Medicaid Provider Spending

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

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

NPI: 1023064482 · MILWAUKEE, WI 53211 · Family Medicine Physician · NPI assigned 05/26/2006

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

Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more

$9.82M
Total Medicaid Paid
442,614
Total Claims
373,341
Beneficiaries
190
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL

ProviderCityStateTotal Paid
ASCENSION SE WISCONSIN HOSPITAL, INC MILWAUKEE WI $94.32M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MILWAUKEE WI $64.53M
ASCENSION ST FRANCIS HOSPITAL, INC MILWAUKEE WI $35.87M
ASCENSION NE WISCONSIN, INC APPLETON WI $19.89M
A.F.C. TRANSPORTATION, INC FLAGSTAFF AZ $10.12M
ASCENSION WISCONSIN LABORATORIES, INC MILWAUKEE WI $5.81M
ASCENSION NE WISCONSIN, INC OSHKOSH WI $4.31M
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. WICHITA KS $4.09M
ASCENSION CALUMET HOSPITAL, INC CHILTON WI $3.78M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC MILWAUKEE WI $769K
SACRED HEART REHABILITATION INSTITUTE, INC. MEQUON WI $603K
MERCY MEDICAL CENTER OF OSHKOSH, INC. OSHKOSH WI $486K
ASCENSION NE WISCONSIN, INC APPLETON WI $343K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC GLENDALE WI $158K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $140K
ASCENSION NE WISCONSIN, INC MENASHA WI $63K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MEQUON WI $26K
ASCENSION SE WISCONSIN HOSPITAL, INC WAUWATOSA WI $9K
SACRED HEART REHABILITATION INSTITUTE, INC MILWAUKEE WI $6K
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC MOUNT PLEASANT WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71,985 $1.44M
2019 76,166 $1.39M
2020 62,722 $1.31M
2021 74,109 $1.51M
2022 60,625 $1.40M
2023 59,482 $1.43M
2024 37,525 $1.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127,020 110,569 $4.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67,899 58,657 $1.59M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,759 7,714 $489K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 70,498 55,077 $413K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,113 5,733 $347K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,798 8,029 $271K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,501 2,281 $201K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,125 3,725 $152K
99233 Prolong inpt eval add15 m 7,247 1,811 $135K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,103 3,416 $121K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,921 1,842 $112K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,130 3,880 $111K
90834 Psychotherapy, 45 minutes with patient 2,470 1,286 $85K
90792 Psychiatric diagnostic evaluation with medical services 1,709 1,164 $83K
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 984 850 $82K
11721 8,207 7,341 $81K
99215 Prolong outpt/office vis 2,180 1,860 $80K
99244 Office or other outpatient consultation, moderate to high complexity 1,006 932 $71K
90686 7,339 6,896 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,191 1,071 $59K
76819 Fetal biophysical profile; without non-stress testing 1,916 1,610 $59K
99000 17,345 14,287 $49K
93356 2,741 2,516 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,130 1,055 $43K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,127 1,051 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,476 2,033 $38K
99232 Subsequent hospital care, per day, moderate complexity 2,331 1,002 $31K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 891 842 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 509 343 $24K
3008F 2,783 2,653 $24K
83036 Hemoglobin; glycosylated (A1C) 2,802 2,600 $23K
95886 291 264 $21K
80305 1,786 1,482 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 776 476 $20K
93296 2,086 1,929 $19K
90670 4,404 4,082 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 431 398 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 314 295 $18K
80061 Lipid panel 1,385 1,290 $18K
J0585 Injection, onabotulinumtoxina, 1 unit 64 37 $18K
99239 Hospital discharge day management, more than 30 minutes 335 271 $17K
95720 176 66 $16K
16020 841 572 $16K
90648 3,121 2,891 $15K
11056 1,161 994 $14K
11057 780 690 $14K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 361 318 $13K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 12 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 9,927 9,314 $13K
