Medicaid Provider Spending

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

THEDACARE, INCORPORATED

NPI: 1306959515 · MENASHA, WI 54952 · Addiction (Substance Use Disorder) Counselor · NPI assigned 08/15/2006

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

Authorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more

$1.46M
Total Medicaid Paid
95,701
Total Claims
67,473
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date08/15/2006

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $32.77M
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NEENAH WI $18.23M
THEDACARE, INCORPORATED NEW LONDON WI $14.90M
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $11.53M
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $10.85M
THEDACARE MEDICAL CENTER - BERLIN, INC. BERLIN WI $9.40M
THEDACARE MEDICAL CENTER - NEW LONDON, INC. NEW LONDON WI $9.19M
THEDACARE, INCORPORATED APPLETON WI $8.29M
THEDACARE, INCORPORATED APPLETON WI $7.37M
THEDACARE MEDICAL CENTER - WILD ROSE, INC WILD ROSE WI $6.04M
THEDACARE, INCORPORATED APPLETON WI $1.16M
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $974K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC APPLETON WI $834K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $429K
THEDACARE MEDICAL CENTER - SHAWANO, INC. CLINTONVILLE WI $212K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $50K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $45K
THEDACARE, INCORPORATED OSHKOSH WI $41K
THEDACARE, INCORPORATED SHAWANO WI $37K
THEDACARE, INCORPORATED WAUPACA WI $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,635 $141K
2019 12,053 $167K
2020 11,480 $142K
2021 14,020 $200K
2022 14,324 $235K
2023 17,259 $285K
2024 13,930 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 35,449 23,156 $649K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,659 20,054 $403K
H0022 Alcohol and/or drug intervention service (planned facilitation) 8,344 5,288 $75K
Q3014 Telehealth originating site facility fee 9,768 8,486 $66K
90792 Psychiatric diagnostic evaluation with medical services 911 760 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,061 3,531 $42K
90791 Psychiatric diagnostic evaluation 753 616 $29K
99232 Subsequent hospital care, per day, moderate complexity 2,145 908 $27K
90853 Group psychotherapy (other than of a multiple-family group) 2,166 911 $21K
90837 Psychotherapy, 53 minutes with patient 769 395 $20K
H2012 Behavioral health day treatment, per hour 805 132 $18K
99222 Initial hospital care, per day, moderate complexity 295 261 $10K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,676 805 $10K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 816 578 $9K
99238 Hospital discharge day management, 30 minutes or less 238 213 $6K
99239 Hospital discharge day management, more than 30 minutes 129 108 $6K
90832 Psychotherapy, 30 minutes with patient 169 147 $3K
99223 Prolong inpt eval add15 m 55 50 $3K
99233 Prolong inpt eval add15 m 119 43 $3K
96130 47 38 $1K
96139 46 37 $1K
99215 Prolong outpt/office vis 59 56 $1K
96131 46 37 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 116 40 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 116 $876.61
96138 46 37 $444.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 93 84 $359.55
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) 104 100 $326.68
99442 34 27 $244.12
98968 25 14 $152.39
96146 12 12 $4.44
90899 1,618 433 $0.00