Active NPI 1043451412 Individual Practitioner Female Practitioner

Holly A Hedge , APNP

Nurse Practitioner • Oshkosh, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Holly Hedge, APNP is a certified Nurse Practitioner practicing in Oshkosh, WI. With approximately 18 years of clinical experience since completing medical education in 2008, Holly Hedge delivers high-quality medical care to the local community at 600 N WESTHAVEN DR.

Holly Hedge is affiliated with Monument Health Rapid City Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemodialysis procedure with physician evaluation, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level 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

600 N Westhaven Dr

Oshkosh, WI 549046926

Telephone 9202375000

Fax 9202375001

Associated Practice Facility / Clinic

🏢 Thedacare Regional Medical Center-Neenah, Inc. Facility NPI 1861943409

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oshkosh, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +8.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

94 Specialists

Practicing in Oshkosh, WI (4030 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hedge (18 Years) 18 Yrs

Oshkosh Specialty Average (9.8 Years) 9.8 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
90935 Hemodialysis procedure with physician evaluation	369	104	$234.00	$56.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	30	$207.00	$63.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	42	$391.00	$104.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$381.00	$76.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$535.00	$115.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90935 Hemodialysis procedure with physician evaluation	159	57	$213.00	$59.08
99213 Established patient office or other outpatient visit, typically 15 minutes	97	63	$82.00	$53.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	34	$207.00	$65.35
99213 Established patient office or other outpatient visit, typically 15 minutes	43	24	$82.00	$54.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	26	$44.00	$29.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$348.50	$80.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$391.00	$107.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$121.00	$80.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$44.00	$29.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	146	$82.00	$54.90
99213 Established patient office or other outpatient visit, typically 15 minutes	114	60	$82.00	$54.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	43	$44.00	$29.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	33	$121.00	$81.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	17	$44.00	$29.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$121.00	$80.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	368	186	$72.64	$55.66
99213 Established patient office or other outpatient visit, typically 15 minutes	82	46	$76.15	$55.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	44	$110.25	$80.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$114.89	$82.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$87.25	$68.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	406	186	$58.04	$42.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$29.00	$20.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$89.77	$64.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$212.00	$59.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	308	161	$6.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	240	160	$80.60	$61.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	98	$118.40	$90.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	171	125	$47.00	$8.42
80048 Blood test, basic group of blood chemicals (calcium, total)	99	65	$40.00	$9.21
80053 Blood test, comprehensive group of blood chemicals	78	64	$50.00	$11.24
83735 Magnesium level	72	51	$12.00	$7.29
83721 Ldl cholesterol level	65	49	$31.00	$10.23
81001 Manual urinalysis test with examination using microscope, automated	58	50	$20.00	$3.45
84443 Blood test, thyroid stimulating hormone (TSH)	56	47	$66.00	$18.30
82550 Creatine kinase (cardiac enzyme) level, total	46	34	$25.00	$6.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$157.76	$120.94
84439 Thyroxine (thyroid chemical), free	38	33	$26.11	$9.82
83036 Hemoglobin A1C level	31	22	$46.00	$10.57
80076 Liver function blood test panel	28	24	$48.00	$8.90
80061 Blood test, lipids (cholesterol and triglycerides)	22	22	$54.00	$13.92
81003 Automated urinalysis test	19	19	$20.00	$2.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	14	$76.99	$57.05
85004 White blood cell count	16	13	$20.00	$7.04
85048 Automated white blood cell count	16	13	$19.00	$2.76
87502 Detection test by nucleic acid for multiple types influenza virus	13	12	$112.00	$93.88
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	12	12	$26.00	$4.18
69209 Removal of impacted ear wax by washing	11	11	$15.51	$11.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	259	144	$6.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	248	174	$78.19	$60.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	111	$115.85	$89.16
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	138	98	$47.00	$9.33
J0696 Injection, ceftriaxone sodium, per 250 mg	130	13	$5.00	$0.59
80048 Blood test, basic group of blood chemicals (calcium, total)	75	55	$40.00	$10.23
80053 Blood test, comprehensive group of blood chemicals	53	48	$50.00	$12.78
84443 Blood test, thyroid stimulating hormone (TSH)	49	46	$66.00	$20.33
81003 Automated urinalysis test	48	39	$20.00	$2.71
83735 Magnesium level	37	27	$12.00	$8.10
81001 Manual urinalysis test with examination using microscope, automated	32	26	$20.14	$3.84
84439 Thyroxine (thyroid chemical), free	30	29	$26.00	$10.91
83721 Ldl cholesterol level	26	20	$31.00	$11.54
83036 Hemoglobin A1C level	26	17	$46.00	$11.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$154.66	$115.95
85610 Blood test, clotting time	24	15	$28.00	$4.75
80061 Blood test, lipids (cholesterol and triglycerides)	22	20	$54.00	$16.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$47.08	$36.50
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	18	$40.00	$7.82
90662 Influenza vaccine split virus, preservative free	13	13	$54.00	$52.30
G0008 Administration of influenza virus vaccine	13	13	$22.00	$20.25
69209 Removal of impacted ear wax by washing	11	11	$15.49	$11.84
G0009 Administration of pneumococcal vaccine	11	11	$18.36	$17.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	163	116	$8.93	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	103	89	$135.50	$60.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	59	$198.77	$88.61
80048 Blood test, basic group of blood chemicals (calcium, total)	76	65	$54.05	$10.21
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	52	$49.23	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	35	35	$72.26	$13.17
84443 Blood test, thyroid stimulating hormone (TSH)	34	32	$83.37	$22.59
83036 Hemoglobin A1C level	33	33	$51.78	$12.92
85610 Blood test, clotting time	25	12	$22.44	$5.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$307.00	$94.22
81001 Manual urinalysis test with examination using microscope, automated	15	12	$18.92	$4.26
G0009 Administration of pneumococcal vaccine	12	12	$51.50	$22.38
82570 Creatinine level to test for kidney function or muscle injury	11	11	$28.58	$6.96
82043 Urine microalbumin (protein) level	11	11	$31.95	$7.77
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$78.84	$19.18

