Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SUPERIOR › ST. MARY'S HOSPITAL OF SUPERIOR

ST. MARY'S HOSPITAL OF SUPERIOR

NPI: 1083657886 · SUPERIOR, WI 54880 · 261QE0002X

$13.36M
Total Medicaid Paid
341,655
Total Claims
243,110
Beneficiaries
188
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,614 $1.57M
2019 45,932 $1.82M
2020 38,704 $1.63M
2021 52,294 $1.89M
2022 53,835 $2.36M
2023 59,639 $2.19M
2024 45,637 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 17,070 13,755 $3.09M
99284 12,983 9,657 $2.04M
96361 3,653 2,881 $1.63M
99285 8,253 5,809 $1.25M
74177 2,193 1,900 $578K
99282 3,738 3,213 $556K
96365 2,581 1,861 $520K
G0463 Hospital outpt clinic visit 19,027 13,460 $475K
70450 1,687 1,460 $445K
97110 8,860 3,350 $264K
96366 621 399 $201K
99214 22,860 12,301 $180K
94640 1,287 920 $163K
71046 4,068 3,581 $114K
97530 2,365 964 $101K
87635 2,229 1,945 $83K
99213 11,081 6,026 $72K
20610 2,820 1,042 $70K
80307 2,068 1,699 $67K
80053 9,955 8,130 $55K
93306 152 142 $55K
76705 482 425 $55K
71275 172 134 $53K
77067 910 817 $52K
87651 1,693 1,558 $52K
73630 1,793 1,467 $52K
97161 1,216 1,006 $47K
85025 10,774 8,682 $45K
87631 512 455 $43K
U0003 Cov-19 amp prb hgh thruput 678 584 $41K
96360 170 138 $40K
97140 1,946 723 $39K
73562 1,145 938 $38K
80048 8,800 7,167 $37K
74176 134 116 $34K
87502 487 445 $33K
73030 1,034 868 $31K
99215 Prolong outpt/office vis 3,148 1,869 $30K
84484 4,893 3,536 $28K
0241U 1,097 932 $26K
93005 7,578 6,309 $22K
83605 3,713 2,842 $21K
99281 96 85 $19K
97112 660 306 $18K
96372 4,083 3,058 $17K
C9803 Hopd covid-19 spec collect 927 801 $16K
72100 412 350 $16K
73130 611 481 $15K
84703 2,347 2,000 $15K
11721 1,454 653 $15K
86140 4,865 4,018 $14K
45385 24 14 $14K
73610 597 510 $14K
85027 5,970 5,078 $13K
73502 462 379 $13K
84443 3,221 2,793 $12K
72125 154 140 $12K
83690 2,807 2,341 $12K
81001 4,945 4,161 $12K
77063 187 174 $12K
83735 3,899 3,113 $11K
99203 759 587 $11K
92014 465 229 $11K
92507 279 110 $11K
96374 4,038 3,325 $10K
76856 60 50 $10K
83880 896 768 $10K
73110 345 288 $10K
71045 3,000 2,579 $10K
87040 1,670 805 $8K
74018 208 185 $8K
87086 2,189 1,906 $8K
85379 1,376 1,183 $8K
82077 1,041 854 $8K
87798 289 73 $6K
82962 5,241 1,320 $6K
36415 22,941 16,855 $6K
85610 4,800 3,063 $5K
87880 349 323 $5K
71260 16 13 $5K
84145 426 364 $4K
81003 2,648 2,301 $4K
87632 35 30 $4K
93971 39 38 $4K
87077 1,327 969 $4K
99204 178 128 $4K
83036 2,923 2,508 $4K
80061 2,069 1,784 $4K
87804 418 187 $4K
Q3014 Telehealth facility fee 1,283 965 $3K
87186 1,104 862 $3K
99443 191 166 $3K
90715 205 168 $3K
0240U 169 115 $3K
U0005 Infec agen detec ampli probe 375 305 $3K
0202U 60 56 $2K
90834 123 50 $2K
97162 56 48 $2K
