Medicaid Provider Spending

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

SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS

NPI: 1205811221 · EAU CLAIRE, WI 54701 · General Acute Care Hospital · NPI assigned 12/13/2005

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

Authorized official ALLEN, PATRICIA controls 18+ related entities in our dataset. Read more

$5.63M
Total Medicaid Paid
334,461
Total Claims
251,515
Beneficiaries
186
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CFO)
NPI Enumeration Date12/13/2005

Related Entities

Other providers sharing the same authorized official: ALLEN, PATRICIA

ProviderCityStateTotal Paid
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $58.07M
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $14.72M
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $9.09M
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC TAVARES FL $5.52M
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $5.04M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS EAU CLAIRE WI $4.62M
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $2.63M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $1.15M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $996K
ABUNDANT LIFE NURSING LLC MOUNT DORA FL $307K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $287K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $63K
ST CLARE MEMORIAL HOSPITAL, INC LENA WI $44K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $43K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $26K
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $5K
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,535 $995K
2019 42,490 $830K
2020 43,300 $712K
2021 58,606 $843K
2022 62,334 $986K
2023 66,439 $1.10M
2024 8,757 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 9,853 8,616 $581K
99284 Emergency department visit for the evaluation and management, high severity 9,448 8,098 $414K
96361 Intravenous infusion, hydration; each additional hour 4,651 3,046 $408K
80053 Comprehensive metabolic panel 16,008 12,123 $377K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,369 3,022 $249K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,641 3,242 $242K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,302 2,904 $203K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,824 2,006 $196K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,109 4,408 $186K
80306 3,158 2,613 $154K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,379 2,970 $152K
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 3,137 2,571 $138K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,963 2,703 $124K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,267 15,039 $123K
80048 Basic metabolic panel (calcium, ionized) 5,064 3,603 $103K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,760 1,560 $98K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,903 2,586 $92K
70450 Computed tomography, head or brain; without contrast material 1,847 1,643 $92K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,902 2,585 $88K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 742 675 $87K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,404 1,258 $77K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 852 432 $70K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,209 1,018 $66K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,194 862 $63K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,975 1,370 $58K
87086 Culture, bacterial; quantitative colony count, urine 4,930 4,320 $56K
82948 6,556 2,407 $46K
84484 5,799 3,936 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 764 686 $45K
G0378 Hospital observation service, per hour 2,265 1,388 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,404 1,260 $41K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 706 612 $41K
87507 122 115 $39K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 846 393 $38K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,330 2,111 $38K
81025 3,675 3,112 $35K
88142 1,984 1,783 $35K
87430 922 817 $34K
84443 Thyroid stimulating hormone (TSH) 2,601 2,276 $30K
87077 2,545 2,106 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 328 297 $26K
81001 6,951 5,979 $26K
96367 461 261 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,029 942 $23K
86140 5,077 4,042 $22K
87653 640 602 $20K
83735 5,025 3,701 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 352 298 $19K
83880 1,361 1,192 $18K
83690 3,618 3,080 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 238 95 $17K
83605 2,299 1,705 $16K
81003 3,660 3,202 $16K
87040 2,610 1,298 $15K
87205 2,247 1,868 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 419 372 $13K
87088 2,004 1,776 $13K
87186 2,094 1,680 $13K
84702 544 394 $13K
86803 1,107 1,007 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 262 237 $13K
71046 Radiologic examination, chest; 2 views 2,851 2,557 $12K
87070 1,139 939 $11K
74018 991 851 $11K
85610 4,419 3,398 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 787 729 $10K
