Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › GREEN BAY › BELLIN MEMORIAL HOSPITAL INC

BELLIN MEMORIAL HOSPITAL INC

NPI: 1033172390 · GREEN BAY, WI 54301 · Professional Counselor · NPI assigned 04/08/2006

$19.80M
Total Medicaid Paid
938,793
Total Claims
830,062
Beneficiaries
289
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialENGEBOSE, ABBY (CREDENTIALING SPECIALIST)
NPI Enumeration Date04/08/2006

Related Entities

Other providers sharing the same authorized official: ENGEBOSE, ABBY

ProviderCityStateTotal Paid
BELLIN MEMORIAL HOSPITAL INC. GREEN BAY WI $29.28M
OCONTO HOSPITAL & MEDICAL CENTER INC MARINETTE WI $4.19M
BELLIN MEMORIAL HOSPITAL INC ALGOMA WI $249K
BELLIN MEMORIAL HOSPITAL INC KEWAUNEE WI $175K
BELLIN MEMORIAL HOSPITAL INC BRILLION WI $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,502 $96K
2020 79,762 $2.38M
2021 163,047 $3.79M
2022 220,473 $4.26M
2023 257,422 $4.79M
2024 213,587 $4.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 98,772 87,030 $4.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,152 80,710 $3.35M
J0585 Injection, onabotulinumtoxina, 1 unit 6,832 3,713 $3.22M
99215 Prolong outpt/office vis 4,775 4,251 $411K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,627 5,457 $364K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,642 5,353 $349K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,845 3,682 $334K
99284 Emergency department visit for the evaluation and management, high severity 3,237 2,971 $310K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,839 4,720 $310K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,941 7,229 $237K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,717 5,364 $233K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,856 3,556 $224K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,992 2,941 $210K
80053 Comprehensive metabolic panel 23,899 22,356 $199K
64615 3,558 3,172 $189K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,131 1,745 $187K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,403 4,119 $180K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,628 2,534 $163K
80061 Lipid panel 16,061 15,485 $162K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,927 1,922 $161K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 679 599 $160K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,671 1,668 $159K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,137 1,722 $144K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 10,078 9,372 $141K
76819 Fetal biophysical profile; without non-stress testing 1,790 1,077 $136K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,006 18,844 $132K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,693 18,972 $128K
90686 11,875 11,254 $112K
84443 Thyroid stimulating hormone (TSH) 8,216 7,926 $104K
77067 Screening mammography, bilateral, including computer-aided detection 1,707 1,652 $102K
3008F 11,631 10,963 $100K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 599 537 $93K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,386 1,851 $92K
80050 General health panel 1,960 1,819 $88K
83036 Hemoglobin; glycosylated (A1C) 11,944 11,520 $85K
99222 Initial hospital care, per day, moderate complexity 2,107 1,946 $85K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,186 1,934 $85K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15,751 15,249 $81K
90677 1,083 1,042 $75K
99283 Emergency department visit for the evaluation and management, moderate severity 1,958 1,827 $74K
36415 Collection of venous blood by venipuncture 57,317 51,960 $73K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,034 1,868 $72K
71046 Radiologic examination, chest; 2 views 6,341 5,898 $71K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 561 557 $65K
90472 Immunization administration, each additional vaccine (list separately) 6,222 6,066 $57K
0002A 1,663 1,545 $57K
0001A 1,816 1,687 $56K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 290 259 $56K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 190 158 $52K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,522 893 $50K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,203 3,350 $50K
73221 238 209 $47K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,593 1,458 $45K
0240U 1,397 1,309 $43K
95886 720 648 $43K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 309 277 $41K
99221 899 825 $37K
76820 1,022 605 $36K
99205 Prolong outpt/office vis 298 289 $35K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 533 413 $35K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 278 264 $34K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,048 967 $33K
70551 Magnetic resonance imaging, brain; without contrast material 155 136 $32K
97161 578 577 $31K
81001 11,776 10,842 $30K
80048 Basic metabolic panel (calcium, ionized) 4,440 4,092 $30K
73630 1,830 1,606 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,940 1,216 $26K
73564 1,283 1,172 $24K
77063 Screening digital breast tomosynthesis, bilateral 1,681 1,632 $24K
81025 3,084 2,932 $23K
20553 1,714 914 $22K
87210 3,967 3,752 $20K
0124A 584 562 $19K
73610 1,363 1,156 $19K
87428 618 520 $19K
97597 1,235 729 $18K
72100 1,008 943 $18K
0071A 650 497 $18K
74018 1,649 1,528 $18K
92567 1,422 1,291 $17K
0004A 548 471 $17K
76825 149 131 $17K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 663 584 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 131 131 $15K
90651 867 842 $15K
85027 2,769 2,685 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,992 1,745 $14K
73130 882 769 $14K
0072A 508 387 $13K
73030 1,037 931 $13K
90672 620 598 $13K
93325 438 365 $12K
73110 807 705 $12K
0054A 400 342 $12K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 28 28 $11K