Medical Specialties & State Licenses

CMS Verified: 2022-03-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3689

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 3689

Definition to come...

Hospital & Practice Group Affiliations

Monument Health Rapid City Hospital Inc

353 Fairmont Blvd, Rapid City, SD 577017375

Phone: 6057558109

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Alexey Shereshevsky , MD

Family Medicine

NPI 1033326061

Doctor of Medicine (M.D.)

Sarah Danahy , LCSW

Social Worker - Clinical

NPI 1053472142

Licensed Clinical Social Worker

Mariareve Rucinski , ANP

Nurse Practitioner

NPI 1124084355

Adult Nurse Practitioner

Ann Dettlaff , APNP

Nurse Practitioner

NPI 1215236278

Advanced Practice Nurse Prescriber

Jessica Rice , FNP

Nurse Practitioner - Family

NPI 1255058897

Family Nurse Practitioner

Dr. Baylee Gorges , PharmD

Pharmacist

NPI 1376219097

Doctor of Pharmacy (Pharm.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) March 30, 2022

Nurse Practitioner (License #3689 in WI)

✅

NPI Profile Active August 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2013

Registered at 600 N WESTHAVEN DR, OSHKOSH, WI 549046926 (Tel: 9202375000)

📍

Updated Business Mailing Address August 29, 2013

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963264)

👤

Provider Name / Credentials Updated August 29, 2013

Recorded as HOLLY HEDGE, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2013

Nurse Practitioner (License #3689 in WI)

🟢

Initial NPI Registration & Enumeration March 16, 2009

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: 1043451412

Entity Type:

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

Enumeration Date: March 16, 2009

Last Update: March 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8003

Appleton, WI 549128003

Phone: 9209963264

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

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