Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › GREEN BAY › ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

NPI: 1285613638 · GREEN BAY, WI 54304 · Pediatrics Physician · NPI assigned 01/13/2006

$12.21M
Total Medicaid Paid
379,742
Total Claims
318,580
Beneficiaries
210
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCROUCH, AMY (CFO WI MARKET)
Parent OrganizationST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
NPI Enumeration Date01/13/2006

Related Entities

Other providers sharing the same authorized official: CROUCH, AMY

ProviderCityStateTotal Paid
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,662 $1.52M
2019 51,471 $1.67M
2020 43,248 $1.51M
2021 63,111 $1.79M
2022 60,148 $1.74M
2023 63,540 $1.91M
2024 48,562 $2.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 112,128 99,198 $3.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,313 45,820 $2.10M
88305 Level IV - Surgical pathology, gross and microscopic examination 12,386 11,171 $593K
J0585 Injection, onabotulinumtoxina, 1 unit 446 391 $578K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,136 7,846 $483K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,282 7,746 $475K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,836 4,676 $288K
90834 Psychotherapy, 45 minutes with patient 10,577 7,330 $280K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,061 4,578 $221K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 8,859 3,856 $204K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,295 1,808 $151K
99215 Prolong outpt/office vis 2,156 1,961 $143K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,277 2,031 $138K
99232 Subsequent hospital care, per day, moderate complexity 7,436 2,526 $138K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,534 2,948 $135K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,954 2,075 $132K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 834 756 $122K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 776 681 $118K
76819 Fetal biophysical profile; without non-stress testing 1,591 1,029 $117K
3008F 12,121 11,656 $116K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 823 727 $114K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,973 1,136 $110K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,515 1,461 $91K
D1206 Topical application of fluoride varnish 3,180 3,103 $85K
D0191 4,365 3,988 $85K
0002A 2,428 2,262 $78K
96139 931 741 $75K
0001A 2,602 2,313 $68K
90686 11,074 10,622 $66K
96133 752 678 $65K
99233 Prolong inpt eval add15 m 2,217 762 $60K
93320 810 734 $51K
95951 264 157 $51K
71046 Radiologic examination, chest; 2 views 3,180 2,759 $49K
80306 3,126 1,589 $45K
93325 1,246 1,099 $40K
99239 Hospital discharge day management, more than 30 minutes 619 575 $35K
99222 Initial hospital care, per day, moderate complexity 695 572 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,443 2,217 $35K
96132 785 708 $34K
96116 1,051 958 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 432 386 $34K
90837 Psychotherapy, 53 minutes with patient 781 434 $31K
96119 259 242 $30K
95813 187 162 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,010 837 $28K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 77 67 $24K
96118 248 244 $24K
90791 Psychiatric diagnostic evaluation 392 339 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,850 2,412 $23K
99243 395 378 $23K
95819 308 291 $23K
93000 1,532 1,349 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,039 943 $21K
99223 Prolong inpt eval add15 m 296 258 $19K
90670 4,282 4,159 $19K
0004A 562 508 $19K
93227 1,090 923 $18K
88307 227 208 $17K
88312 718 668 $17K
92567 1,143 1,054 $17K
0071A 640 361 $16K
95720 119 82 $15K
93296 1,455 1,325 $15K
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 593 438 $15K
59025 Fetal non-stress test 473 274 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,151 1,107 $14K
0072A 487 319 $14K
73630 695 526 $13K
