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

Ascension ST Francis Hospital, INC

Ascension ST Francis Hospital, INC was paid $35.87M by Medicaid between Jan 2018 and Dec 2024, across 340 billing codes. Its largest line is 99283, emergency room visit (moderate) — 13% of everything it billed.

33Billing provider infoASCENSION ST FRANCIS HOSPITAL, INC
MILWAUKEE, WI 53215
33aNPI1225087190assigned 05/09/2006
28Total paid$35.87M
24GClaims1,212,088
24DCodes billed340
24AFirst – last monthJan 2018 – Dec 2024

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$200K$400K$600K2018201920202021202220232024
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
2018185,070$5.58M
2019189,599$5.66M
2020143,738$4.45M
2021188,425$5.26M
2022172,300$5.42M
2023196,672$5.42M
2024incomplete136,284$4.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 73,856 66,201 $4.54M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.7% 55,155 48,849 $3.12M
96361 Intravenous infusion, hydration; each additional hour 8.4% 20,427 17,063 $3.02M
J2350 Injection, ocrelizumab, 1 mg 5.2% 475 418 $1.85M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.1% 27,419 23,883 $1.46M
80053 Comprehensive metabolic panel 3.7% 52,827 44,604 $1.32M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.9% 10,600 9,831 $1.04M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.6% 26,183 7,809 $930K
J2323 Injection, natalizumab, 1 mg 2.2% 2,192 1,980 $786K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.2% 11,904 11,015 $771K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.0% 10,861 10,184 $722K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 14,892 13,702 $702K
328 more codes
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 1.5% 6,507 $550K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.5% 5,398 $539K
80048 Basic metabolic panel (calcium, ionized) 1.3% 19,037 $470K
70450 Computed tomography, head or brain; without contrast material 1.3% 6,277 $454K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 7,184 $445K
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 1.2% 8,347 $439K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.2% 65,143 $433K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 2,535 $422K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 5,775 $413K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 8,379 $401K
81001 1.1% 28,511 $385K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 5,302 $383K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 15,943 $357K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,446 $313K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,287 $309K
99214 Doctor's office visit, returning patient (more involved) <1% 4,190 $292K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,291 $282K
87081 <1% 9,890 $259K
81025 <1% 26,034 $245K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 8,991 $236K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 6,617 $210K
G0378 Hospital observation service, per hour <1% 5,404 $207K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12,018 $205K
82962 <1% 14,091 $204K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,691 $191K
81003 <1% 17,509 $185K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,855 $169K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,871 $161K
99213 Doctor's office visit, returning patient (routine) <1% 1,933 $143K
87634 <1% 2,285 $139K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,704 $139K
80061 Lipid panel <1% 9,638 $137K
84443 Thyroid stimulating hormone (TSH) <1% 9,943 $122K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13,892 $122K
84484 <1% 13,473 $122K
12001 <1% 1,399 $121K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 551 $115K
71046 Radiologic examination, chest; 2 views <1% 11,793 $114K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,445 $112K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,019 $111K
84702 <1% 4,117 $108K
86481 <1% 1,308 $101K
59025 Fetal non-stress test <1% 572 $100K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 693 $98K
76830 Ultrasound, transvaginal <1% 2,352 $97K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,470 $95K
83690 <1% 15,782 $94K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,068 $91K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 24,821 $90K
90834 Psychotherapy session, about 45 minutes <1% 2,504 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,560 $86K
80143 <1% 3,449 $86K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,862 $85K
83036 Hemoglobin; glycosylated (A1C) <1% 8,242 $84K
96415 <1% 1,137 $83K
93798 <1% 653 $82K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,049 $81K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,723 $81K
