Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Fond Du Lac › NPI 1346228541
Clinic

Agnesian Healthcare, INC

Agnesian Healthcare, INC was paid $17.74M by Medicaid between Jan 2018 and Dec 2024, across 293 billing codes. Its largest line is 99283, emergency room visit (moderate) — 9.6% of everything it billed.

33Billing provider infoAGNESIAN HEALTHCARE, INC
FOND DU LAC, WI 54935
33aNPI1346228541assigned 01/06/2006
28Total paid$17.74M
24GClaims912,311
24DCodes billed293
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Wisconsin

Rank by total paid#1 of 7
Median peer was paid$178K
This provider vs. median100×

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 GRINNELL, AMY controls 11+ 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
2018132,710$2.75M
2019130,170$2.84M
2020112,251$2.14M
2021141,402$2.38M
2022142,937$2.58M
2023148,562$2.78M
2024incomplete104,279$2.27M
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 9.6% 31,695 26,884 $1.70M
96361 Intravenous infusion, hydration; each additional hour 8.2% 13,548 9,634 $1.45M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 7.0% 28,911 14,453 $1.24M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.1% 20,337 16,903 $896K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.9% 14,268 12,663 $868K
80053 Comprehensive metabolic panel 4.2% 31,582 24,188 $743K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.2% 27,198 9,341 $741K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 5,707 4,959 $362K
70450 Computed tomography, head or brain; without contrast material 2.0% 6,732 5,760 $356K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.0% 6,939 5,519 $350K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.7% 6,100 3,474 $299K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.7% 2,616 2,255 $297K
281 more codes
85610 1.6% 20,784 $280K
84484 1.5% 16,385 $266K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.5% 14,468 $266K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.4% 1,589 $254K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.4% 3,571 $244K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.4% 8,991 $240K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.3% 8,531 $239K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.3% 6,895 $237K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.3% 3,413 $237K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 40,699 $226K
80048 Basic metabolic panel (calcium, ionized) 1.1% 11,458 $202K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.1% 7,944 $201K
99285 Emergency room visit (most serious) 1.1% 4,749 $193K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.0% 5,301 $178K
59025 Fetal non-stress test <1% 2,202 $175K
80306 <1% 7,111 $169K
99213 Doctor's office visit, returning patient (routine) <1% 5,559 $154K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,242 $147K
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% 3,275 $146K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,901 $145K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,346 $137K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,980 $132K
83880 <1% 4,817 $132K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,633 $128K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,487 $108K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,318 $107K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,353 $96K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,021 $93K
71046 Radiologic examination, chest; 2 views <1% 9,449 $85K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 751 $85K
G0378 Hospital observation service, per hour <1% 4,980 $84K
87631 <1% 610 $83K
H0022 Alcohol and/or drug intervention service (planned facilitation) <1% 5,637 $82K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 258 $79K
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% 955 $77K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,198 $74K
97162 <1% 2,727 $73K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 376 $67K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,385 $67K
97161 <1% 2,125 $65K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,794 $61K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,896 $61K
74018 <1% 3,129 $60K
84443 Thyroid stimulating hormone (TSH) <1% 4,932 $59K
83690 <1% 11,230 $58K
84703 <1% 7,691 $58K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,089 $57K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,657 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,852 $55K
81001 <1% 16,213 $54K
90792 Psychiatric diagnostic evaluation with medical services <1% 999 $50K
93971 <1% 1,563 $48K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 809 $45K
72125 Computed tomography, cervical spine; without contrast material <1% 1,976 $44K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 8,567 $43K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 1,127 $43K
81025 <1% 3,884 $42K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,074 $41K
87081 <1% 2,422 $41K
83735 <1% 9,778 $41K
84145 <1% 2,479 $40K
82077 <1% 4,339 $39K
93017 <1% 1,025 $39K
83605 <1% 5,263 $38K
87800 <1% 1,517 $37K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 238 $37K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 636 $35K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 398 $34K
90837 Psychotherapy session, about an hour <1% 1,309 $32K
80143 <1% 2,934 $30K
80179 <1% 2,857 $29K
90832 Psychotherapy session, about 30 minutes <1% 1,077 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 536 $28K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,469 $27K
85730 <1% 7,301 $26K
87040 <1% 3,057 $25K
72100 <1% 1,768 $25K
Q3014 Telehealth originating site facility fee <1% 5,757 $24K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 424 $24K
87077 <1% 2,511 $23K
71250 <1% 823 $23K
82805 <1% 834 $21K
90791 Psychiatric diagnostic evaluation <1% 1,106 $21K
76830 Ultrasound, transvaginal <1% 744 $21K
93296 <1% 1,353 $20K
84702 <1% 890 $19K
85379 <1% 2,855 $19K
94726 <1% 964 $19K
76770 <1% 470 $18K
87186 <1% 2,159 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,746 $17K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 64 $16K
97166 <1% 624 $16K
70498 <1% 196 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 252 $15K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 20,909 $15K
70551 Magnetic resonance imaging, brain; without contrast material <1% 255 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,709 $13K
87632 <1% 71 $13K
93976 <1% 423 $13K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,201 $13K
70496 <1% 164 $12K
97035 <1% 1,275 $12K
73630 <1% 1,802 $12K
87070 <1% 613 $11K
73030 <1% 1,306 $11K
73560 <1% 498 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,740 $10K
94060 <1% 336 $10K
81003 <1% 3,383 $10K
86850 <1% 1,812 $10K
82962 <1% 1,446 $9K
85027 <1% 1,818 $9K
73130 <1% 1,250 $9K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 72 $8K
