Medicaid Provider Spending

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

TOMAH MEMORIAL HOSPITAL INC

NPI: 1184765240 · TOMAH, WI 54660 · 282N00000X

$16.05M
Total Medicaid Paid
266,165
Total Claims
195,883
Beneficiaries
159
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,652 $1.75M
2019 31,424 $1.55M
2020 27,313 $1.63M
2021 35,993 $2.02M
2022 46,126 $2.85M
2023 53,842 $3.30M
2024 41,815 $2.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 14,165 11,601 $2.62M
99212 16,973 14,252 $2.36M
96361 4,196 3,209 $1.76M
99284 9,795 7,677 $1.49M
99282 7,971 6,743 $1.42M
96365 4,129 2,304 $930K
99285 4,238 3,389 $644K
99213 4,916 3,861 $588K
74177 2,085 1,527 $449K
96366 1,280 725 $444K
99202 2,909 2,554 $367K
70450 2,152 1,447 $363K
97110 10,219 3,529 $349K
96360 1,414 1,085 $334K
94640 1,841 1,425 $206K
0241U 5,468 4,748 $168K
99281 835 750 $131K
87631 991 881 $98K
99211 953 481 $93K
87651 2,864 2,560 $85K
87635 1,773 1,612 $74K
97140 3,602 1,290 $72K
99214 607 517 $67K
80053 7,780 6,081 $63K
85025 12,491 9,565 $62K
92507 1,282 280 $48K
G0463 Hospital outpt clinic visit 2,243 1,476 $43K
G0378 Hospital observation per hr 874 343 $42K
74176 210 151 $42K
97162 1,010 888 $39K
87430 1,913 1,735 $35K
80048 5,681 4,435 $35K
96413 183 80 $34K
97530 809 263 $30K
96367 160 100 $29K
85027 2,541 1,815 $27K
81025 3,169 2,681 $26K
97112 1,054 492 $21K
81001 4,852 4,133 $19K
71046 5,616 4,151 $19K
99203 182 170 $17K
84484 2,631 1,850 $17K
83690 3,426 2,834 $16K
87081 1,678 1,514 $14K
U0003 Cov-19 amp prb hgh thruput 189 172 $14K
87086 2,310 2,014 $13K
97535 754 313 $12K
83605 2,097 1,573 $11K
96372 4,301 3,547 $11K
81003 4,286 3,654 $10K
96374 5,214 4,142 $9K
84443 875 755 $9K
76830 48 40 $9K
83735 2,813 1,811 $9K
93005 5,475 4,368 $9K
87186 1,379 1,153 $8K
84145 702 542 $7K
87077 1,426 1,100 $7K
G0480 Drug test def 1-7 classes 204 157 $7K
80307 172 137 $7K
82077 680 517 $6K
87040 1,314 636 $6K
76856 31 26 $5K
85379 782 696 $5K
80305 583 483 $5K
71045 2,094 1,407 $5K
82962 2,339 1,148 $4K
85610 1,633 1,300 $4K
80306 332 248 $4K
12001 16 12 $4K
85007 1,396 1,067 $3K
76705 43 39 $3K
87491 87 80 $3K
87591 87 80 $3K
80143 236 165 $2K
80179 243 165 $2K
76816 19 13 $2K
93971 17 12 $2K
73610 683 521 $2K
82803 177 122 $2K
83880 142 115 $2K
76817 21 16 $2K
86140 569 458 $2K
99215 Prolong outpt/office vis 12 12 $1K
87070 184 146 $1K
82565 500 333 $1K
73630 426 323 $1K
J0561 Penicillin g benzathine inj 21 14 $1K
82948 252 170 $1K
96375 4,050 2,937 $1K
82247 647 383 $1K
84460 540 351 $1K
85730 305 265 $1K
87147 170 141 $1K
86617 49 42 $1K
36415 3,643 2,762 $914.73
87905 95 80 $867.08
87798 30 26 $833.98
84450 373 219 $669.89
97163 17 13 $623.60
87220 155 134 $598.85
97166 15 14 $542.17
87880 32 27 $505.61
Q9967 Locm 300-399mg/ml iodine,1ml 3,110 2,604 $454.59
73110 68 53 $409.38
73030 104 62 $391.88
J7030 Normal saline solution infus 5,259 3,544 $376.18
94762 146 135 $321.03
J1885 Ketorolac tromethamine inj 5,288 4,090 $299.04
73130 47 40 $294.41
84075 143 78 $294.25
80050 176 149 $231.54
Q0162 Ondansetron oral 1,343 1,138 $185.56
87808 16 13 $173.80
84703 28 26 $173.55
90715 13 12 $169.37
J7120 Ringers lactate infusion 3,518 2,638 $165.83
96376 716 485 $153.22
J1642 Inj heparin sodium per 10 u 1,545 493 $146.27
87205 66 40 $127.75
86900 43 40 $125.25
86901 60 53 $113.49
J2405 Ondansetron hcl injection 3,728 2,704 $113.33
93010 769 602 $110.65
J2704 Inj, propofol, 10 mg 1,536 1,203 $101.24
A9270 Non-covered item or service 2,875 890 $87.88
87088 16 14 $77.59
J1100 Dexamethasone sodium phos 1,799 1,414 $69.66
86850 29 27 $64.56
82040 16 12 $61.99
88305 85 62 $52.85
J7050 Normal saline solution infus 3,736 1,305 $52.13
73562 13 12 $40.92
80320 99 90 $37.64
80051 18 14 $36.20
J2250 Inj midazolam hydrochloride 1,259 1,044 $35.07
85652 13 13 $27.90
J1200 Diphenhydramine hcl injectio 551 436 $25.59
J0665 Inj, bupivacaine, nos, 0.5mg 260 190 $19.51
J3010 Fentanyl citrate injection 2,222 1,673 $18.94
82272 14 12 $17.04
J1170 Hydromorphone injection 643 440 $15.38
J7060 5% dextrose/water 675 423 $14.79
J0696 Ceftriaxone sodium injection 614 400 $13.99
90471 13 12 $5.22
J0690 Cefazolin sodium injection 240 171 $2.71
73564 54 43 $2.13
J7040 Normal saline solution infus 101 76 $0.60
S0119 Ondansetron 4 mg 107 97 $0.00
L3908 Who cock-up nonmolde pre ots 15 14 $0.00
J1650 Inj enoxaparin sodium 29 12 $0.00
74018 15 12 $0.00
J1756 Iron sucrose injection 21 13 $0.00
J3490 Drugs unclassified injection 187 145 $0.00
J2765 Metoclopramide hcl injection 88 74 $0.00
36000 21 17 $0.00
J8540 Oral dexamethasone 14 12 $0.00
J1790 Droperidol injection 84 70 $0.00
J7512 Prednisone ir or dr oral 1mg 71 42 $0.00