. Usman Sarwar , MD

Internal Medicine - Cardiovascular Disease

NPI 1023490430

Doctor of Medicine (M.D.)

David Etringer , PA-C

Emergency Medicine

NPI 1033300744

Physician Assistant (Certified)

Stacy Heitz , PA-C

Physician Assistant

NPI 1073032264

Physician Assistant (Certified)

Karlie Wellnitz , RD CD

Dietitian, Registered

NPI 1083915318

RDCD

Tammy Boxleitner , APN

Nurse Practitioner

NPI 1104903061

Advanced Practice Nurse

Dr. Jaime Gonzalez , MD

Internal Medicine - Infectious Disease

NPI 1114306537

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2021

Hospitalist (License #36646 in WI)

✅

NPI Profile Active March 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2014

Registered at 1969 W HART RD, BELOIT, WI 535112230 (Tel: 6083645011)

📍

Updated Business Mailing Address March 21, 2014

Registered at 1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC, BELOIT, WI 535111842 (Tel: 6083642200)

👤

Provider Name / Credentials Updated March 21, 2014

Recorded as BARBARA HIGGINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2014

Hospitalist (License #36646 in WI)

🟢

Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497776090

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2006

Last Update: January 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1905 E. Huebbe Parkway, Beloit Health System, Inc

Beloit, WI 535111842

Phone: 6083642200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.