85379 1,417 1,258 $9K
87081 1,446 1,335 $9K
71275 Computed tomographic angiography, chest, with contrast material 145 127 $8K
84439 872 799 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 108 95 $6K
82565 567 423 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,340 4,398 $6K
85730 2,292 1,926 $6K
80050 General health panel 1,371 1,166 $5K
84145 410 340 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 74 65 $5K
82607 402 364 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 24 $5K
83036 Hemoglobin; glycosylated (A1C) 653 576 $4K
87808 365 323 $4K
87340 550 473 $4K
71045 Radiologic examination, chest; single view 4,015 3,466 $4K
82550 736 604 $4K
83550 586 515 $4K
85027 531 432 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,451 3,360 $3K
83540 688 600 $3K
86618 240 199 $3K
86850 593 480 $3K
87807 133 120 $3K
93458 15 12 $3K
93971 149 131 $3K
77067 Screening mammography, bilateral, including computer-aided detection 83 76 $2K
72125 Computed tomography, cervical spine; without contrast material 171 147 $2K
96375 Therapeutic injection; each additional sequential IV push 5,173 3,603 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 59 50 $2K
84703 295 267 $2K
86780 249 217 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,495 6,148 $2K
82247 18 14 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 322 88 $2K
73610 186 161 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 26 $1K
86900 833 676 $1K
86901 834 676 $1K
73564 136 116 $1K
82803 53 40 $942.60
82728 71 65 $895.18
82570 164 143 $842.73
G0379 Direct admission of patient for hospital observation care 34 26 $831.42
59025 Fetal non-stress test 15 13 $811.62
97161 25 25 $695.83
85018 357 257 $650.24
83970 30 27 $639.31
73630 231 201 $631.96
84100 226 172 $625.66
76830 Ultrasound, transvaginal 22 12 $580.65
85652 371 322 $571.47
97162 49 40 $552.05
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,295 3,609 $475.28
87207 65 29 $299.64
Q3014 Telehealth originating site facility fee 29 27 $283.67
80076 75 69 $275.95
88342 71 50 $264.11
77063 Screening digital breast tomosynthesis, bilateral 14 12 $259.08
97535 Self-care/home management training, each 15 minutes 33 15 $257.64
80061 Lipid panel 49 39 $242.73
J3490 Unclassified drugs 7,064 2,648 $229.02
J7030 Infusion, normal saline solution , 1000 cc 9,073 6,294 $202.79
97166 20 15 $196.90
84481 13 12 $180.80
36592 84 59 $177.00
88304 97 83 $169.32
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 409 324 $158.07
84156 45 40 $111.37
86308 17 13 $95.10
36415 Collection of venous blood by venipuncture 7,476 5,112 $84.31
J1885 Injection, ketorolac tromethamine, per 15 mg 4,060 3,051 $72.33
90715 14 13 $68.85
84460 15 14 $44.31
A9270 Non-covered item or service 6,610 3,352 $43.82
96376 1,417 810 $42.41
84132 19 15 $39.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,144 3,356 $38.54
82553 15 12 $35.50
72100 29 25 $19.24
73130 34 25 $18.68
J2704 Injection, propofol, 10 mg 3,453 2,002 $7.21
J7120 Ringers lactate infusion, up to 1000 cc 3,035 2,450 $5.11
J3010 Injection, fentanyl citrate, 0.1 mg 5,104 4,051 $4.61
J2250 Injection, midazolam hydrochloride, per 1 mg 3,947 2,974 $4.46
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 821 522 $2.17
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,064 4,319 $0.78
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,022 704 $0.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 28 25 $0.28
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,943 1,348 $0.02
J2270 Injection, morphine sulfate, up to 10 mg 695 514 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 180 153 $0.00
73110 13 12 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 403 282 $0.00
J1644 Injection, heparin sodium, per 1000 units 344 181 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 236 92 $0.00
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 206 184 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 36 34 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 13 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 2,680 1,047 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,077 630 $0.00
J3480 Injection, potassium chloride, per 2 meq 263 118 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 347 274 $0.00
J1170 Injection, hydromorphone, up to 4 mg 978 637 $0.00
94760 440 213 $0.00
J0690 Injection, cefazolin sodium, 500 mg 1,262 870 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 224 180 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 64 51 $0.00
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 134 119 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 50 47 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 49 41 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 123 76 $0.00
C1769 Guide wire 46 43 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $0.00
J2060 Injection, lorazepam, 2 mg 101 70 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 61 31 $0.00
74019 54 49 $0.00
C1726 Catheter, balloon dilatation, non-vascular 14 13 $0.00