Medicaid Provider Spending

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

ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

NPI: 1275799413 · SHEBOYGAN, WI 53081 · Cardiovascular Disease Physician · NPI assigned 08/06/2008

$853K
Total Medicaid Paid
30,216
Total Claims
23,623
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWAGNER, JOHN (MARKET COO)
Parent OrganizationST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
NPI Enumeration Date08/06/2008

Related Entities

Other providers sharing the same authorized official: WAGNER, JOHN

ProviderCityStateTotal Paid
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $4.46M
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $516K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $210K
ST. JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST CHIPPEWA FALLS WI $162K
WGM OBSTETRICS AND GYNECOLOGY,PC EAST NORTHPORT NY $92K
ST. JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST F CHIPPEWA FALLS WI $27K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRA EAU CLAIRE WI $12K
JOHN WAGNER PSYCHOLOGICAL SERVICES LLC CINCINNATI OH $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,412 $114K
2019 4,813 $127K
2020 2,934 $90K
2021 4,657 $108K
2022 4,596 $120K
2023 5,295 $148K
2024 3,509 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,624 9,801 $352K
90834 Psychotherapy, 45 minutes with patient 5,151 3,242 $143K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,850 4,080 $128K
99215 Prolong outpt/office vis 2,395 2,057 $115K
J0585 Injection, onabotulinumtoxina, 1 unit 106 25 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 106 83 $16K
0002A 412 379 $13K
90792 Psychiatric diagnostic evaluation with medical services 201 189 $11K
0001A 462 383 $11K
98942 745 202 $9K
73630 412 258 $6K
93000 485 402 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 107 88 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $4K
0012A 94 88 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 69 63 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 155 135 $2K
0011A 103 82 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
87660 53 51 $1K
0031A 46 33 $978.97
90686 57 56 $796.50
87480 52 50 $796.35
92567 47 45 $717.57
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 33 13 $714.33
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 18 17 $612.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 61 24 $599.36
0071A 29 13 $472.15
87510 51 49 $454.50
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 44 14 $441.50
99152 19 17 $427.13
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $322.54
99205 Prolong outpt/office vis 19 13 $305.17
99459 16 12 $154.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 106 102 $35.38
81003 15 13 $10.64
91300 859 643 $3.79
91301 191 163 $0.48
0502F 874 642 $0.00
91305 13 12 $0.00
91303 45 32 $0.00
91307 49 15 $0.00