Medicaid Provider Spending

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

AURORA MEDICAL CENTER GRAFTON, LLC

NPI: 1265740195 · GRAFTON, WI 53024 · General Acute Care Hospital · NPI assigned 09/14/2010

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$7.35M
Total Medicaid Paid
393,832
Total Claims
285,839
Beneficiaries
190
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date09/14/2010

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,721 $813K
2019 46,177 $856K
2020 45,197 $840K
2021 66,186 $1.19M
2022 66,504 $1.19M
2023 73,384 $1.37M
2024 54,663 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 36,597 14,219 $1.18M
96361 Intravenous infusion, hydration; each additional hour 5,306 4,341 $684K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21,937 8,985 $472K
99284 Emergency department visit for the evaluation and management, high severity 9,008 7,973 $469K
99283 Emergency department visit for the evaluation and management, moderate severity 7,638 6,895 $448K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,658 5,876 $346K
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,118 7,298 $307K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,284 1,180 $235K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,383 2,119 $208K
80053 Comprehensive metabolic panel 13,490 10,541 $204K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,461 3,894 $199K
97162 4,479 4,263 $173K
70450 Computed tomography, head or brain; without contrast material 2,769 2,522 $173K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,270 2,057 $172K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,132 1,469 $158K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,661 1,513 $105K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,196 12,825 $97K
97161 2,383 2,235 $96K
45380 Colonoscopy, flexible; with biopsy, single or multiple 526 482 $81K
80048 Basic metabolic panel (calcium, ionized) 5,523 4,019 $78K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,445 1,254 $76K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 704 395 $74K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,805 1,632 $72K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,162 1,208 $69K
84484 5,467 4,619 $51K
82962 7,202 4,540 $50K
74176 Computed tomography, abdomen and pelvis; without contrast material 682 624 $50K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,229 1,132 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 454 430 $45K
G0378 Hospital observation service, per hour 2,688 2,366 $44K
97116 2,578 1,508 $37K
83735 7,032 4,923 $36K
81025 3,643 3,279 $35K
97035 2,960 1,394 $32K
71275 Computed tomographic angiography, chest, with contrast material 359 329 $32K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 620 278 $31K
82077 1,408 1,162 $31K
83880 1,103 957 $30K
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 485 438 $29K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 2,213 1,101 $29K
83690 4,672 4,014 $25K
64721 87 79 $22K
97165 619 582 $20K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 114 111 $20K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 69 67 $20K
84145 1,033 893 $19K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 170 154 $18K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 78 74 $17K
84703 1,822 1,661 $16K
87086 Culture, bacterial; quantitative colony count, urine 1,866 1,709 $16K
83605 1,761 1,521 $16K
97016 983 428 $15K
0240U 559 510 $15K
97166 448 415 $15K
97163 456 441 $14K
81001 4,177 3,768 $14K
97535 Self-care/home management training, each 15 minutes 1,036 724 $12K
85610 3,920 3,338 $12K
87040 1,029 856 $11K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 48 46 $11K
72125 Computed tomography, cervical spine; without contrast material 469 425 $11K
84443 Thyroid stimulating hormone (TSH) 897 820 $11K
86850 837 755 $10K
81003 2,313 2,103 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 375 341 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 121 110 $10K
85027 2,142 1,525 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 200 191 $9K
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 165 145 $9K
80143 780 659 $9K
85730 1,919 1,703 $8K
85379 1,043 949 $8K
80179 726 614 $8K
93356 82 76 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 168 159 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 225 210 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,490 4,552 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,164 1,828 $5K
86900 951 857 $5K
97597 97 50 $5K
93017 176 169 $4K
76830 Ultrasound, transvaginal 157 149 $4K
77067 Screening mammography, bilateral, including computer-aided detection 270 237 $4K
77063 Screening digital breast tomosynthesis, bilateral 270 237 $4K
87077 482 451 $4K
93975 101 93 $4K
71046 Radiologic examination, chest; 2 views 541 514 $4K
93971 172 157 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 31 28 $3K
86901 950 856 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 34 24 $2K