96367 <1% 1,681 $76K
97161 <1% 2,078 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,095 $71K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 9,825 $68K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 756 $67K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 3,381 $66K
76642 <1% 1,772 $66K
82607 <1% 4,289 $64K
97162 <1% 1,747 $63K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 483 $60K
95886 <1% 782 $60K
12011 <1% 603 $58K
83880 <1% 2,630 $57K
72125 Computed tomography, cervical spine; without contrast material <1% 1,764 $56K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,178 $54K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 379 $52K
90792 Psychiatric diagnostic evaluation with medical services <1% 733 $51K
80074 <1% 1,615 $50K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 248 $49K
85027 <1% 9,376 $46K
82728 <1% 2,018 $46K
76801 <1% 1,463 $45K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,935 $44K
81511 <1% 229 $41K
72100 <1% 3,298 $39K
10060 <1% 504 $39K
82950 <1% 530 $38K
93971 <1% 1,326 $38K
80179 <1% 3,412 $36K
95811 <1% 170 $35K
83605 <1% 3,675 $33K
83735 <1% 6,701 $33K
54161 <1% 45 $32K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 565 $32K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 735 $31K
86480 <1% 488 $31K
85610 <1% 7,042 $30K
12002 <1% 387 $30K
70551 Magnetic resonance imaging, brain; without contrast material <1% 526 $30K
93458 <1% 66 $29K
76819 Fetal biophysical profile; without non-stress testing <1% 1,542 $28K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 412 $27K
77066 Tomosynthesis, mammo <1% 1,085 $27K
94060 <1% 1,203 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,938 $26K
84439 <1% 2,678 $26K
84703 <1% 2,908 $26K
86780 <1% 2,254 $25K
87186 <1% 3,378 $25K
86850 <1% 2,805 $25K
87077 <1% 2,303 $24K
87040 <1% 1,730 $23K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 312 $23K
70486 <1% 627 $21K
85379 <1% 2,568 $21K
82247 <1% 297 $21K
73564 <1% 3,588 $20K
82565 <1% 1,864 $20K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,065 $19K
80076 <1% 2,317 $19K
87147 <1% 3,287 $19K
93017 <1% 529 $19K
87340 <1% 1,939 $19K
73030 <1% 3,002 $18K
95806 <1% 354 $18K
86360 <1% 638 $18K
74018 <1% 2,293 $18K
82784 <1% 1,119 $18K
90715 <1% 2,502 $17K
73630 <1% 4,137 $17K
71045 Radiologic examination, chest; single view <1% 17,908 $16K
86900 <1% 3,224 $16K
87015 <1% 316 $15K
86355 <1% 654 $15K
73130 <1% 3,291 $15K
94729 <1% 855 $15K
97116 <1% 741 $15K
85007 <1% 4,993 $15K
86762 <1% 926 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 285 $14K
86901 <1% 4,049 $13K
82077 <1% 822 $13K
85730 <1% 2,946 $13K
72040 <1% 832 $13K
87070 <1% 948 $13K
97165 <1% 379 $13K
70498 <1% 150 $13K
29125 <1% 339 $13K
86704 <1% 1,275 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 24,909 $12K
71250 <1% 398 $12K
36514 <1% 99 $12K
82550 <1% 2,233 $11K
83540 <1% 1,857 $11K
73610 <1% 3,325 $11K
83655 <1% 735 $11K
36415 Collection of venous blood by venipuncture <1% 28,996 $11K
83550 <1% 1,533 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 215 $11K
77062 <1% 699 $10K
86140 <1% 1,842 $10K
73502 <1% 1,382 $10K
87210 <1% 1,785 $10K
77065 Tomosynthesis, mammo <1% 485 $10K
82043 <1% 1,825 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 150 $9K
70496 <1% 103 $9K
86803 <1% 763 $9K
90837 Psychotherapy session, about an hour <1% 274 $9K
0002A <1% 623 $8K
90791 Psychiatric diagnostic evaluation <1% 213 $8K
83970 <1% 277 $8K
64615 <1% 155 $8K
0001A <1% 625 $8K
72141 <1% 142 $7K
82746 <1% 722 $7K
82570 <1% 1,265 $7K
82800 <1% 828 $7K
87088 <1% 898 $7K
73110 <1% 1,896 $6K
64644 <1% 108 $6K
86703 <1% 389 $6K
87207 <1% 299 $6K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 79 $5K
84153 <1% 325 $5K
85652 <1% 1,616 $5K
86711 <1% 567 $5K
82553 <1% 1,130 $5K
83525 <1% 440 $5K
43248 <1% 25 $4K
84132 <1% 1,668 $4K
72070 <1% 467 $4K
87205 <1% 974 $4K
84100 <1% 1,303 $4K
86706 <1% 342 $4K
82010 <1% 619 $4K
95874 <1% 595 $4K
86359 <1% 159 $4K
84450 <1% 663 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 30 $4K
84460 <1% 666 $4K
70491 <1% 43 $4K
87075 <1% 523 $4K
84481 <1% 274 $4K
93356 <1% 34 $3K
84550 <1% 682 $3K
76770 <1% 91 $3K
97602 <1% 179 $3K
86705 <1% 218 $3K
73080 <1% 767 $3K
76942 <1% 741 $3K
73140 <1% 1,351 $3K
97035 <1% 228 $3K
81510 <1% 21 $2K
87631 <1% 23 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 17,917 $2K
95911 <1% 42 $2K
73562 <1% 248 $2K
82947 <1% 260 $2K
82105 <1% 30 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 58 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 54 $2K
82248 <1% 419 $2K
77080 <1% 25 $2K
P9045 Infusion, albumin (human), 5%, 250 ml <1% 102 $2K
