Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THEDACARE MEDICAL CENTER - WAUPACA, INC.

NPI: 1013995521 · WAUPACA, WI 54981 · Critical Access Hospital · NPI assigned 01/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more

$10.85M
Total Medicaid Paid
298,762
Total Claims
235,384
Beneficiaries
167
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date01/04/2006

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $32.77M
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NEENAH WI $18.23M
THEDACARE, INCORPORATED NEW LONDON WI $14.90M
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $11.53M
THEDACARE MEDICAL CENTER - BERLIN, INC. BERLIN WI $9.40M
THEDACARE MEDICAL CENTER - NEW LONDON, INC. NEW LONDON WI $9.19M
THEDACARE, INCORPORATED APPLETON WI $8.29M
THEDACARE, INCORPORATED APPLETON WI $7.37M
THEDACARE MEDICAL CENTER - WILD ROSE, INC WILD ROSE WI $6.04M
THEDACARE, INCORPORATED MENASHA WI $1.46M
THEDACARE, INCORPORATED APPLETON WI $1.16M
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $974K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC APPLETON WI $834K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $429K
THEDACARE MEDICAL CENTER - SHAWANO, INC. CLINTONVILLE WI $212K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $50K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $45K
THEDACARE, INCORPORATED OSHKOSH WI $41K
THEDACARE, INCORPORATED SHAWANO WI $37K
THEDACARE, INCORPORATED WAUPACA WI $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,601 $836K
2019 34,668 $1.22M
2020 38,736 $1.47M
2021 50,675 $1.61M
2022 50,939 $1.87M
2023 50,930 $1.97M
2024 41,213 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 12,702 10,251 $2.12M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,126 6,156 $1.32M
99284 Emergency department visit for the evaluation and management, high severity 8,027 6,251 $1.23M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,231 2,845 $854K
96361 Intravenous infusion, hydration; each additional hour 1,403 1,141 $561K
70450 Computed tomography, head or brain; without contrast material 2,398 2,125 $530K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,991 1,790 $507K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,685 2,361 $403K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,578 743 $353K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,296 1,793 $316K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 730 488 $234K
80048 Basic metabolic panel (calcium, ionized) 24,347 18,531 $190K
84443 Thyroid stimulating hormone (TSH) 6,992 6,287 $150K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,441 16,615 $125K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 815 568 $115K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 915 748 $112K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,114 1,736 $105K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,376 2,154 $102K
71275 Computed tomographic angiography, chest, with contrast material 356 329 $100K
71046 Radiologic examination, chest; 2 views 3,453 3,125 $92K
87631 833 747 $61K
80076 11,507 9,440 $61K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 147 131 $58K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,350 1,159 $56K
80061 Lipid panel 4,983 4,624 $55K
72125 Computed tomography, cervical spine; without contrast material 725 662 $50K
G0378 Hospital observation service, per hour 1,186 662 $48K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,601 1,203 $48K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,577 1,648 $46K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 206 174 $43K
74176 Computed tomography, abdomen and pelvis; without contrast material 195 180 $41K
83036 Hemoglobin; glycosylated (A1C) 4,381 4,056 $39K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,040 845 $38K
96367 248 177 $34K
84484 5,818 3,816 $32K
80306 1,983 1,709 $26K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,215 1,090 $26K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,435 1,244 $23K
87086 Culture, bacterial; quantitative colony count, urine 3,551 3,131 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,173 5,790 $20K
77067 Screening mammography, bilateral, including computer-aided detection 494 455 $20K
81001 8,398 7,135 $19K
77063 Screening digital breast tomosynthesis, bilateral 299 275 $18K
85610 5,440 3,737 $18K
83735 4,856 3,994 $17K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 549 512 $17K
