Medicaid Provider Spending

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

NPI: 1295789352 · WINONA, MN 55987 · General Practice Physician · NPI assigned 05/20/2006

$13.43M
Total Medicaid Paid
378,326
Total Claims
322,422
Beneficiaries
191
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHULTZ, RACHELLE (CEO)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: SCHULTZ, RACHELLE

ProviderCityStateTotal Paid
WINONA HEALTH SERVICES WINONA MN $1.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56,121 $682K
2019 58,027 $1.93M
2020 56,859 $2.02M
2021 62,224 $2.76M
2022 57,667 $2.41M
2023 53,151 $2.15M
2024 34,277 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,729 60,153 $2.79M
99284 Emergency department visit for the evaluation and management, high severity 16,534 13,061 $1.82M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,285 24,170 $1.51M
99283 Emergency department visit for the evaluation and management, moderate severity 16,045 12,996 $1.21M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,278 16,813 $1.11M
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 12,387 9,215 $876K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,298 2,586 $577K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,124 8,758 $278K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,491 3,342 $228K
11721 10,679 8,531 $181K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,920 2,513 $172K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,031 8,332 $142K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,197 2,027 $132K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,739 978 $129K
36415 Collection of venous blood by venipuncture 40,528 34,158 $128K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,070 1,883 $123K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,263 1,964 $121K
99308 Subsequent nursing facility care, per day, straightforward 3,256 2,701 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,832 4,493 $114K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,110 1,088 $96K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,891 2,586 $94K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,256 1,026 $91K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,035 1,022 $86K
99215 Prolong outpt/office vis 745 667 $82K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 610 561 $75K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,969 1,465 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 877 824 $62K
90834 Psychotherapy, 45 minutes with patient 1,076 597 $58K
92588 5,592 5,082 $56K
90472 Immunization administration, each additional vaccine (list separately) 5,215 4,774 $47K
92015 Determination of refractive state 3,669 3,572 $44K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,052 8,160 $42K
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 2,450 2,249 $40K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 704 668 $36K
96127 7,978 6,705 $35K
99232 Subsequent hospital care, per day, moderate complexity 1,014 345 $30K
99239 Hospital discharge day management, more than 30 minutes 607 531 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 282 274 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,816 9,643 $25K
80053 Comprehensive metabolic panel 5,797 5,298 $24K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 155 141 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,511 1,372 $24K
96375 Therapeutic injection; each additional sequential IV push 453 416 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 687 609 $19K
71046 Radiologic examination, chest; 2 views 2,621 2,324 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,017 962 $17K
81514 123 115 $17K
80061 Lipid panel 1,667 1,609 $15K
77067 Screening mammography, bilateral, including computer-aided detection 691 674 $15K
83021 1,399 1,357 $14K
0002A 673 657 $13K
80048 Basic metabolic panel (calcium, ionized) 2,915 2,683 $13K
99188 997 950 $13K
0001A 701 682 $13K
91320 179 171 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 500 385 $11K
90792 Psychiatric diagnostic evaluation with medical services 82 62 $10K
74177 Computed tomography, abdomen and pelvis; with contrast material 235 218 $10K
99348 165 154 $9K
71045 Radiologic examination, chest; single view 796 675 $9K
99349 94 93 $9K
90480 362 338 $9K
77063 Screening digital breast tomosynthesis, bilateral 503 495 $8K
99173 4,651 4,213 $8K
