Medicaid Provider Spending

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

ASCENSION CALUMET HOSPITAL, INC

NPI: 1376541748 · CHILTON, WI 53014 · Critical Access Hospital · NPI assigned 07/11/2005

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

Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more

$3.78M
Total Medicaid Paid
102,065
Total Claims
69,764
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
NPI Enumeration Date07/11/2005

Related Entities

Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL

ProviderCityStateTotal Paid
ASCENSION SE WISCONSIN HOSPITAL, INC MILWAUKEE WI $94.32M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MILWAUKEE WI $64.53M
ASCENSION ST FRANCIS HOSPITAL, INC MILWAUKEE WI $35.87M
ASCENSION NE WISCONSIN, INC APPLETON WI $19.89M
A.F.C. TRANSPORTATION, INC FLAGSTAFF AZ $10.12M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $9.82M
ASCENSION WISCONSIN LABORATORIES, INC MILWAUKEE WI $5.81M
ASCENSION NE WISCONSIN, INC OSHKOSH WI $4.31M
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. WICHITA KS $4.09M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC MILWAUKEE WI $769K
SACRED HEART REHABILITATION INSTITUTE, INC. MEQUON WI $603K
MERCY MEDICAL CENTER OF OSHKOSH, INC. OSHKOSH WI $486K
ASCENSION NE WISCONSIN, INC APPLETON WI $343K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC GLENDALE WI $158K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $140K
ASCENSION NE WISCONSIN, INC MENASHA WI $63K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MEQUON WI $26K
ASCENSION SE WISCONSIN HOSPITAL, INC WAUWATOSA WI $9K
SACRED HEART REHABILITATION INSTITUTE, INC MILWAUKEE WI $6K
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC MOUNT PLEASANT WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,721 $324K
2019 17,602 $341K
2020 13,110 $375K
2021 15,250 $476K
2022 16,820 $736K
2023 18,555 $878K
2024 9,007 $651K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,591 4,917 $1.04M
99284 Emergency department visit for the evaluation and management, high severity 4,792 3,353 $598K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,669 7,363 $418K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,894 1,770 $416K
96361 Intravenous infusion, hydration; each additional hour 921 521 $303K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,634 4,648 $271K
99282 Emergency department visit for the evaluation and management, low to moderate severity 859 670 $118K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,244 1,006 $65K
80053 Comprehensive metabolic panel 6,253 4,324 $54K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,630 1,277 $36K
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 601 481 $36K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 562 443 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 782 240 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,676 3,868 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 631 513 $23K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 703 541 $21K
84443 Thyroid stimulating hormone (TSH) 1,952 1,479 $21K
80061 Lipid panel 1,964 1,600 $18K
80048 Basic metabolic panel (calcium, ionized) 2,485 1,749 $16K
80306 1,480 1,078 $16K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 93 62 $15K
87634 357 276 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 969 804 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 784 596 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,508 1,682 $13K
74177 Computed tomography, abdomen and pelvis; with contrast material 49 36 $11K
81001 3,536 2,514 $11K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 207 129 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,541 1,087 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 678 558 $9K
71046 Radiologic examination, chest; 2 views 516 397 $9K
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 577 456 $8K
83036 Hemoglobin; glycosylated (A1C) 1,434 1,141 $8K
87631 52 44 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 43 25 $5K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 71 56 $4K
87086 Culture, bacterial; quantitative colony count, urine 705 544 $4K
84484 778 458 $4K
85027 1,233 838 $4K
99001 739 605 $4K
99215 Prolong outpt/office vis 43 34 $4K
85610 1,984 1,037 $3K
90686 181 149 $3K
A0380 Bls mileage (per mile) 73 56 $3K
87081 359 297 $3K
99152 108 70 $3K
96375 Therapeutic injection; each additional sequential IV push 873 545 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 128 100 $2K
36415 Collection of venous blood by venipuncture 11,424 7,500 $2K
76000 263 152 $2K
83690 370 266 $2K
G0008 Administration of influenza virus vaccine 72 58 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 64 52 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 91 75 $1K
83735 384 271 $1K
81025 209 158 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 69 25 $1K
99406 199 101 $1K
71045 Radiologic examination, chest; single view 661 444 $814.42
85007 362 269 $761.07
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 35 32 $739.00
86140 249 169 $723.29
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 18 13 $528.52
93793 1,095 233 $468.88
85379 79 54 $374.44
83605 56 39 $316.67
85730 47 40 $171.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 155 107 $155.47
87186 34 28 $135.38
82077 16 12 $115.30
82728 18 12 $113.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 208 158 $92.91
90674 21 18 $73.64
J1885 Injection, ketorolac tromethamine, per 15 mg 1,009 671 $65.39
87077 16 14 $58.42
82043 14 12 $32.89
A0425 Ground mileage, per statute mile 405 239 $31.65
J3010 Injection, fentanyl citrate, 0.1 mg 471 221 $26.39
82962 18 12 $23.62
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 537 241 $21.93
J2405 Injection, ondansetron hydrochloride, per 1 mg 446 290 $4.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 54 31 $1.66
J2250 Injection, midazolam hydrochloride, per 1 mg 107 61 $1.14
A9270 Non-covered item or service 1,819 1,225 $0.00
J2704 Injection, propofol, 10 mg 28 24 $0.00