0011A 124 98 $2K
82248 857 746 $2K
87081 146 135 $2K
90686 785 643 $2K
87420 35 33 $2K
J3301 Triamcinolone acet inj nos 1,376 1,104 $2K
99442 160 144 $2K
90471 913 698 $1K
91320 287 265 $1K
76830 15 12 $1K
99309 128 98 $1K
0012A 66 54 $1K
88305 582 236 $1K
96375 3,702 2,999 $1K
92015 723 615 $1K
87491 45 37 $903.29
87591 45 37 $823.95
99310 Prolong nursin fac eval 15m 34 29 $809.92
Q9967 Locm 300-399mg/ml iodine,1ml 3,710 3,152 $742.89
G0378 Hospital observation per hr 89 61 $576.57
J1885 Ketorolac tromethamine inj 3,518 2,876 $567.55
88142 28 26 $534.24
99490 Ccm add 20min 261 246 $511.05
90480 287 265 $491.09
U0002 Covid-19 lab test non-cdc 480 379 $474.01
99211 36 28 $445.63
91301 60 46 $414.93
97035 41 13 $390.54
G2211 Complex e/m visit add on 208 169 $378.43
0071A 17 15 $374.08
J2704 Inj, propofol, 10 mg 907 744 $295.77
G8978 Mobility current status 95 76 $267.26
J7040 Normal saline solution infus 3,926 2,422 $245.36
82306 175 150 $244.54
80047 39 35 $235.55
0001A 26 14 $230.33
87510 14 13 $187.23
87480 14 13 $187.23
87660 14 13 $187.23
82043 115 97 $183.06
80143 18 12 $180.12
J7030 Normal saline solution infus 4,295 3,344 $169.95
90656 85 82 $167.51
90694 124 88 $167.31
J2405 Ondansetron hcl injection 2,578 2,119 $161.22
84100 101 78 $150.81
80179 17 12 $150.00
82728 14 12 $125.99
0064A 160 129 $122.41
90677 16 12 $104.55
J0696 Ceftriaxone sodium injection 335 245 $103.54
0352U 12 12 $100.56
85652 89 75 $89.96
G0008 Admin influenza virus vac 1,227 1,083 $85.16
96127 39 27 $82.08
90662 418 361 $81.26
0124A 192 155 $77.66
J1100 Dexamethasone sodium phos 364 315 $65.39
82607 29 24 $64.94
99212 62 53 $55.47
99406 43 17 $46.64
90653 64 59 $39.13
J3010 Fentanyl citrate injection 303 240 $38.75
96376 143 103 $34.43
J7120 Ringers lactate infusion 445 312 $31.04
82565 51 40 $30.75
82550 15 13 $29.88
G2058 Ccm add 20min 19 15 $20.61
84439 13 12 $18.64
0054A 37 32 $9.44
99497 23 22 $5.64
J3475 Inj magnesium sulfate 130 104 $3.61
85018 42 37 $3.34
J1170 Hydromorphone injection 512 369 $2.29
A9270 Non-covered item or service 10,906 1,960 $1.68
J7512 Prednisone ir or dr oral 1mg 81 53 $0.52
S0119 Ondansetron 4 mg 725 621 $0.46
J3490 Drugs unclassified injection 43 39 $0.43
Q9966 Locm 200-299mg/ml iodine,1ml 60 56 $0.38
G0009 Admin pneumococcal vaccine 32 31 $0.00
90732 13 12 $0.00
J2003 Inj, lidocaine hcl, 1 mg 39 34 $0.00
J2001 Lidocaine injection 12 12 $0.00
J0690 Cefazolin sodium injection 14 12 $0.00
91306 18 12 $0.00
G0439 Ppps, subseq visit 18 14 $0.00
J1200 Diphenhydramine hcl injectio 198 163 $0.00
J0780 Prochlorperazine injection 31 28 $0.00
G8979 Mobility goal status 115 80 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 14 13 $0.00