76642 <1% 215 $8K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 154 $8K
71045 Radiologic examination, chest; single view <1% 9,861 $8K
43249 <1% 53 $8K
94660 <1% 169 $8K
85378 <1% 1,169 $8K
51701 <1% 634 $7K
82330 <1% 625 $7K
73610 <1% 1,383 $7K
93970 <1% 174 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,453 $6K
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% 499 $6K
97165 <1% 259 $6K
94729 <1% 1,013 $5K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 91 $5K
73564 <1% 1,331 $5K
86140 <1% 1,369 $5K
86900 <1% 2,368 $5K
86901 <1% 2,409 $5K
73110 <1% 516 $5K
73502 <1% 533 $5K
76536 <1% 122 $5K
92523 <1% 50 $5K
82550 <1% 1,033 $4K
80061 Lipid panel <1% 509 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $4K
84100 <1% 872 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 59 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 158 $4K
99238 Hospital discharge day management, 30 minutes or less <1% 247 $4K
H2012 Behavioral health day treatment, per hour <1% 97 $4K
72141 <1% 72 $4K
82565 <1% 1,241 $3K
96137 <1% 37 $3K
90715 <1% 494 $3K
62323 <1% 29 $3K
76801 <1% 191 $3K
72050 <1% 143 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 14 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 87 $3K
93880 <1% 109 $3K
99215 Doctor's office visit, returning patient (complex) <1% 70 $2K
97535 Self-care/home management training, each 15 minutes <1% 446 $2K
29125 <1% 27 $2K
93226 <1% 104 $2K
96136 <1% 37 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 12,978 $2K
77080 <1% 160 $2K
87634 <1% 13 $2K
87205 <1% 594 $2K
80076 <1% 184 $2K
97116 <1% 137 $2K
97803 <1% 235 $1K
75574 <1% 18 $1K
77091 <1% 158 $1K
85652 <1% 725 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 52 $1K
36592 <1% 708 $978.92
82800 <1% 131 $918.78
85014 <1% 842 $915.50
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 126 $874.17
96367 <1% 31 $841.12
87641 <1% 49 $837.07
93922 <1% 53 $812.19
84439 <1% 139 $808.92
70491 <1% 14 $722.78
71101 <1% 15 $710.54
36415 Collection of venous blood by venipuncture <1% 47,052 $700.39
84132 <1% 615 $628.06
93325 <1% 28 $616.30
87088 <1% 109 $605.36
73080 <1% 92 $537.50
84295 <1% 520 $516.11
82010 <1% 64 $514.45
93225 <1% 28 $493.64
94010 <1% 30 $446.24
95806 <1% 12 $436.75
80164 <1% 12 $401.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 547 $365.60
71271 <1% 16 $268.70
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 13 $231.01
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,067 $201.78
96376 <1% 5,280 $185.03
84520 <1% 73 $163.48
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 205 $158.07
99232 Hospital visit by a doctor, follow-up day <1% 25 $152.92
C1769 Guide wire <1% 495 $144.69
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,016 $132.21
94762 <1% 17 $130.34
82607 <1% 17 $118.90
74019 <1% 27 $92.85
J7030 Infusion, normal saline solution , 1000 cc <1% 15,148 $84.60
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,904 $67.77
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 882 $66.97
99292 <1% 17 $65.98
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,269 $62.86
82570 <1% 17 $59.66
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,928 $45.85
J7120 Ringers lactate infusion, up to 1000 cc <1% 11,064 $42.76
J1170 Injection, hydromorphone, up to 4 mg <1% 4,879 $38.32
99152 <1% 413 $35.34
85347 <1% 22 $31.38
J2704 Injection, propofol, 10 mg <1% 5,582 $30.40
J0690 Injection, cefazolin sodium, 500 mg <1% 3,329 $29.59
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,790 $28.42
J7050 Infusion, normal saline solution, 250 cc <1% 12,666 $26.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,157 $24.87
88307 <1% 14 $23.90
80050 General health panel <1% 338 $22.98
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13,138 $22.29
99153 Mod sedat endo service >5yrs <1% 817 $18.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,348 $13.29
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 489 $9.99
88304 <1% 70 $9.77
J1644 Injection, heparin sodium, per 1000 units <1% 2,833 $8.39
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 449 $5.80
J7070 Infusion, d5w, 1000 cc <1% 612 $4.43
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,701 $3.49
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,062 $2.49
J2060 Injection, lorazepam, 2 mg <1% 1,414 $2.19
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,251 $2.17
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 612 $2.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 300 $1.76
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,842 $0.14
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 3,317 $0.05
J1815 Injection, insulin, per 5 units 0% 58 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 61 $0.00
A9270 Non-covered item or service 0% 2,723 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 352 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 344 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 231 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 632 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 176 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 205 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 969 $0.00
J3490 Unclassified drugs 0% 180 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 163 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 44 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 258 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 22 $0.00
88342 0% 129 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 25 $0.00
V2632 Posterior chamber intraocular lens 0% 59 $0.00
51798 0% 19 $0.00
S5136 Companion care, adult (e.g., iadl/adl); per diem 0% 209 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 15 $0.00
73090 0% 12 $0.00
J3411 Injection, thiamine hcl, 100 mg 0% 18 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 246 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 2,451 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 1,931 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 217 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 1,148 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 440 $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% 534 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 3,911 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 241 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 98 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 35 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 168 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 42 $0.00
73590 0% 12 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 22 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 70 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 46 $0.00
51702 0% 13 $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

Who's on the registration

Authorized officialGRINNELL, AMY (VP-FINANCE, CFO)
Same official

Other billing entities under GRINNELL, AMY

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.