76870 <1% 42 $1K
36591 <1% 653 $1K
76536 <1% 31 $1K
J0583 Injection, bivalirudin, 1 mg <1% 12 $1K
71101 <1% 965 $1K
94726 <1% 347 $1K
95819 <1% 27 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 173 $1K
97535 Self-care/home management training, each 15 minutes <1% 80 $1K
83516 <1% 66 $1K
10061 <1% 12 $930.69
80164 <1% 69 $906.69
91300 <1% 268 $905.92
83615 <1% 236 $873.24
73590 <1% 360 $848.15
94150 <1% 1,419 $801.71
82040 <1% 71 $784.97
72110 <1% 61 $691.96
73090 <1% 434 $683.45
77061 <1% 56 $671.91
88738 <1% 65 $670.66
80050 General health panel <1% 129 $646.10
Q3014 Telehealth originating site facility fee <1% 332 $641.46
86038 <1% 66 $626.23
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,588 $612.70
80305 <1% 55 $603.08
86787 <1% 101 $507.67
73560 <1% 26 $495.08
94727 <1% 214 $465.82
87522 Neg quan hep c or qual rna <1% 15 $445.36
82951 <1% 14 $415.08
90674 <1% 37 $403.25
82378 <1% 28 $354.30
94762 <1% 33 $349.73
73660 <1% 13 $343.32
85018 <1% 16 $318.60
74019 <1% 564 $318.49
88342 <1% 689 $269.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,318 $267.34
84155 <1% 169 $241.98
64643 <1% 26 $166.80
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 16,175 $163.81
85049 <1% 67 $156.54
86039 <1% 14 $131.52
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,445 $126.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,472 $108.68
J2704 Injection, propofol, 10 mg <1% 8,421 $91.81
G0008 Administration of influenza virus vaccine <1% 63 $63.66
84156 <1% 15 $58.12
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 195 $55.99
88304 <1% 457 $48.04
99152 <1% 550 $38.08
J1170 Injection, hydromorphone, up to 4 mg <1% 3,795 $35.65
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,107 $27.72
96376 <1% 3,199 $24.39
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,110 $24.31
J2060 Injection, lorazepam, 2 mg <1% 2,477 $23.33
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,838 $22.02
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,160 $20.57
99153 Mod sedat endo service >5yrs <1% 420 $19.03
J0690 Injection, cefazolin sodium, 500 mg <1% 2,001 $18.41
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,234 $18.30
J1790 Injection, droperidol, up to 5 mg <1% 1,560 $14.96
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13,320 $11.51
A9270 Non-covered item or service <1% 13,323 $6.69
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 91 $6.60
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,333 $6.05
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,615 $5.98
J1630 Injection, haloperidol, up to 5 mg <1% 965 $5.93
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,231 $4.96
94760 <1% 1,426 $4.23
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,267 $1.09
J1644 Injection, heparin sodium, per 1000 units 0% 609 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,294 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 47 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 291 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 79 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 33 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 123 $0.00
C1760 Closure device, vascular (implantable/insertable) 0% 26 $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 0% 177 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 20 $0.00
88312 0% 105 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 92 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 25 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 45 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 36 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 13 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 332 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 696 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 234 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 16 $0.00
C1769 Guide wire 0% 728 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 0% 161 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 237 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 17 $0.00
J3490 Unclassified drugs 0% 13 $0.00
74021 0% 25 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 25 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 50 $0.00
99292 0% 193 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 0% 36 $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 0% 40 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 96 $0.00
73552 0% 14 $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.

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Authorized officialMCCULLOUGH, MICHAEL (CFO)
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