Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Columbia ST. Mary's Hospital Milwaukee, INC

Columbia ST. Mary's Hospital Milwaukee, INC was paid $158K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoCOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
GLENDALE, WI 53217
33aNPI1215945456assigned 08/03/2006
28Total paid$158K
24GClaims5,260
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#58 of 359
Median peer was paid$4K
This provider vs. median41×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,026$28K
2019373$13K
2020298$7K
2021774$16K
20222,006$65K
2023517$21K
2024incomplete266$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 85% 3,956 3,254 $134K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 823 664 $20K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 34 29 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 25 24 $1K
99000 <1% 179 153 $545.34
11721 <1% 93 79 $530.23
90686 <1% 28 27 $393.58
99223 Prolong inpt eval add15 m <1% 15 12 $311.96
83036 Hemoglobin; glycosylated (A1C) <1% 13 12 $98.36
99308 Subsequent nursing facility care, per day, straightforward <1% 26 24 $47.50
36415 Collection of venous blood by venipuncture 0% 56 51 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 12 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCCULLOUGH, MICHAEL (CFO)
Same official

Other billing entities under MCCULLOUGH, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.