93298 979 874 $12K
90723 2,473 2,271 $12K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,370 399 $11K
92557 520 457 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 98 83 $11K
90791 Psychiatric diagnostic evaluation 239 177 $10K
99243 172 166 $10K
93295 410 372 $8K
0002A 235 225 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 242 226 $8K
31575 144 138 $8K
90680 1,644 1,526 $8K
80053 Comprehensive metabolic panel 736 670 $7K
95971 379 350 $7K
93042 2,175 1,047 $7K
59025 Fetal non-stress test 309 153 $7K
95819 371 323 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 259 248 $7K
77427 82 37 $7K
0001A 227 222 $7K
90656 333 325 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 477 418 $6K
95974 61 45 $5K
93018 544 507 $5K
99223 Prolong inpt eval add15 m 137 127 $5K
90750 33 31 $5K
90461 5,297 4,968 $4K
36224 18 14 $4K
90715 139 131 $4K
90633 617 579 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 61 $4K
93294 460 426 $4K
88141 177 166 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 173 152 $3K
76377 126 125 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 12 $3K
93299 48 40 $3K
99385 62 53 $3K
90647 527 487 $3K
99442 313 221 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 13 $3K
90677 208 184 $3K
93000 270 240 $3K
87070 234 212 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 324 302 $2K
99152 141 111 $2K
98929 50 41 $2K
83655 165 160 $2K
77067 Screening mammography, bilateral, including computer-aided detection 33 26 $2K
52000 12 12 $2K
99254 34 29 $2K
93016 143 131 $2K
90674 85 85 $2K
99242 40 38 $2K
81003 931 627 $2K
71046 Radiologic examination, chest; 2 views 126 106 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 56 52 $2K
99460 21 14 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 58 52 $2K
99205 Prolong outpt/office vis 26 26 $2K
76376 279 246 $1K
76820 64 52 $1K
87086 Culture, bacterial; quantitative colony count, urine 157 149 $1K
94729 299 275 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 84 38 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 571 520 $1K
90710 98 96 $1K
94060 158 138 $1K
94727 183 168 $1K
96127 284 263 $981.76
81025 142 122 $944.57
80081 12 12 $882.67
90685 285 252 $877.43
99309 Subsequent nursing facility care, per day, low to moderate complexity 69 59 $870.61
99231 Subsequent hospital care, per day, straightforward or low complexity 60 28 $838.76
99407 349 281 $802.40
90662 31 26 $772.50
86803 55 49 $732.12
85027 105 99 $705.54
73630 36 27 $704.01
31231 13 12 $678.17
36415 Collection of venous blood by venipuncture 5,547 4,837 $629.70
20611 16 12 $604.28
84443 Thyroid stimulating hormone (TSH) 42 38 $594.02
20610 17 12 $578.75
99443 20 15 $562.28
96132 25 13 $545.36
80048 Basic metabolic panel (calcium, ionized) 96 77 $541.91
99238 Hospital discharge day management, 30 minutes or less 15 13 $539.25
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 19 16 $521.82
0072A 13 12 $478.92
94726 70 67 $465.42
95806 12 12 $440.03
0124A 13 13 $433.88
90480 16 12 $433.12
80050 General health panel 13 12 $423.88
96133 16 12 $416.40
90734 28 28 $402.15
99222 Initial hospital care, per day, moderate complexity 47 37 $400.74
94690 77 70 $400.20
90651 73 69 $389.85
99188 32 29 $385.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 25 $382.33
83037 128 101 $381.24
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 130 106 $368.49
90696 25 25 $354.00
11720 61 52 $348.09
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $330.10
90681 100 89 $299.65
95977 16 12 $272.26
87077 28 26 $247.35
99406 47 42 $241.57
69210 29 25 $221.35
96161 70 60 $215.81
87081 26 24 $210.76
J1040 Injection, methylprednisolone acetate, 80 mg 16 14 $184.24
92567 14 14 $164.26
82950 28 28 $157.17
99441 56 16 $133.63
93280 18 12 $121.19
76937 15 13 $120.12
51798 14 12 $106.82
96136 15 12 $101.84
93040 12 12 $98.01
87147 13 12 $77.00
84460 14 13 $57.21
84450 14 13 $55.85
81001 16 15 $55.38
85018 12 12 $32.41
85014 12 12 $31.41
93325 17 14 $30.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $26.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,035 1,851 $13.11
77063 Screening digital breast tomosynthesis, bilateral 34 26 $2.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 617 523 $1.67
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $1.12
91300 516 428 $0.74
91312 12 12 $0.03
0500F 12 12 $0.00
91307 17 17 $0.00
0502F 659 487 $0.00