90670 2,709 2,663 $11K
97162 216 213 $11K
90723 2,283 2,245 $11K
90656 749 743 $10K
86140 2,436 2,339 $10K
90647 2,126 2,082 $9K
43248 129 110 $9K
95806 240 223 $9K
0064A 225 209 $8K
0031A 238 228 $8K
90680 1,565 1,539 $7K
99244 Office or other outpatient consultation, moderate to high complexity 71 70 $7K
99238 Hospital discharge day management, 30 minutes or less 217 202 $7K
73140 573 495 $7K
45380 Colonoscopy, flexible; with biopsy, single or multiple 34 29 $6K
73620 507 343 $6K
82043 1,347 1,318 $6K
0011A 144 144 $6K
90746 81 79 $6K
82570 1,413 1,374 $5K
90715 478 458 $5K
73560 381 335 $5K
V5266 Battery for use in hearing device 518 443 $5K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 357 346 $5K
83735 912 825 $5K
93244 413 389 $5K
0134A 146 146 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,360 1,320 $5K
91320 49 43 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $5K
0012A 126 125 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 144 126 $4K
90474 700 695 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 118 39 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 15 14 $4K
85018 1,737 1,651 $4K
90961 165 118 $4K
83690 655 616 $4K
95251 292 268 $3K
74019 278 247 $3K
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 85 75 $3K
99442 209 187 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 178 99 $3K
72141 14 13 $3K
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) 3,646 3,421 $3K
76830 Ultrasound, transvaginal 52 51 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 94 63 $3K
76826 37 32 $3K
95874 371 300 $3K
17110 43 42 $3K
99232 Subsequent hospital care, per day, moderate complexity 225 89 $3K
92557 113 99 $3K
87807 246 231 $3K
90732 26 26 $3K
85014 1,152 1,068 $2K
90633 826 822 $2K
97535 Self-care/home management training, each 15 minutes 113 56 $2K
73562 179 151 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 12 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 62 62 $2K
90734 651 630 $2K
85651 642 610 $2K
73600 179 150 $2K
95012 181 159 $2K
95908 33 28 $2K
82728 172 159 $2K
0052A 67 53 $2K
93971 139 125 $2K
90970 1,232 44 $2K
36416 950 770 $2K
80305 149 144 $2K
73503 90 83 $2K
99241 54 47 $2K
64644 28 25 $1K
99493 12 12 $1K
90480 46 44 $1K
99495 12 12 $1K
99310 Prolong nursin fac eval 15m 13 12 $1K
96127 443 413 $1K
76801 16 15 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 17 12 $1K
99460 12 12 $1K
99233 Prolong inpt eval add15 m 41 15 $1K
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 95 82 $1K
93294 219 175 $1K
11721 104 98 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,621 864 $1K
76827 18 18 $1K
71101 66 62 $998.54
43235 16 12 $994.13
76828 19 17 $947.92
72040 54 52 $942.52
93295 70 56 $929.23
99441 111 106 $906.49
99152 59 42 $904.04
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 35 34 $899.52
73502 62 57 $897.51
99308 Subsequent nursing facility care, per day, straightforward 54 32 $891.61
76813 15 14 $875.69
90962 28 13 $829.36
73070 53 50 $816.40
90671 59 57 $802.50
99243 12 12 $764.83
99381 13 13 $716.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 299 262 $699.90
99223 Prolong inpt eval add15 m 15 12 $688.14
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 36 27 $682.91
85610 223 145 $599.36
A9573 Injection, gadopiclenol, 1 ml 49 37 $538.03
93320 17 12 $522.64
0034A 18 14 $457.92
90935 Hemodialysis procedure with single evaluation by a physician 17 12 $455.65
94060 54 47 $448.73
90660 27 27 $444.37
90674 122 121 $423.60
V5014 Repair/modification of a hearing aid 23 14 $409.28
95117 94 66 $382.11
84484 39 38 $355.47
94010 15 13 $354.67
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17 14 $354.20
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 12 $350.90
Q3014 Telehealth originating site facility fee 14 13 $327.66
20552 27 13 $288.22
90716 182 182 $280.54
93242 39 38 $273.74
94726 39 34 $262.31
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 16 16 $245.63
99443 12 12 $244.38
94729 65 56 $235.81
87086 Culture, bacterial; quantitative colony count, urine 32 30 $219.61
72070 12 12 $209.81
69210 33 28 $206.17
80076 27 26 $202.00
73590 13 12 $188.76
87081 38 33 $177.76
83655 16 14 $169.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 109 94 $160.86
82947 38 37 $125.93
85379 12 12 $112.29
3044F 6,486 5,302 $100.00
J7030 Infusion, normal saline solution , 1000 cc 49 47 $98.99
82565 32 28 $95.41
81003 47 41 $89.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg 107 106 $88.76
90707 218 218 $77.16
93018 13 13 $56.00
90688 21 17 $52.96
82950 13 13 $52.25
99421 30 25 $46.80
84550 12 12 $44.38
90710 12 12 $39.82
90696 39 39 $39.82
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 232 177 $32.09
0298T 15 14 $10.70
G0008 Administration of influenza virus vaccine 26 26 $7.00
3078F 107,927 97,232 $0.27
3074F 118,147 105,956 $0.23
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,885 2,409 $0.06
3075F 7,718 7,186 $0.05
4010F 11,926 9,708 $0.03
3077F 2,664 2,468 $0.01
3079F 15,321 13,861 $0.01
3080F 1,558 1,468 $0.01
91312 487 470 $0.00
91300 4,230 3,651 $0.00
1160F 925 818 $0.00
3050F 2,897 2,345 $0.00
1159F 1,047 913 $0.00
3046F 509 381 $0.00
3051F 679 540 $0.00
97602 83 56 $0.00
90700 49 49 $0.00
91313 133 133 $0.00
90473 198 181 $0.00
3062F 15 13 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 18 14 $0.00
3048F 11,125 9,016 $0.00
3049F 3,854 3,084 $0.00
1126F 500 475 $0.00
3061F 1,455 1,196 $0.00
91303 266 247 $0.00
1125F 364 339 $0.00
3060F 401 321 $0.00
91306 224 210 $0.00
91305 623 541 $0.00
91307 1,231 882 $0.00
91301 354 342 $0.00
1157F 125 112 $0.00
1111F 74 60 $0.00
3052F 146 116 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 31 15 $0.00
99406 13 12 $0.00
J3490 Unclassified drugs 29 14 $0.00