Medicaid Provider Spending

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

THEDACARE, INCORPORATED

NPI: 1376656959 · NEW LONDON, WI 54961 · Family Medicine Physician · NPI assigned 08/16/2006

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

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

$14.90M
Total Medicaid Paid
480,918
Total Claims
434,375
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date08/16/2006

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 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 MENASHA WI $1.46M
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 66,946 $1.80M
2019 68,186 $1.85M
2020 48,519 $1.38M
2021 70,215 $2.07M
2022 78,296 $2.37M
2023 84,656 $2.46M
2024 64,100 $2.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 157,794 142,991 $6.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 186,510 169,956 $5.50M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,162 7,422 $369K
99309 Subsequent nursing facility care, per day, low to moderate complexity 13,034 12,225 $268K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,099 3,845 $236K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,737 3,623 $217K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 7,934 4,706 $175K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,585 2,385 $160K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,255 4,804 $154K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,368 4,108 $134K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,061 1,995 $118K
90686 15,484 14,938 $118K
99215 Prolong outpt/office vis 1,915 1,633 $86K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,653 12,640 $83K
J0585 Injection, onabotulinumtoxina, 1 unit 105 85 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,392 1,274 $68K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,990 2,732 $58K
3008F 5,854 5,557 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,144 2,943 $46K
99232 Subsequent hospital care, per day, moderate complexity 2,880 1,314 $41K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 98 90 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 427 391 $34K
J2315 Injection, naltrexone, depot form, 1 mg 29 26 $29K
20611 764 698 $29K
93227 1,645 1,537 $25K
87631 240 214 $24K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 60 56 $23K
80048 Basic metabolic panel (calcium, ionized) 3,003 2,762 $22K
0002A 552 539 $20K
93000 1,776 1,657 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 304 289 $17K
0001A 529 506 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 894 428 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 251 73 $13K
78815 Positron emission tomography (PET) for limited area imaging 19 15 $13K
0072A 385 284 $12K
77067 Screening mammography, bilateral, including computer-aided detection 183 172 $12K
99308 Subsequent nursing facility care, per day, straightforward 753 674 $12K
93296 1,107 1,051 $12K
0071A 383 288 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 261 255 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,518 1,355 $11K
99223 Prolong inpt eval add15 m 228 219 $11K
90677 188 173 $10K
0012A 266 264 $10K
0011A 292 282 $10K
93018 960 912 $9K
0004A 225 199 $7K
95886 124 110 $7K
99233 Prolong inpt eval add15 m 332 137 $7K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,119 1,935 $7K
90670 1,706 1,667 $7K
92551 474 446 $6K
99239 Hospital discharge day management, more than 30 minutes 136 133 $6K
99222 Initial hospital care, per day, moderate complexity 182 171 $6K
71046 Radiologic examination, chest; 2 views 511 485 $5K
99349 161 143 $5K
93294 425 412 $5K
0064A 156 129 $5K
80061 Lipid panel 429 378 $5K
93016 300 285 $4K
99205 Prolong outpt/office vis 60 55 $4K
90723 724 704 $4K
80306 189 160 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15 12 $3K
20610 87 75 $3K
80076 367 345 $3K
90647 450 433 $3K
99421 326 254 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 20 16 $2K
0124A 73 66 $2K
95251 153 143 $2K
93295 67 65 $2K
90680 384 373 $2K
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) 576 548 $2K
64644 56 51 $2K
0031A 47 43 $2K
93272 81 74 $2K
99336 58 52 $2K
62323 14 14 $1K
90685 425 414 $1K
83036 Hemoglobin; glycosylated (A1C) 218 199 $1K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 63 51 $1K
72170 110 97 $1K
0052A 46 36 $1K
73610 92 77 $1K
99220 28 26 $1K
90688 83 82 $1K
90656 73 73 $1K
99152 67 45 $977.01
73564 56 51 $976.86
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 26 $883.33
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 154 145 $869.41
0054A 29 24 $847.52
73630 57 50 $830.72
0134A 27 27 $804.78
95874 99 93 $735.53
11045 74 29 $693.28
99219 12 12 $670.62
73030 41 37 $656.33
81001 193 184 $587.24
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $548.80
0154A 16 15 $534.24
99174 2,267 2,151 $526.67
J1040 Injection, methylprednisolone acetate, 80 mg 64 54 $502.20
73110 16 12 $420.91
99335 37 30 $376.95
20552 17 12 $316.90
90633 90 88 $316.48
93308 14 12 $301.50
97597 22 12 $252.59
73552 19 12 $232.68
99305 13 13 $221.34
36415 Collection of venous blood by venipuncture 527 476 $214.18
72100 16 15 $210.02
99497 13 12 $197.56
77063 Screening digital breast tomosynthesis, bilateral 13 12 $193.73
73562 14 14 $183.19
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $172.09
J1010 Injection, methylprednisolone acetate, 1 mg 14 13 $147.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 14 $137.96
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 52 45 $137.51
99173 12 12 $130.80
93321 14 12 $86.36
90734 26 26 $79.74
90651 26 25 $79.54
90715 13 13 $67.99
93325 29 25 $59.14
99406 12 12 $33.37
81003 13 13 $22.50
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) 26 24 $9.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $4.35
91313 24 24 $0.00
91300 1,424 1,266 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 14 12 $0.00
97803 27 27 $0.00
91311 15 14 $0.00
91312 71 64 $0.00
91307 819 597 $0.00
91301 613 589 $0.00
91306 151 124 $0.00
91305 116 92 $0.00
91315 16 15 $0.00
91303 108 63 $0.00