Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Oshkosh › NPI 1275578064
Physician

Aurora Medical Center of Oshkosh, INC

Aurora Medical Center of Oshkosh, INC was paid $16.47M by Medicaid between Jan 2018 and Dec 2024, across 284 billing codes. Its largest line is 99283, emergency room visit (moderate) — 9.8% of everything it billed.

33Billing provider infoAURORA MEDICAL CENTER OF OSHKOSH, INC
OSHKOSH, WI 54904
33aNPI1275578064assigned 06/17/2006
28Total paid$16.47M
24GClaims732,392
24DCodes billed284
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Wisconsin

Rank by total paid#2 of 10
Median peer was paid$49K
This provider vs. median335×

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 RICHARDSON, KARA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201877,267$1.69M
201986,335$1.94M
202083,149$1.88M
2021118,307$2.43M
2022126,996$2.72M
2023135,192$3.07M
2024incomplete105,146$2.73M
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 9.8% 27,177 23,975 $1.61M
96361 Intravenous infusion, hydration; each additional hour 9.3% 11,965 9,234 $1.54M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 32,703 28,977 $1.50M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8.4% 39,696 15,966 $1.38M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.3% 17,973 16,002 $880K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2.8% 21,510 9,101 $457K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.7% 7,118 6,397 $452K
80053 Comprehensive metabolic panel 2.7% 26,474 19,996 $451K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.2% 4,716 4,252 $368K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.8% 3,624 2,735 $303K
70450 Computed tomography, head or brain; without contrast material 1.8% 4,034 3,606 $300K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.8% 4,631 3,177 $297K
272 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.6% 4,921 $265K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.6% 11,363 $264K
64493 1.5% 1,147 $251K
97161 1.5% 5,982 $243K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 33,452 $214K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.2% 4,704 $197K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.2% 2,295 $195K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 1,826 $189K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 3,419 $186K
64494 1.1% 1,459 $185K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.0% 2,284 $173K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.0% 840 $172K
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% 1,981 $156K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,071 $144K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,558 $132K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 3,197 $130K
80048 Basic metabolic panel (calcium, ionized) <1% 7,590 $126K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,470 $116K
83880 <1% 3,569 $113K
71046 Radiologic examination, chest; 2 views <1% 7,080 $113K
84484 <1% 9,929 $108K
64635 <1% 563 $94K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 585 $90K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,401 $81K
64636 <1% 552 $80K
97162 <1% 2,343 $78K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,983 $77K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,909 $77K
81025 <1% 6,872 $70K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,078 $70K
82962 <1% 7,629 $67K
73630 <1% 3,531 $61K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,347 $60K
83690 <1% 10,089 $60K
82077 <1% 2,704 $58K
83735 <1% 11,015 $58K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,038 $57K
93356 <1% 521 $57K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,322 $56K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 141 $55K
93975 <1% 1,351 $54K
62323 <1% 336 $53K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 808 $49K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 430 $49K
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% 846 $46K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 213 $43K
97165 <1% 1,308 $43K
97035 <1% 3,671 $41K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,144 $41K
83605 <1% 4,188 $40K
84145 <1% 2,032 $40K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 379 $40K
84443 Thyroid stimulating hormone (TSH) <1% 2,843 $39K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,161 $39K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 949 $39K
G0378 Hospital observation service, per hour <1% 2,985 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 741 $37K
93971 <1% 1,241 $36K
81001 <1% 9,451 $36K
73610 <1% 2,229 $35K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 519 $35K
76830 Ultrasound, transvaginal <1% 1,131 $34K
84703 <1% 3,079 $33K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,363 $32K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 14,025 $32K
72125 Computed tomography, cervical spine; without contrast material <1% 1,147 $30K
85379 <1% 3,480 $28K
82803 <1% 1,341 $26K
97116 <1% 2,176 $26K
86140 <1% 4,652 $23K
93017 <1% 746 $23K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 307 $23K
74018 <1% 1,180 $22K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 1,618 $22K
73030 <1% 1,777 $21K
87040 <1% 1,690 $21K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,647 $20K
87081 <1% 427 $19K
73110 <1% 1,111 $18K
81003 <1% 4,176 $18K
80047 <1% 547 $18K
73130 <1% 1,452 $17K
86850 <1% 949 $17K
85610 <1% 4,563 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 359 $17K
72100 <1% 1,379 $16K
96367 <1% 281 $15K
0240U <1% 487 $15K
76536 <1% 401 $14K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 47 $14K
71250 <1% 511 $14K
80143 <1% 1,225 $14K
87077 <1% 977 $14K
82330 <1% 1,133 $14K
80179 <1% 1,191 $13K
70498 <1% 149 $13K
73564 <1% 1,025 $13K
84702 <1% 786 $13K
85730 <1% 2,743 $12K
95886 <1% 240 $12K
72141 <1% 174 $12K
94729 <1% 663 $11K
87210 <1% 1,221 $11K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 310 $10K
76642 <1% 293 $10K
87186 <1% 1,296 $10K
63650 <1% 34 $10K
85027 <1% 1,698 $9K
73562 <1% 853 $9K
94726 <1% 625 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,748 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 495 $8K
87070 <1% 616 $8K
70496 <1% 67 $7K
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 <1% 447 $7K
97166 <1% 224 $7K
73502 <1% 692 $7K
73140 <1% 410 $7K
97597 <1% 240 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,401 $7K
74019 <1% 228 $6K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 41 $6K
12001 <1% 84 $6K
70551 Magnetic resonance imaging, brain; without contrast material <1% 82 $6K
84132 <1% 1,184 $6K
