Medicaid Provider Spending

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

COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC.

NPI: 1376582775 · MEQUON, WI 53097 · Multi-Specialty Clinic/Center · NPI assigned 06/05/2006

$807K
Total Medicaid Paid
33,928
Total Claims
27,204
Beneficiaries
33
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialHANSELMAN, MATTHEW (CFO)
NPI Enumeration Date06/05/2006

Related Entities

Other providers sharing the same authorized official: HANSELMAN, MATTHEW

ProviderCityStateTotal Paid
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. MEQUON WI $2.10M
COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC. MEQUON WI $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,074 $255K
2019 8,907 $199K
2020 5,921 $150K
2021 8,227 $181K
2022 799 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,470 14,234 $566K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,108 5,838 $161K
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 241 218 $22K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 637 588 $16K
99000 3,305 2,892 $10K
80305 603 453 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 101 97 $5K
90834 Psychotherapy, 45 minutes with patient 243 95 $4K
90686 620 571 $4K
99215 Prolong outpt/office vis 56 40 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 84 42 $2K
71046 Radiologic examination, chest; 2 views 91 78 $2K
80053 Comprehensive metabolic panel 166 147 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 156 133 $1K
93000 108 83 $1K
90674 97 89 $802.04
0002A 23 22 $791.00
0001A 32 31 $741.69
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 12 $656.86
11721 62 43 $506.61
99231 Subsequent hospital care, per day, straightforward or low complexity 28 12 $479.92
80061 Lipid panel 30 28 $353.29
90460 Immunization administration through 18 years of age via any route, first or only component 287 263 $123.95
3008F 19 13 $120.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 32 26 $115.20
80048 Basic metabolic panel (calcium, ionized) 14 14 $105.66
36415 Collection of venous blood by venipuncture 1,004 886 $87.60
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20 12 $54.38
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 141 122 $0.36
91300 56 44 $0.11
91301 16 15 $0.03
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 51 $0.00
90461 12 12 $0.00