Calumet County Hospice Agency



  
206 Court St, Chilton
Wisconsin, 53014

 (92-0) -849-1432   Maps & Directions
Calumet County Hospice Agency, also known as Calumet County Hospice is a hospice care center situated at Chilton, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Calumet County Hospice Agency accommodated approx. 79 Medicare beneficiaries whose average age was 85 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 521563. Calumet County Hospice Agency comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Calumet County Hospice Agency mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Calumet County Hospice Agency provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Calumet County Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 521563
Hospice’s Ownership Type:Government (09 Government - County)
Accreditation UnAccredited
Hospice Address:206 Court St, Chilton,
Wisconsin, 53014
County:Calumet
Phone:(92-0) -849-1432
Fax:920-849-1476
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Calumet County Hospice Agency with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:09 Nov, 1998
Current Status: Active Provider
Latest visit of the Health or LSC survey: 25 May, 2022
Certificate Provider: CMS Regional Office
Provider's Billing ID: 1235120791
CBSA Code 11540 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Calumet County Hospice Agency are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 79
RHC Days (in %) 100
Episode or Stay Count 80
Total Nursing Minutes 134805 Minutes (2246.75 Hours)
Days of Service 6,719
Average Age of Beneficiary 85 year
Average Risk Score of Beneficiaries 2.33
Total Medicare Payment Amount $ 1,127,879
Total Medicare Standard Payment Amount $ 1,156,823
Total Medicare Allowed Payment Amount $ 1,127,879
Total Charge Amount $ 1,959,660

Average Hospice Visit Count


Calumet County Hospice Agency have 2119 skilled nursing visits, 354 social work visits and 1514 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Calumet County Hospice Agency rendered hospice services to 48% Male and 52% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Calumet County Hospice Agency provided hospice care to 99% White, 1% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Calumet County Hospice Agency, 28% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Calumet County Hospice Agency, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 16 of Neoplasms & Diseases of the Blood and Blood forming organs, 25 of Diseases of the Nervous System, 33 of Diseases of the Circulatory System, 15 of Diseases of the Respiratory System,

Services Provided:
Services available at Calumet County Hospice Agency are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyHospice Staff
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesHospice Staff

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 98.693.9
Pain Assessment 96.477.7
Dyspnea Screening 98.697.3
Dyspnea Treatment 97.994.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Calumet County Hospice Agency employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide3.590.0
Counseling0.17 0.0
Medical Social Services1.00.0
Registered Nurses9.340.0
Practical/Vocational Nurses0.84 0.0
Other Personnel2.7 0.0
TOTAL17.640.0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Todd Romenesko
Position: County Administrator
Contact Number: 920-849-1448
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1235120791
NPI Enumeration Date: 03 Nov, 2005
NPI Last Update On: 10 Nov, 2023
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Calumet County Hospice Agency are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 557WisconsinPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
43188600MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 206 Court St,
Chilton, Wisconsin
Zip: 53014-1127
Phone Number: 920-849-1423
Fax Number: 920-849-1476
Patients can reach Calumet County Hospice at 206 Court St, Chilton, Wisconsin or can call to book an appointment on (92-0) -849-1432.
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