71045 Radiologic examination, chest; single view <1% 8,260 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,012 $5K
93308 <1% 40 $5K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,307 $5K
76770 <1% 79 $5K
27096 <1% 26 $4K
86900 <1% 1,164 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,538 $4K
80076 <1% 558 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,717 $4K
85652 <1% 1,741 $4K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation <1% 90 $3K
82728 <1% 326 $3K
29581 <1% 48 $3K
86901 <1% 1,161 $3K
97535 Self-care/home management training, each 15 minutes <1% 300 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 11,995 $2K
73080 <1% 211 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 6,572 $2K
94060 <1% 73 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 26 $2K
87205 <1% 798 $2K
87088 <1% 307 $2K
96415 <1% 32 $2K
76801 <1% 79 $2K
J1756 Injection, iron sucrose, 1 mg <1% 1,422 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 237 $2K
70486 <1% 55 $2K
77002 <1% 47 $1K
90715 <1% 57 $1K
93970 <1% 41 $1K
93922 <1% 27 $1K
82550 <1% 242 $1K
Q3014 Telehealth originating site facility fee <1% 18 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 11,862 $1K
73660 <1% 75 $1K
93880 <1% 25 $1K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography <1% 26 $1K
87807 <1% 72 $1K
83550 <1% 171 $982.49
87075 <1% 190 $967.87
71271 <1% 14 $855.23
71101 <1% 83 $825.77
95913 <1% 26 $807.68
20999 <1% 22 $770.00
83540 <1% 176 $761.39
73221 <1% 15 $638.48
72110 <1% 28 $579.46
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,902 $576.61
80061 Lipid panel <1% 62 $560.39
97760 <1% 28 $534.08
96376 <1% 3,640 $500.35
90686 <1% 40 $495.44
82150 <1% 75 $493.74
73590 <1% 55 $420.07
72146 <1% 12 $409.06
85014 <1% 234 $391.91
83615 <1% 96 $319.72
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,562 $315.80
94010 <1% 55 $290.84
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 93 $272.36
82607 <1% 26 $239.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 234 $202.00
82010 <1% 27 $200.76
72040 <1% 12 $188.04
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,472 $181.76
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 597 $168.13
73560 <1% 15 $158.25
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 143 $158.07
J1644 Injection, heparin sodium, per 1000 units <1% 960 $156.15
82746 <1% 13 $141.27
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,426 $138.63
74022 <1% 73 $136.50
J0690 Injection, cefazolin sodium, 500 mg <1% 3,705 $134.59
J7030 Infusion, normal saline solution , 1000 cc <1% 14,702 $119.37
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,821 $115.28
84100 <1% 26 $104.86
84295 <1% 28 $96.13
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 318 $91.95
36415 Collection of venous blood by venipuncture <1% 5,658 $81.57
C1769 Guide wire <1% 976 $72.45
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,426 $69.78
82272 <1% 16 $51.55
Q9957 Injection, perflutren lipid microspheres, per ml <1% 963 $47.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 538 $43.70
82947 <1% 13 $41.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,474 $35.40
88304 <1% 137 $32.93
J2060 Injection, lorazepam, 2 mg <1% 2,146 $31.21
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,318 $26.30
72072 <1% 12 $25.91
J7050 Infusion, normal saline solution, 250 cc <1% 5,087 $25.79
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,055 $19.69
J0780 Injection, prochlorperazine, up to 10 mg <1% 687 $16.66
J2704 Injection, propofol, 10 mg <1% 10,895 $16.51
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,574 $14.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,953 $10.78
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 244 $0.00
J1815 Injection, insulin, per 5 units 0% 1,979 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 2,021 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 1,572 $0.00
51798 0% 12 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 660 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 287 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 202 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 1,182 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 877 $0.00
36000 0% 290 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 359 $0.00
J7999 Compounded drug, not otherwise classified 0% 508 $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 0% 347 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 0% 54 $0.00
J3590 Unclassified biologics 0% 146 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 193 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 263 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 32 $0.00
J3490 Unclassified drugs 0% 232 $0.00
A4364 Adhesive, liquid or equal, any type, per oz 0% 13 $0.00
80320 0% 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 17 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 12 $0.00
C1778 Lead, neurostimulator (implantable) 0% 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 35 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 19 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 17 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 1,453 $0.00
A4212 Non-coring needle or stylet with or without catheter 0% 571 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 768 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 448 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 264 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 2,051 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 1,841 $0.00
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 20 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 0% 469 $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% 226 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 298 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 40 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 184 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 998 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 1,148 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 0% 155 $0.00
76376 0% 58 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 15 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 74 $0.00
A4565 Slings 0% 39 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 17 $0.00
A6206 Contact layer, sterile, 16 sq. in. or less, each dressing 0% 36 $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

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Authorized officialRICHARDSON, KARA (VP MANAGED HEALTH)
Same official

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