Medicaid Provider Spending

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

THEDACARE MEDICAL CENTER - WILD ROSE, INC

NPI: 1043263999 · WILD ROSE, WI 54984 · Critical Access Hospital · NPI assigned 05/19/2006

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

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

$6.04M
Total Medicaid Paid
104,758
Total Claims
81,492
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date05/19/2006

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 - WAUPACA, INC. WAUPACA WI $10.85M
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, 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 14,414 $775K
2019 11,062 $964K
2020 13,516 $632K
2021 15,966 $732K
2022 17,071 $809K
2023 19,335 $1.11M
2024 13,394 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,073 5,746 $1.41M
99284 Emergency department visit for the evaluation and management, high severity 3,680 2,846 $897K
96361 Intravenous infusion, hydration; each additional hour 1,395 1,082 $893K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,377 2,871 $866K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,156 967 $502K
70450 Computed tomography, head or brain; without contrast material 629 528 $224K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 723 559 $189K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 624 406 $178K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 389 284 $144K
99281 Emergency department visit for the evaluation and management, self-limited or minor 736 631 $141K
80048 Basic metabolic panel (calcium, ionized) 9,233 6,867 $89K
83880 2,295 1,757 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,227 6,303 $45K
87631 552 452 $44K
84443 Thyroid stimulating hormone (TSH) 1,851 1,627 $33K
80076 6,056 4,798 $32K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 767 658 $29K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 107 77 $27K
84484 3,200 1,966 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,246 2,434 $17K
71046 Radiologic examination, chest; 2 views 636 500 $16K
80306 993 811 $14K
80061 Lipid panel 1,211 1,129 $13K
83735 3,320 2,563 $12K
83690 2,082 1,696 $10K
81001 4,267 3,444 $10K
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 206 163 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 581 230 $9K
82550 2,591 2,006 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,092 927 $9K
71275 Computed tomographic angiography, chest, with contrast material 26 24 $9K
83036 Hemoglobin; glycosylated (A1C) 891 838 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling 487 423 $7K
85610 3,217 2,320 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 220 194 $7K
82553 1,688 1,310 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,825 2,215 $5K
86140 1,447 1,164 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 289 77 $5K
82077 515 395 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 12 12 $4K
82150 567 477 $3K
71045 Radiologic examination, chest; single view 1,855 1,478 $3K
85380 416 344 $2K
36415 Collection of venous blood by venipuncture 7,278 5,601 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 25 25 $2K
99000 489 332 $2K
72125 Computed tomography, cervical spine; without contrast material 17 15 $2K
81025 79 77 $2K
83605 284 206 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 109 94 $2K
85379 276 226 $1K
87070 113 95 $1K
96375 Therapeutic injection; each additional sequential IV push 1,860 1,427 $923.54
87634 15 14 $912.19
84703 145 123 $859.58
87040 109 48 $410.04
87650 14 13 $309.08
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 41 36 $231.99
36592 171 137 $163.34
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,934 1,584 $125.68
87088 36 27 $123.96
80143 18 12 $120.63
87186 18 13 $60.49
J1885 Injection, ketorolac tromethamine, per 15 mg 899 735 $35.01
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,087 847 $17.89
A9270 Non-covered item or service 143 87 $14.43
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 66 51 $10.65
J0696 Injection, ceftriaxone sodium, per 250 mg 130 87 $6.20
J7050 Infusion, normal saline solution, 250 cc 504 261 $3.93
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 412 314 $0.03
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,676 1,356 $0.01
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 12 $0.00
J7030 Infusion, normal saline solution , 1000 cc 14 13 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 13 $0.00
96376 17 12 $0.00