Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › BARABOO › SSM HEALTH CARE OF WISCONSIN INC

SSM HEALTH CARE OF WISCONSIN INC

NPI: 1386641207 · BARABOO, WI 53913 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 07/07/2005

$9.78M
Total Medicaid Paid
414,115
Total Claims
334,953
Beneficiaries
199
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMINERATH, JOSEPH (SYSTEM DIRECTOR GOV'T REIMBURSEMENT)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: MINERATH, JOSEPH

ProviderCityStateTotal Paid
SSM HEALTH CARE OF WISCONSIN, INC. MADISON WI $14.70M
SSM HEALTH CARE OF WISCONSIN, INC. JANESVILLE WI $8.37M
SSM HEALTH CARE OF WISCONSIN, INC MADISON WI $6.40M
RIPON MEDICAL CENTER INC RIPON WI $4.30M
AGNESIAN HEALTHCARE INC FOND DU LAC WI $2.25M
SSM HEALTH CARE OF WISCONSIN INC JANESVILLE WI $1.03M
AGNESIAN HEALTHCARE INC FOND DU LAC WI $172K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,356 $1.39M
2019 57,672 $1.38M
2020 51,053 $1.20M
2021 69,985 $1.63M
2022 66,822 $1.46M
2023 67,109 $1.55M
2024 51,118 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,823 18,528 $1.40M
96361 Intravenous infusion, hydration; each additional hour 6,826 5,627 $757K
99284 Emergency department visit for the evaluation and management, high severity 10,936 9,644 $588K
80053 Comprehensive metabolic panel 16,476 13,851 $550K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,473 5,998 $454K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,431 5,885 $436K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,899 2,247 $358K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,257 3,839 $292K
80048 Basic metabolic panel (calcium, ionized) 8,601 7,376 $274K
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 2,940 2,724 $247K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,548 4,878 $242K
80306 8,335 6,303 $236K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,495 2,012 $222K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,272 2,948 $211K
70450 Computed tomography, head or brain; without contrast material 2,973 2,683 $187K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,370 1,275 $145K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,302 15,691 $126K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,140 2,825 $124K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,074 1,809 $124K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,613 2,376 $112K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,280 1,189 $91K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,097 1,005 $88K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,406 2,169 $84K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,168 2,970 $83K
84443 Thyroid stimulating hormone (TSH) 4,087 3,748 $82K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,419 2,180 $79K
84703 5,116 4,490 $75K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,923 1,641 $71K
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 1,169 997 $70K
83036 Hemoglobin; glycosylated (A1C) 4,052 3,748 $68K
80061 Lipid panel 3,668 3,382 $68K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,733 1,671 $64K
76801 812 696 $62K
87086 Culture, bacterial; quantitative colony count, urine 4,241 3,804 $59K
85027 6,876 6,083 $58K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,187 1,003 $58K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,606 1,494 $48K
87081 1,850 1,746 $48K
82962 5,942 2,910 $48K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,183 322 $47K
74176 Computed tomography, abdomen and pelvis; without contrast material 681 614 $46K
85610 3,550 2,715 $45K
84484 6,124 4,203 $43K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 471 440 $42K
81001 7,890 6,972 $39K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,851 1,700 $39K
80050 General health panel 1,965 1,793 $39K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 441 394 $39K
83880 2,043 1,774 $38K
84702 616 448 $36K
97162 1,158 1,062 $35K
83605 4,597 3,501 $33K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,614 909 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 723 669 $32K
86803 1,459 1,355 $30K
81003 4,582 4,099 $27K
83690 4,878 4,259 $25K
86850 2,245 1,886 $24K
87205 2,359 2,025 $23K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,701 6,845 $23K
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 2,147 1,994 $23K
71260 Computed tomography, thorax, diagnostic; with contrast material 404 375 $23K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 244 219 $21K
87077 1,851 1,573 $21K
71275 Computed tomographic angiography, chest, with contrast material 272 255 $20K
82805 495 409 $19K
82077 1,835 1,524 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,117 499 $17K
76700 Ultrasound, abdominal, real time with image documentation; complete 285 266 $17K
87631 118 111 $17K
83735 3,298 2,707 $16K
84439 875 795 $16K
80143 889 766 $16K
