Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SAINT CROIX FALLS › ST. CROIX REGIONAL MEDICAL CENTER

ST. CROIX REGIONAL MEDICAL CENTER

NPI: 1043240922 · SAINT CROIX FALLS, WI 54024 · Occupational Therapy Assistant · NPI assigned 07/04/2006

$7.03M
Total Medicaid Paid
259,715
Total Claims
189,356
Beneficiaries
189
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYOUSO, MIKE (CFO)
NPI Enumeration Date07/04/2006

Related Entities

Other providers sharing the same authorized official: YOUSO, MIKE

ProviderCityStateTotal Paid
ST. CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS WI $958K
ST. CROIX REGIONAL MEDICAL CENTER WEBSTER WI $387K
ST. CROIX REGIONAL MEDICAL CENTER BALSAM LAKE WI $311K
ST. CROIX REGIONAL MEDICAL CENTER FREDERIC WI $267K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,217 $900K
2019 33,851 $861K
2020 26,047 $952K
2021 39,984 $1.10M
2022 36,335 $1.07M
2023 41,409 $1.15M
2024 35,872 $1.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 7,776 6,163 $889K
99283 Emergency department visit for the evaluation and management, moderate severity 6,088 4,896 $871K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,587 16,012 $562K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,292 3,307 $547K
96361 Intravenous infusion, hydration; each additional hour 1,680 1,151 $522K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,011 9,354 $470K
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 3,185 2,659 $257K
90837 Psychotherapy, 53 minutes with patient 2,489 1,086 $216K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,897 1,554 $213K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 8,399 3,405 $171K
74177 Computed tomography, abdomen and pelvis; with contrast material 796 628 $170K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,498 3,821 $162K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,049 689 $137K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,057 649 $106K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,758 3,266 $105K
80053 Comprehensive metabolic panel 5,859 4,550 $105K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,171 2,146 $79K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,604 2,213 $79K
J0585 Injection, onabotulinumtoxina, 1 unit 209 119 $73K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 226 204 $57K
80048 Basic metabolic panel (calcium, ionized) 6,819 5,284 $53K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,866 8,815 $52K
71046 Radiologic examination, chest; 2 views 4,024 2,757 $52K
90834 Psychotherapy, 45 minutes with patient 1,364 490 $51K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,904 945 $45K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,462 1,241 $43K
73630 1,802 1,086 $43K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,462 1,241 $42K
84443 Thyroid stimulating hormone (TSH) 3,377 2,827 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,755 2,387 $37K
97162 999 887 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,379 1,169 $29K
80061 Lipid panel 2,741 2,327 $27K
70450 Computed tomography, head or brain; without contrast material 157 127 $27K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,971 4,882 $27K
95886 609 205 $25K
95913 62 38 $24K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,098 915 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 455 394 $22K
36415 Collection of venous blood by venipuncture 13,858 10,844 $21K
71260 Computed tomography, thorax, diagnostic; with contrast material 85 65 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 37 26 $20K
87086 Culture, bacterial; quantitative colony count, urine 2,749 2,231 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,688 2,966 $17K
81025 2,257 1,833 $17K
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 1,507 1,249 $17K
80306 1,117 914 $16K
87081 1,939 1,660 $16K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 852 611 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,045 444 $14K
81001 5,141 4,138 $13K
73562 591 406 $13K
77067 Screening mammography, bilateral, including computer-aided detection 511 459 $13K
83036 Hemoglobin; glycosylated (A1C) 1,945 1,681 $12K
84484 1,810 1,224 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 739 686 $11K
85610 4,125 2,577 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,794 1,008 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 333 291 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 42 36 $8K
71045 Radiologic examination, chest; single view 1,033 741 $8K
86803 806 689 $8K
86140 2,429 1,941 $8K
82565 1,791 1,453 $8K
