Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › OCONOMOWOC › PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.

PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.

NPI: 1366420531 · OCONOMOWOC, WI 53066 · 282N00000X

$2.33M
Total Medicaid Paid
156,431
Total Claims
116,751
Beneficiaries
116
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,869 $345K
2019 18,553 $341K
2020 18,767 $286K
2021 25,778 $318K
2022 25,518 $309K
2023 30,007 $382K
2024 20,939 $346K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 8,856 7,467 $463K
99284 4,969 4,229 $223K
96361 1,880 1,258 $203K
80053 10,363 7,314 $187K
96365 2,874 1,407 $134K
80307 1,968 1,642 $107K
74177 1,450 1,274 $99K
70450 1,398 1,228 $94K
99213 2,037 1,581 $65K
96360 886 605 $59K
85025 10,274 7,440 $59K
99285 1,454 1,263 $51K
U0003 Cov-19 amp prb hgh thruput 789 687 $46K
80048 2,266 1,648 $34K
97110 1,291 564 $33K
84703 2,980 2,558 $31K
97530 1,398 775 $30K
97140 1,371 548 $28K
83735 5,828 3,947 $28K
84484 2,408 1,753 $21K
99214 479 389 $19K
96413 358 183 $18K
G0378 Hospital observation per hr 1,129 935 $17K
80050 2,209 1,911 $17K
93005 5,362 4,398 $16K
85610 954 663 $14K
85027 2,915 1,965 $14K
0241U 383 333 $13K
84443 970 853 $13K
83690 2,553 2,171 $13K
87086 1,671 1,444 $13K
77067 797 743 $12K
82947 1,744 920 $11K
81001 3,232 2,750 $9K
87804 382 191 $9K
81003 3,089 2,630 $9K
41899 30 25 $9K
77063 662 616 $8K
99282 115 98 $7K
96366 67 38 $7K
G0463 Hospital outpt clinic visit 1,531 1,102 $7K
85379 808 702 $6K
96372 2,336 1,467 $5K
84100 1,610 1,116 $5K
G0480 Drug test def 1-7 classes 121 95 $5K
74176 90 80 $5K
94640 78 55 $4K
87426 129 109 $4K
96374 4,202 3,287 $4K
80061 294 266 $3K
99212 111 93 $3K
71046 602 517 $3K
71045 2,906 2,513 $3K
87428 82 74 $2K
93306 40 38 $2K
80081 12 12 $2K
83036 206 188 $2K
80320 774 664 $2K
82728 148 129 $2K
36415 15,693 11,023 $1K
96375 4,516 2,679 $1K
87880 32 28 $1K
99211 15 12 $1K
87070 42 37 $983.26
86850 162 137 $974.24
72148 22 12 $855.82
84439 108 94 $768.03
76642 27 25 $688.90
86803 34 28 $667.41
87635 26 18 $625.59
76705 16 12 $614.52
83540 87 69 $536.87
97112 39 15 $512.85
86900 192 163 $423.93
81025 29 24 $411.89
84702 36 24 $363.46
83550 85 67 $354.69
83605 25 13 $351.51
83880 16 14 $344.06
87040 52 30 $343.26
86901 197 167 $324.00
J2405 Ondansetron hcl injection 4,311 3,188 $281.47
87186 59 36 $278.05
82306 13 12 $254.79
82550 51 37 $250.43
84146 13 13 $233.21
96376 773 513 $152.77
87077 16 13 $105.92
82570 17 13 $60.97
Q9967 Locm 300-399mg/ml iodine,1ml 2,892 2,338 $48.42
86140 14 13 $43.61
84132 15 14 $39.61
J1650 Inj enoxaparin sodium 91 52 $5.88
J2250 Inj midazolam hydrochloride 636 544 $4.12
80329 87 81 $2.06
J3010 Fentanyl citrate injection 1,400 1,024 $1.83
J1170 Hydromorphone injection 1,567 991 $1.09
A9270 Non-covered item or service 686 379 $1.00
J7120 Ringers lactate infusion 1,702 1,326 $0.89
J7999 Compounded drug, noc 616 402 $0.73
J1885 Ketorolac tromethamine inj 3,186 2,437 $0.35
J1100 Dexamethasone sodium phos 1,962 1,415 $0.35
J2704 Inj, propofol, 10 mg 78 63 $0.16
J1642 Inj heparin sodium per 10 u 62 26 $0.03
J2060 Lorazepam injection 367 276 $0.00
A9585 Gadobutrol injection 169 138 $0.00
J0690 Cefazolin sodium injection 139 92 $0.00
J2765 Metoclopramide hcl injection 55 43 $0.00
94760 82 71 $0.00
Q0162 Ondansetron oral 62 51 $0.00
G1004 Cdsm ndsc 1,390 1,112 $0.00
J1200 Diphenhydramine hcl injectio 303 237 $0.00
J2270 Morphine sulfate injection 67 53 $0.00
J1644 Inj heparin sodium per 1000u 36 12 $0.00
J3475 Inj magnesium sulfate 127 81 $0.00
C1713 Anchor/screw bn/bn,tis/bn 15 13 $0.00