83690 3,863 3,340 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,374 633 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 542 481 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 240 202 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 449 402 $15K
83880 1,368 1,159 $15K
81025 2,077 1,829 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 466 419 $14K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 66 40 $13K
73564 457 418 $13K
74018 291 265 $13K
84439 1,564 1,395 $12K
97162 398 373 $12K
83605 2,659 2,069 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 32 27 $10K
85380 1,498 1,335 $9K
36415 Collection of venous blood by venipuncture 23,495 18,439 $8K
87040 2,555 1,227 $8K
82077 813 688 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 352 300 $7K
73630 319 280 $7K
80053 Comprehensive metabolic panel 766 643 $6K
82728 613 571 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 129 106 $6K
73610 274 242 $6K
87186 1,297 1,173 $6K
85730 2,072 1,846 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 340 308 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,642 1,999 $5K
85027 1,275 1,082 $5K
87070 540 485 $5K
86140 1,288 1,037 $4K
71045 Radiologic examination, chest; single view 3,630 3,169 $4K
86803 392 338 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 26 24 $4K
87088 898 819 $4K
82607 388 331 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,111 4,333 $4K
84481 266 229 $3K
72100 101 95 $3K
82948 1,098 528 $3K
84703 350 316 $3K
85651 792 654 $3K
93017 16 13 $3K
82570 767 680 $3K
82947 1,032 704 $3K
96375 Therapeutic injection; each additional sequential IV push 5,004 3,869 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 59 53 $2K
73030 98 81 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $2K
87807 119 111 $2K
86618 63 60 $2K
83550 359 331 $2K
83540 437 403 $2K
87634 31 29 $2K
82043 381 346 $2K
81003 861 772 $2K
87340 187 151 $2K
85652 673 572 $1K
93971 13 12 $1K
80143 118 106 $1K
80179 117 105 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,568 1,258 $1K
85379 206 181 $1K
96376 930 716 $1K
86850 257 218 $1K
94729 27 25 $919.87
82962 616 260 $876.52
73130 55 50 $716.33
86900 317 274 $648.80
90715 27 24 $624.22
97163 30 26 $615.97
86901 317 274 $615.80
86780 79 65 $601.19
82150 110 102 $521.39
36592 137 79 $504.14
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13 12 $478.80
82565 118 112 $474.31
73110 17 15 $424.63
85018 256 220 $413.38
82550 82 78 $359.29
85014 128 108 $296.42
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,614 3,207 $270.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 39 $257.74
86703 15 14 $245.18
86666 15 15 $243.91
82805 15 12 $241.85
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 61 50 $158.07
86706 16 12 $145.63
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,497 2,789 $136.40
J2704 Injection, propofol, 10 mg 1,147 959 $121.53
86753 15 15 $114.63
J1885 Injection, ketorolac tromethamine, per 15 mg 2,785 2,316 $94.02
84460 31 28 $91.42
87081 32 25 $87.75
87210 13 12 $61.86
88305 Level IV - Surgical pathology, gross and microscopic examination 59 53 $55.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,267 940 $49.95
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 73 66 $47.82
J7120 Ringers lactate infusion, up to 1000 cc 959 835 $45.48
J3010 Injection, fentanyl citrate, 0.1 mg 1,317 1,088 $32.00
J0696 Injection, ceftriaxone sodium, per 250 mg 865 556 $22.83
J7050 Infusion, normal saline solution, 250 cc 5,224 2,662 $20.51
J2250 Injection, midazolam hydrochloride, per 1 mg 868 716 $8.95
J1200 Injection, diphenhydramine hcl, up to 50 mg 822 580 $5.15
A9270 Non-covered item or service 624 467 $3.87
J1170 Injection, hydromorphone, up to 4 mg 299 233 $3.72
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $0.49
J2919 Injection, methylprednisolone sodium succinate, 5 mg 15 12 $0.38
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 1,221 1,012 $0.04
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,346 3,452 $0.03
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 43 41 $0.00
J0690 Injection, cefazolin sodium, 500 mg 47 40 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 70 58 $0.00
J2060 Injection, lorazepam, 2 mg 48 39 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 31 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 201 167 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 14 12 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 29 12 $0.00
J7030 Infusion, normal saline solution , 1000 cc 26 23 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00