86769 355 341 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $7K
90837 Psychotherapy, 53 minutes with patient 142 90 $7K
90686 3,184 2,993 $7K
70450 Computed tomography, head or brain; without contrast material 383 335 $7K
62323 12 12 $7K
99307 389 327 $6K
99335 95 86 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 268 254 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 93 82 $6K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 268 254 $5K
X5622 81 59 $5K
G0008 Administration of influenza virus vaccine 331 318 $5K
0064A 321 315 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 41 28 $5K
90677 55 53 $5K
99442 184 136 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 194 188 $4K
97803 138 129 $4K
90670 806 724 $4K
0004A 186 184 $4K
0134A 181 175 $4K
99222 Initial hospital care, per day, moderate complexity 84 70 $4K
82728 261 254 $3K
99223 Prolong inpt eval add15 m 27 26 $3K
90662 88 88 $3K
87205 450 420 $3K
0072A 109 107 $3K
84443 Thyroid stimulating hormone (TSH) 299 286 $3K
87808 302 287 $2K
99441 181 138 $2K
99233 Prolong inpt eval add15 m 133 75 $2K
85610 1,170 624 $2K
0071A 79 76 $2K
97597 60 41 $2K
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) 983 917 $2K
86140 294 275 $2K
90682 69 68 $2K
0124A 80 75 $2K
87210 315 302 $2K
97161 33 27 $1K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 13 12 $1K
0054A 48 46 $1K
92557 42 28 $1K
85027 198 167 $1K
90473 182 165 $1K
J7030 Infusion, normal saline solution , 1000 cc 466 416 $1K
83605 336 310 $1K
80076 299 275 $881.52
J1050 Injection, medroxyprogesterone acetate, 1 mg 45 41 $855.10
90656 246 239 $841.99
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 25 25 $839.55
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 75 71 $779.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 337 316 $766.10
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 14 $689.89
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $685.72
73030 30 26 $670.53
76705 Ultrasound, abdominal, real time with image documentation; limited 37 36 $668.33
86592 72 68 $594.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $581.79
99217 14 13 $511.49
J2704 Injection, propofol, 10 mg 770 686 $509.18
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 25 $439.56
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 18 17 $403.03
99443 22 12 $384.96
88304 52 42 $383.86
97530 Therapeutic activities, direct patient contact, each 15 minutes 33 12 $332.74
99490 Ccm add 20min 76 75 $288.68
83735 267 242 $286.17
J3010 Injection, fentanyl citrate, 0.1 mg 644 553 $285.32
J1885 Injection, ketorolac tromethamine, per 15 mg 368 335 $284.25
92567 49 32 $283.57
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $279.94
76830 Ultrasound, transvaginal 12 12 $273.11
88142 38 37 $242.30
84145 35 25 $240.22
86780 13 13 $183.14
84484 62 51 $179.91
87631 12 12 $157.50
J7120 Ringers lactate infusion, up to 1000 cc 103 93 $143.36
81000 133 119 $121.40
99406 14 14 $116.50
73630 51 42 $109.94
86703 13 12 $107.98
80305 12 12 $101.40
84703 16 14 $98.07
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 47 46 $95.51
73564 38 36 $89.96
82077 15 14 $87.34
87653 13 13 $86.60
87899 13 12 $82.63
73610 30 26 $71.23
81001 41 37 $62.92
85730 54 41 $59.14
82043 12 12 $54.30
J0690 Injection, cefazolin sodium, 500 mg 49 41 $49.41
S0020 Injection, bupivicaine hydrochloride, 30 ml 14 13 $49.13
83690 70 63 $45.00
J2250 Injection, midazolam hydrochloride, per 1 mg 474 429 $44.73
81025 14 13 $44.15
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3,890 3,594 $24.11
J1200 Injection, diphenhydramine hcl, up to 50 mg 50 40 $12.21
J1630 Injection, haloperidol, up to 5 mg 26 26 $9.26
90648 800 720 $8.99
J2405 Injection, ondansetron hydrochloride, per 1 mg 15 12 $5.52
81002 13 12 $3.48
90723 191 180 $0.01
90680 161 149 $0.01
90633 176 162 $0.01
1111F 1,467 1,243 $0.00
1123F 27 26 $0.00
83036 Hemoglobin; glycosylated (A1C) 58 57 $0.00
A4217 Sterile water/saline, 500 ml 18 12 $0.00
90651 54 53 $0.00
91319 14 12 $0.00
2023F 12 12 $0.00
0501F 12 12 $0.00
86580 15 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,201 1,046 $0.00
0502F 1,275 808 $0.00
1124F 127 120 $0.00
90734 17 17 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68 41 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $0.00
90715 13 13 $0.00
90685 14 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 15 14 $0.00