64642 194 183 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,923 1,694 $12K
77067 Screening mammography, bilateral, including computer-aided detection 152 122 $12K
0031A 438 346 $12K
95812 87 81 $11K
90677 461 400 $11K
76820 261 163 $11K
99244 Office or other outpatient consultation, moderate to high complexity 152 145 $11K
93040 818 764 $10K
90723 1,643 1,573 $10K
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 128 113 $9K
90647 1,216 1,164 $9K
96138 738 675 $9K
64643 191 177 $8K
83036 Hemoglobin; glycosylated (A1C) 1,012 935 $8K
90672 357 343 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 279 224 $8K
90792 Psychiatric diagnostic evaluation with medical services 169 139 $7K
91320 69 58 $7K
93295 338 292 $7K
80050 General health panel 136 129 $6K
92579 265 250 $6K
76801 56 53 $6K
0012A 174 168 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 44 41 $6K
90656 375 363 $6K
99238 Hospital discharge day management, 30 minutes or less 187 168 $6K
0124A 166 153 $6K
0011A 218 193 $5K
80053 Comprehensive metabolic panel 528 493 $5K
90633 1,043 1,016 $5K
80061 Lipid panel 369 338 $5K
86140 974 924 $5K
90480 206 153 $5K
93458 27 25 $5K
90698 1,297 1,272 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 230 113 $4K
84443 Thyroid stimulating hormone (TSH) 309 294 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 107 98 $4K
0054A 141 124 $4K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 333 306 $4K
93298 304 280 $4K
76821 50 26 $4K
95708 37 24 $4K
73610 167 149 $4K
73562 175 137 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 171 151 $4K
87660 241 184 $4K
85652 1,505 1,392 $4K
87480 242 185 $3K
83655 277 255 $3K
90651 611 592 $3K
93294 327 293 $3K
0081A 115 93 $3K
0082A 85 77 $3K
93018 285 266 $3K
76813 29 28 $3K
0064A 107 67 $2K
94060 124 106 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 60 56 $2K
20610 56 42 $2K
99152 103 86 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 168 51 $2K
80076 309 292 $2K
87510 168 136 $2K
95700 30 25 $2K
92015 Determination of refractive state 313 248 $2K
V5266 Battery for use in hearing device 176 150 $2K
92557 51 49 $2K
90681 332 320 $2K
90734 384 375 $2K
74018 95 81 $2K
93042 202 189 $1K
73110 69 53 $1K
90685 416 396 $1K
82565 276 261 $1K
84439 176 163 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 78 63 $1K
36416 628 582 $1K
0003A 38 32 $1K
73130 49 37 $1K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 25 24 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 273 236 $1K
81001 458 399 $1K
51798 151 134 $1K
93299 13 13 $1K
87210 224 177 $997.14
20611 18 12 $824.05
91319 23 12 $820.76
76642 20 14 $773.57
73030 52 42 $764.09
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $751.89
94729 60 56 $689.17
69210 86 81 $670.56
84481 43 42 $615.58
88112 14 14 $559.75
93225 13 13 $554.90
85018 241 232 $554.80
J1030 Injection, methylprednisolone acetate, 40 mg 69 64 $551.60
0083A 15 15 $538.82
81003 412 359 $532.99
82607 50 43 $513.49
88304 43 38 $491.47
0051A 14 13 $478.53
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 15 $462.84
90680 135 132 $445.96
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) 574 488 $421.67
51701 12 12 $406.80
94010 30 27 $403.45
90744 106 104 $376.06
72040 14 12 $325.30
93971 32 30 $298.28
80048 Basic metabolic panel (calcium, ionized) 36 30 $278.58
73140 15 12 $264.25
90710 79 76 $259.06
88342 12 12 $253.87
95251 16 14 $237.70
82728 31 25 $228.39
90715 67 67 $225.97
92555 13 13 $196.89
90847 Family psychotherapy with the patient present, 50 minutes 15 12 $162.10
90696 50 48 $159.08
88313 12 12 $144.07
85027 38 28 $143.37
99441 15 15 $139.28
90648 40 39 $129.23
99307 12 12 $85.98
91307 1,213 688 $40.04
91300 5,542 4,507 $12.18
91301 382 338 $1.26
91308 290 230 $0.18
91305 263 222 $0.02
0502F 6,933 4,656 $0.00
91312 170 154 $0.00
99177 269 250 $0.00
D1330 16 13 $0.00
91317 24 12 $0.00
91303 423 338 $0.00
91306 112 70 $0.00
D1310 16 13 $0.00
0500F 14 13 $0.00