Medicaid Provider Spending

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

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC

NPI: 1225071491 · MILWAUKEE, WI 53211 · Multi-Specialty Clinic/Center · NPI assigned 06/14/2006

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

Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more

$769K
Total Medicaid Paid
48,337
Total Claims
19,352
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
NPI Enumeration Date06/14/2006

Related Entities

Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL

ProviderCityStateTotal Paid
ASCENSION SE WISCONSIN HOSPITAL, INC MILWAUKEE WI $94.32M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MILWAUKEE WI $64.53M
ASCENSION ST FRANCIS HOSPITAL, INC MILWAUKEE WI $35.87M
ASCENSION NE WISCONSIN, INC APPLETON WI $19.89M
A.F.C. TRANSPORTATION, INC FLAGSTAFF AZ $10.12M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $9.82M
ASCENSION WISCONSIN LABORATORIES, INC MILWAUKEE WI $5.81M
ASCENSION NE WISCONSIN, INC OSHKOSH WI $4.31M
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. WICHITA KS $4.09M
ASCENSION CALUMET HOSPITAL, INC CHILTON WI $3.78M
SACRED HEART REHABILITATION INSTITUTE, INC. MEQUON WI $603K
MERCY MEDICAL CENTER OF OSHKOSH, INC. OSHKOSH WI $486K
ASCENSION NE WISCONSIN, INC APPLETON WI $343K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC GLENDALE WI $158K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $140K
ASCENSION NE WISCONSIN, INC MENASHA WI $63K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MEQUON WI $26K
ASCENSION SE WISCONSIN HOSPITAL, INC WAUWATOSA WI $9K
SACRED HEART REHABILITATION INSTITUTE, INC MILWAUKEE WI $6K
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC MOUNT PLEASANT WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,829 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 36,412 11,431 $435K
99239 Hospital discharge day management, more than 30 minutes 2,104 1,864 $84K
99233 Prolong inpt eval add15 m 4,415 1,652 $82K
99223 Prolong inpt eval add15 m 1,049 931 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 833 755 $33K
99222 Initial hospital care, per day, moderate complexity 713 636 $26K
99219 544 499 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 467 433 $12K
99238 Hospital discharge day management, 30 minutes or less 538 491 $11K
99220 209 190 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 799 234 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 148 138 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 19 19 $884.08
99221 15 14 $606.23
99252 12 12 $480.26
81003 60 53 $104.72