Medicaid Provider Spending

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

MERCY MEDICAL CENTER OF OSHKOSH, INC.

NPI: 1023065356 · OSHKOSH, WI 54904 · General Acute Care Hospital · NPI assigned 05/30/2006

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

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

$486K
Total Medicaid Paid
20,805
Total Claims
17,468
Beneficiaries
121
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
NPI Enumeration Date05/30/2006

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
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $9.82M
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
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 20,767 $486K
2021 38 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 751 687 $50K
96361 Intravenous infusion, hydration; each additional hour 427 316 $48K
99284 Emergency department visit for the evaluation and management, high severity 697 614 $38K
80053 Comprehensive metabolic panel 1,126 926 $38K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 246 225 $26K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 571 483 $20K
84443 Thyroid stimulating hormone (TSH) 590 516 $18K
G0378 Hospital observation service, per hour 221 157 $18K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 167 115 $15K
87631 108 99 $14K
80048 Basic metabolic panel (calcium, ionized) 570 474 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor 99 91 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 211 200 $10K
G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count 673 552 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 114 104 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 191 182 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material 143 124 $8K
80061 Lipid panel 431 409 $7K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 196 193 $6K
80306 265 231 $6K
81001 780 656 $6K
70450 Computed tomography, head or brain; without contrast material 121 110 $6K
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 128 109 $6K
87086 Culture, bacterial; quantitative colony count, urine 268 241 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 115 107 $4K
85610 368 271 $4K
82950 74 69 $4K
77067 Screening mammography, bilateral, including computer-aided detection 75 69 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21 19 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 493 413 $3K
G0379 Direct admission of patient for hospital observation care 75 49 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 56 53 $2K
82947 183 143 $2K
84702 44 27 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 25 24 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 65 39 $2K
83036 Hemoglobin; glycosylated (A1C) 214 204 $2K
86850 145 120 $2K
71046 Radiologic examination, chest; 2 views 245 218 $2K
81025 152 133 $2K
84703 193 177 $2K
90791 Psychiatric diagnostic evaluation 65 46 $2K
83690 229 202 $2K
84484 216 175 $2K
87653 38 36 $2K
82607 95 87 $2K
G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) 175 143 $2K
82565 83 78 $2K
86803 68 64 $1K
87340 118 102 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 58 51 $1K
86780 114 99 $1K
82728 77 72 $1K
86140 133 118 $1K
86762 64 52 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 87 82 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 18 $1K
87081 28 28 $1K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $1K
87070 119 107 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $1K
86900 157 128 $1K
90834 Psychotherapy, 45 minutes with patient 98 52 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 163 143 $1K
83735 158 131 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 415 343 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 21 13 $930.69
87205 116 104 $864.00
84439 86 79 $804.51
85379 90 86 $707.49
87186 76 69 $660.63
84460 100 96 $608.18
84153 12 12 $591.62
G0463 Hospital outpatient clinic visit for assessment and management of a patient 75 44 $566.98
82043 46 41 $560.57
83655 33 33 $557.03
86787 80 67 $556.50
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $479.63
86901 160 129 $476.55
80076 56 50 $461.19
85027 116 93 $433.04
85730 93 75 $382.51
74018 54 51 $373.75
83550 25 25 $266.81
84450 48 45 $264.70
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 47 43 $236.42
83605 35 27 $224.73
83540 27 27 $216.51
87040 13 12 $178.66
86038 12 12 $178.16
85018 64 62 $174.41
71045 Radiologic examination, chest; single view 228 195 $167.28
36415 Collection of venous blood by venipuncture 1,642 1,268 $160.82
87077 14 13 $100.50
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 48 12 $83.67
85652 35 28 $65.49
G0475 Hiv antigen/antibody, combination assay, screening 17 12 $33.03
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 458 384 $27.47
73630 12 12 $17.28
96375 Therapeutic injection; each additional sequential IV push 280 221 $11.11
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 256 217 $6.58
J2405 Injection, ondansetron hydrochloride, per 1 mg 296 231 $4.71
J1100 Injection, dexamethasone sodium phosphate, 1 mg 146 121 $3.03
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 43 42 $1.24
J3010 Injection, fentanyl citrate, 0.1 mg 206 134 $0.81
J2250 Injection, midazolam hydrochloride, per 1 mg 166 117 $0.78
88312 15 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 126 96 $0.00
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 20 20 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 357 285 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 197 170 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 27 20 $0.00
J2060 Injection, lorazepam, 2 mg 12 12 $0.00
J1094 Injection, dexamethasone acetate, 1 mg 60 44 $0.00
J0690 Injection, cefazolin sodium, 500 mg 60 46 $0.00
A9585 Injection, gadobutrol, 0.1 ml 32 29 $0.00
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 18 18 $0.00
94644 13 13 $0.00
J1170 Injection, hydromorphone, up to 4 mg 41 32 $0.00
80320 15 12 $0.00
96376 21 14 $0.00