Columbia ST. Mary's Hospital Milwaukee INC
Columbia ST. Mary's Hospital Milwaukee INC was paid $769K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
MILWAUKEE, WI 53211
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,239 | $154K | |
| 2019 | 8,880 | $162K | |
| 2020 | 8,089 | $135K | |
| 2021 | 8,220 | $103K | |
| 2022 | 6,156 | $70K | |
| 2023 | 5,924 | $96K | |
| 2024incomplete | 2,829 | $49K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 57% | 36,412 | 11,431 | $435K |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 2,104 | 1,864 | $84K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 4,415 | 1,652 | $82K |
| 99223 | Prolong inpt eval add15 m | 5.8% | 1,049 | 931 | $45K |
| 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 | 4.3% | 833 | 755 | $33K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.4% | 713 | 636 | $26K |
| 99219 | 2.6% | 544 | 499 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 467 | 433 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 538 | 491 | $11K |
| 99220 | <1% | 209 | 190 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 799 | 234 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 148 | 138 | $5K |
4 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.