82728 877 817 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 104 93 $15K
87186 1,539 1,340 $14K
87808 898 803 $14K
86140 2,119 1,766 $13K
86592 525 477 $13K
73630 1,487 1,318 $13K
71046 Radiologic examination, chest; 2 views 4,241 3,838 $13K
84145 982 837 $12K
59025 Fetal non-stress test 126 79 $12K
76830 Ultrasound, transvaginal 299 278 $11K
82607 776 702 $10K
72125 Computed tomography, cervical spine; without contrast material 455 414 $10K
87040 1,784 833 $10K
81025 770 693 $9K
97161 247 228 $9K
87340 1,049 966 $9K
73610 947 846 $9K
83540 703 642 $9K
82565 581 401 $9K
80179 828 730 $8K
84466 690 630 $7K
73110 456 378 $7K
80076 206 183 $7K
85379 952 866 $7K
73030 742 638 $7K
88720 167 112 $7K
12001 70 65 $7K
77067 Screening mammography, bilateral, including computer-aided detection 280 264 $6K
71045 Radiologic examination, chest; single view 4,574 4,056 $6K
86900 2,121 1,781 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 481 427 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 66 51 $5K
82950 93 83 $5K
G0378 Hospital observation service, per hour 243 201 $4K
86901 2,128 1,789 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 12 $4K
36415 Collection of venous blood by venipuncture 14,626 11,199 $4K
96375 Therapeutic injection; each additional sequential IV push 6,132 4,798 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 177 143 $4K
85652 1,347 1,196 $4K
93975 93 80 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,761 9,003 $3K
73130 474 405 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 15 12 $3K
93798 72 13 $3K
82550 243 196 $3K
73564 123 102 $2K
82570 516 460 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 56 50 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 65 54 $2K
82746 173 151 $2K
86780 191 181 $2K
77063 Screening digital breast tomosynthesis, bilateral 268 252 $2K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 86 79 $2K
73502 81 66 $2K
86762 149 133 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42 38 $2K
76642 76 52 $1K
92557 27 26 $1K
93971 52 52 $1K
87634 20 20 $1K
83655 56 54 $1K
82043 194 175 $1K
86618 56 55 $1K
93017 26 24 $998.49
97116 78 47 $986.08
88142 57 41 $947.41
86706 55 54 $851.78
88305 Level IV - Surgical pathology, gross and microscopic examination 1,336 874 $838.49
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,908 3,324 $798.40
87522 Neg quan hep c or qual rna 13 13 $771.81
71250 33 27 $655.09
87807 18 18 $519.18
96376 1,379 1,097 $448.26
84156 50 45 $426.64
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 29 24 $396.76
87070 67 62 $384.85
84460 99 66 $376.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,950 4,806 $349.93
77065 Tomosynthesis, mammo 15 14 $349.74
86705 27 27 $316.16
90715 55 53 $313.87
A9270 Non-covered item or service 2,956 2,331 $282.17
85730 67 56 $274.52
G0463 Hospital outpatient clinic visit for assessment and management of a patient 47 43 $233.01
73562 351 327 $210.54
77066 Tomosynthesis, mammo 15 14 $172.40
84550 40 37 $151.70
72100 25 24 $132.31
J2704 Injection, propofol, 10 mg 2,645 2,205 $131.53
J7030 Infusion, normal saline solution , 1000 cc 10,134 8,171 $73.06
85018 42 36 $72.18
94726 13 12 $71.10
99292 325 299 $55.99
0352U 137 125 $51.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 107 99 $39.89
94729 13 12 $35.58
36416 199 160 $28.93
J7120 Ringers lactate infusion, up to 1000 cc 3,014 2,265 $5.32
J1885 Injection, ketorolac tromethamine, per 15 mg 6,341 5,295 $4.30
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,829 1,571 $3.49
J2765 Injection, metoclopramide hcl, up to 10 mg 1,153 1,006 $2.85
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,024 4,204 $2.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,026 2,664 $2.40
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,666 1,243 $1.08
J3010 Injection, fentanyl citrate, 0.1 mg 2,273 1,883 $0.95
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 68 48 $0.86
J1170 Injection, hydromorphone, up to 4 mg 2,008 1,586 $0.86
J2060 Injection, lorazepam, 2 mg 822 710 $0.72
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 105 80 $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 125 110 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 54 48 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 113 93 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 26 25 $0.00
73590 15 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 4,298 1,583 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,143 965 $0.00
J0690 Injection, cefazolin sodium, 500 mg 392 298 $0.00
J1790 Injection, droperidol, up to 5 mg 92 82 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,698 719 $0.00
J3490 Unclassified drugs 71 62 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 135 97 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 20 16 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 111 102 $0.00