99215 Prolong outpt/office vis 270 170 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,999 1,676 $7K
86703 608 511 $6K
97035 708 325 $6K
99441 194 185 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 75 66 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 46 38 $6K
90686 770 728 $6K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 230 221 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 14 13 $5K
84460 1,637 1,365 $5K
73030 242 158 $5K
83690 1,045 846 $5K
87186 815 636 $5K
36416 2,952 2,117 $4K
72100 216 144 $4K
86850 1,024 824 $4K
87210 685 554 $4K
86780 470 390 $4K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 189 157 $4K
82607 393 326 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 75 64 $4K
93976 36 29 $4K
73610 242 159 $4K
76830 Ultrasound, transvaginal 45 36 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,215 867 $4K
96367 17 12 $3K
V5266 Battery for use in hearing device 335 297 $3K
86618 187 131 $3K
84450 956 787 $3K
83735 1,008 656 $3K
83605 505 371 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 63 47 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 262 176 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 280 243 $2K
73130 77 43 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 45 41 $2K
82248 812 677 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 24 $2K
83655 195 175 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 82 74 $2K
20553 35 27 $2K
96375 Therapeutic injection; each additional sequential IV push 1,834 1,393 $2K
82948 1,087 504 $2K
87077 355 265 $2K
82728 184 154 $2K
85652 1,168 966 $2K
85027 483 389 $2K
80050 General health panel 137 117 $2K
76801 18 12 $1K
83880 115 92 $1K
82077 156 123 $1K
77063 Screening digital breast tomosynthesis, bilateral 104 86 $1K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 16 13 $1K
85018 565 462 $1K
0011A 49 48 $1K
71250 40 27 $1K
0012A 44 42 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
87340 141 112 $986.48
90472 Immunization administration, each additional vaccine (list separately) 48 46 $964.75
73110 31 24 $941.12
97535 Self-care/home management training, each 15 minutes 152 96 $900.06
72125 Computed tomography, cervical spine; without contrast material 14 13 $861.06
J3490 Unclassified drugs 244 92 $807.28
72040 12 12 $784.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 30 26 $768.57
86900 358 295 $743.78
86901 358 295 $716.69
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 19 13 $709.75
84702 24 12 $679.06
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,047 2,445 $581.49
83550 87 80 $568.89
83540 104 96 $510.26
84439 63 55 $476.72
90670 151 140 $443.54
87040 112 50 $402.88
82570 121 81 $401.25
97163 29 24 $382.36
92567 25 24 $371.81
J2704 Injection, propofol, 10 mg 2,876 1,437 $370.96
90723 113 107 $347.55
J7050 Infusion, normal saline solution, 250 cc 3,533 1,667 $297.69
80076 44 37 $293.64
84156 117 80 $291.83
99442 17 15 $275.52
90685 87 82 $268.11
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 12 $248.80
92593 16 12 $245.67
82043 40 37 $173.13
64405 25 14 $157.50
90647 54 49 $145.64
84145 32 24 $142.85
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,289 1,044 $119.07
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,115 1,373 $107.96
J3010 Injection, fentanyl citrate, 0.1 mg 2,197 1,709 $97.41
J7030 Infusion, normal saline solution , 1000 cc 2,871 1,991 $96.84
85379 15 12 $94.68
J7120 Ringers lactate infusion, up to 1000 cc 1,823 1,440 $93.49
93793 206 131 $85.25
J2250 Injection, midazolam hydrochloride, per 1 mg 1,942 1,536 $85.08
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 332 187 $81.50
98960 15 12 $80.77
J1885 Injection, ketorolac tromethamine, per 15 mg 1,496 1,178 $61.05
99000 25 13 $55.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,606 1,266 $33.17
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,643 1,284 $29.03
J1170 Injection, hydromorphone, up to 4 mg 334 247 $28.01
96376 36 24 $18.55
J1030 Injection, methylprednisolone acetate, 40 mg 82 62 $12.84
J0690 Injection, cefazolin sodium, 500 mg 246 182 $11.01
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 649 288 $4.16
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 87 60 $0.00
A9270 Non-covered item or service 496 168 $0.00
36591 16 12 $0.00
A9585 Injection, gadobutrol, 0.1 ml 22 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 15 12 $0.00
G0008 Administration of influenza virus vaccine 97 94 $0.00
91301 128 122 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 50 45 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 61 39 $0.00
90662 19 18 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 17 12 $0.00
99152 16 13 $0.00