87070 221 160 $2K
71045 Radiologic examination, chest; single view 5,360 4,820 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,743 3,435 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 26 25 $2K
86140 386 288 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23 12 $1K
Q0243 Injection, casirivimab and imdevimab, 2400 mg 35 32 $1K
87205 317 235 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,661 8,264 $993.03
87186 175 159 $934.38
85014 230 209 $898.53
83036 Hemoglobin; glycosylated (A1C) 120 106 $825.97
80047 12 12 $771.12
96375 Therapeutic injection; each additional sequential IV push 4,989 3,972 $574.76
82565 84 76 $520.31
82550 120 102 $487.22
76536 14 12 $440.01
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 12 $435.85
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 12 $435.85
71250 29 27 $426.15
J7030 Infusion, normal saline solution , 1000 cc 11,405 8,771 $315.16
80061 Lipid panel 44 40 $307.35
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 43 35 $300.00
85652 139 117 $275.00
J7120 Ringers lactate infusion, up to 1000 cc 9,191 8,019 $274.51
77002 12 12 $265.28
J1170 Injection, hydromorphone, up to 4 mg 3,691 2,491 $251.86
94060 13 13 $218.84
36000 228 223 $202.06
J0690 Injection, cefazolin sodium, 500 mg 4,903 3,688 $198.55
J2704 Injection, propofol, 10 mg 14,020 8,380 $187.60
J1885 Injection, ketorolac tromethamine, per 15 mg 5,501 4,143 $177.77
82607 14 14 $174.19
82746 15 15 $169.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 12 $154.78
94729 13 13 $122.25
89051 24 12 $118.56
94726 13 13 $109.40
74018 41 37 $108.93
88307 76 67 $95.92
C1769 Guide wire 1,320 1,168 $73.67
87210 13 13 $66.72
96376 2,426 1,573 $66.26
G0463 Hospital outpatient clinic visit for assessment and management of a patient 120 91 $57.87
J2405 Injection, ondansetron hydrochloride, per 1 mg 9,170 7,264 $49.50
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 597 547 $46.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,287 4,578 $41.30
J2250 Injection, midazolam hydrochloride, per 1 mg 4,646 4,272 $19.45
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 670 598 $18.22
A9585 Injection, gadobutrol, 0.1 ml 1,338 1,216 $9.46
72100 14 13 $9.36
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 212 186 $8.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,190 4,593 $5.69
J2270 Injection, morphine sulfate, up to 10 mg 1,753 1,353 $3.15
36415 Collection of venous blood by venipuncture 3,181 2,198 $2.04
J1815 Injection, insulin, per 5 units 966 354 $0.74
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,045 951 $0.42
J2060 Injection, lorazepam, 2 mg 1,265 899 $0.29
J2469 Injection, palonosetron hcl, 25 mcg 540 501 $0.27
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,072 923 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,076 871 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 1,334 516 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 946 843 $0.00
J1644 Injection, heparin sodium, per 1000 units 1,759 862 $0.00
C9113 Injection, pantoprazole sodium, per vial 240 158 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,265 1,174 $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 296 263 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 110 103 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 115 111 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 545 423 $0.00
A4565 Slings 106 94 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 254 230 $0.00
J3370 Injection, vancomycin hcl, 500 mg 86 38 $0.00
J1171 Injection, hydromorphone, 0.1 mg 58 34 $0.00
73630 15 14 $0.00
C1776 Joint device (implantable) 28 28 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 29 24 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 25 $0.00
73030 12 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 18 13 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 471 429 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 889 706 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 697 394 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 464 435 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,944 1,563 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 4,719 3,575 $0.00
J2785 Injection, regadenoson, 0.1 mg 55 53 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 193 146 $0.00
J7050 Infusion, normal saline solution, 250 cc 434 229 $0.00
J7999 Compounded drug, not otherwise classified 135 124 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 51 40 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 31 26 $0.00
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 59 47 $0.00
J3360 Injection, diazepam, up to 5 mg 13 12 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 14 13 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 93 86 $0.00
88304 71 69 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 15 12 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 15 15 $0.00