Medicaid Provider Spending

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

EDGERTON HOSPITAL AND HEALTH SERVICES INC.

NPI: 1154350049 · EDGERTON, WI 53534 · Multi-Specialty Clinic/Center · NPI assigned 07/02/2006

$3.86M
Total Medicaid Paid
30,976
Total Claims
24,759
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUGSBURGER, MARC (PRESIDENT AND CEO)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,780 $293K
2019 4,049 $462K
2020 3,685 $500K
2021 5,655 $533K
2022 4,989 $515K
2023 5,544 $740K
2024 4,274 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,987 3,385 $1.12M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,352 1,163 $580K
41899 Unlisted procedure, dentoalveolar structures 207 162 $527K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,353 1,014 $425K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,329 1,043 $323K
99283 Emergency department visit for the evaluation and management, moderate severity 619 503 $195K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 602 530 $181K
96361 Intravenous infusion, hydration; each additional hour 185 145 $150K
99284 Emergency department visit for the evaluation and management, high severity 429 343 $118K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 299 145 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,062 936 $38K
80053 Comprehensive metabolic panel 2,612 2,134 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 316 283 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 90 70 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,476 1,897 $12K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 299 256 $11K
71046 Radiologic examination, chest; 2 views 204 182 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 688 629 $10K
87081 666 606 $5K
81001 1,193 1,001 $4K
00170 Anesthesia for intraoral procedures, including biopsy 41 41 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 920 728 $3K
36415 Collection of venous blood by venipuncture 3,189 2,256 $3K
80048 Basic metabolic panel (calcium, ionized) 411 306 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 359 266 $2K
84484 230 155 $1K
81025 216 160 $1K
80061 Lipid panel 103 86 $1K
83605 102 80 $848.49
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 42 33 $764.75
71045 Radiologic examination, chest; single view 121 101 $763.88
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 311 218 $678.63
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 14 12 $624.44
83690 117 97 $601.88
0012A 14 13 $581.11
83036 Hemoglobin; glycosylated (A1C) 77 67 $576.58
82607 58 46 $560.88
0011A 16 14 $528.88
85027 124 96 $510.56
84443 Thyroid stimulating hormone (TSH) 39 37 $468.72
85610 113 94 $374.55
82746 36 29 $364.56
96375 Therapeutic injection; each additional sequential IV push 80 68 $354.04
0031A 20 12 $339.48
80050 General health panel 15 14 $267.79
84439 35 27 $223.68
83735 33 25 $131.48
J7030 Infusion, normal saline solution , 1000 cc 435 337 $91.67
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 429 340 $80.24
87086 Culture, bacterial; quantitative colony count, urine 16 12 $66.72
91301 16 16 $35.50
85007 13 12 $28.08
J1885 Injection, ketorolac tromethamine, per 15 mg 1,015 859 $17.12
J7120 Ringers lactate infusion, up to 1000 cc 434 346 $12.07
J7050 Infusion, normal saline solution, 250 cc 235 121 $8.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 752 578 $6.72
J2405 Injection, ondansetron hydrochloride, per 1 mg 188 150 $2.18
J3010 Injection, fentanyl citrate, 0.1 mg 141 114 $1.45
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 32 30 $0.10
J2704 Injection, propofol, 10 mg 400 293 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 66 43 $0.00