Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Appleton › NPI 1407803638
Hospital

Ascension Ne Wisconsin, INC

Ascension Ne Wisconsin, INC was paid $19.89M by Medicaid between Jan 2018 and Dec 2024, across 342 billing codes. Its largest line is 99283, emergency room visit (moderate) — 10% of everything it billed.

33Billing provider infoASCENSION NE WISCONSIN, INC
APPLETON, WI 54915
33aNPI1407803638assigned 05/31/2006
28Total paid$19.89M
24GClaims1,050,789
24DCodes billed342
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#8 of 60
Median peer was paid$2.90M
This provider vs. median6.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018150,460$3.21M
2019215,873$3.93M
2020145,976$2.65M
2021153,525$2.55M
2022153,395$2.72M
2023146,548$2.77M
2024incomplete85,012$2.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 31,170 26,458 $2.00M
96361 Intravenous infusion, hydration; each additional hour 9.6% 17,872 11,787 $1.91M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.8% 26,290 21,660 $1.36M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.5% 24,440 18,890 $1.09M
80053 Comprehensive metabolic panel 5.0% 54,031 39,657 $993K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.5% 7,007 6,114 $505K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.3% 7,342 5,815 $462K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.3% 6,139 4,487 $450K
G0378 Hospital observation service, per hour 2.1% 8,062 5,202 $422K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.0% 6,409 4,344 $394K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.7% 3,749 3,152 $337K
70450 Computed tomography, head or brain; without contrast material 1.7% 5,670 4,607 $330K
330 more codes
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.6% 9,399 $317K
84443 Thyroid stimulating hormone (TSH) 1.5% 20,107 $294K
80048 Basic metabolic panel (calcium, ionized) 1.5% 20,774 $293K
99213 Doctor's office visit, returning patient (routine) 1.5% 6,102 $291K
H2012 Behavioral health day treatment, per hour 1.4% 10,222 $277K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 9,136 $277K
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 1.4% 4,257 $272K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.0% 4,420 $206K
G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count <1% 22,817 $195K
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% 4,584 $194K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,518 $189K
80061 Lipid panel <1% 14,919 $178K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 30,904 $166K
80306 <1% 10,349 $162K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,986 $157K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,477 $151K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,750 $148K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,350 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,000 $135K
87631 <1% 1,001 $134K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,251 $129K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,102 $125K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,868 $125K
87086 Culture, bacterial; quantitative colony count, urine <1% 12,901 $125K
99214 Doctor's office visit, returning patient (more involved) <1% 3,087 $118K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,651 $116K
81001 <1% 25,114 $114K
84702 <1% 4,775 $113K
99001 <1% 5,356 $107K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,803 $103K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 4,712 $95K
87653 <1% 2,540 $90K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,681 $89K
84484 <1% 10,455 $87K
83036 Hemoglobin; glycosylated (A1C) <1% 10,103 $85K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,018 $80K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,990 $79K
96415 <1% 1,126 $74K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,543 $72K
87634 <1% 1,366 $69K
82728 <1% 5,202 $65K
85610 <1% 14,419 $65K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,847 $64K
83690 <1% 12,180 $64K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,432 $63K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,927 $62K
81025 <1% 5,535 $61K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 740 $61K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,441 $60K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 480 $57K
84703 <1% 8,013 $57K
72125 Computed tomography, cervical spine; without contrast material <1% 2,187 $52K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 277 $52K
0240U <1% 1,608 $50K
87081 <1% 1,768 $49K
82947 <1% 8,023 $48K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,668 $47K
G0379 Direct admission of patient for hospital observation care <1% 1,314 $47K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,492 $46K
90834 Psychotherapy session, about 45 minutes <1% 2,308 $45K
82607 <1% 3,498 $44K
82565 <1% 3,808 $43K
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 <1% 3,360 $43K
87210 <1% 5,414 $42K
85027 <1% 8,617 $42K
84439 <1% 3,630 $42K
80076 <1% 3,677 $42K
71046 Radiologic examination, chest; 2 views <1% 4,039 $42K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,020 $41K
G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) <1% 6,947 $41K
83735 <1% 8,595 $39K
86803 <1% 3,671 $39K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 600 $38K
86780 <1% 4,413 $38K
83880 <1% 2,133 $37K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 841 $37K
90791 Psychiatric diagnostic evaluation <1% 1,019 $36K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 505 $34K
93017 <1% 826 $34K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,740 $34K
J9271 Injection, pembrolizumab, 1 mg <1% 30 $33K
83655 <1% 2,256 $32K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 212 $31K
86762 <1% 2,319 $31K
87340 <1% 3,963 $31K
H0022 Alcohol and/or drug intervention service (planned facilitation) <1% 1,462 $31K
84145 <1% 1,980 $30K
85379 <1% 3,837 $30K
97597 <1% 945 $29K
12001 <1% 373 $28K
70551 Magnetic resonance imaging, brain; without contrast material <1% 418 $28K
82950 <1% 2,645 $28K
87506 <1% 165 $28K
84153 <1% 1,389 $27K
87077 <1% 2,620 $27K
86140 <1% 5,840 $27K
82962 <1% 3,318 $26K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 395 $25K
87186 <1% 3,726 $25K
99215 Doctor's office visit, returning patient (complex) <1% 636 $24K
86850 <1% 4,462 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 18,909 $24K
74018 <1% 2,467 $24K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,304 $23K
83605 <1% 2,847 $22K
82247 <1% 957 $22K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,992 $22K
93971 <1% 571 $21K
93226 <1% 939 $20K
80143 <1% 1,873 $20K
80179 <1% 1,844 $19K
76642 <1% 480 $18K
83540 <1% 3,492 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,763 $17K
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 <1% 466 $17K
87070 <1% 1,618 $17K
41899 Unlisted procedure, dentoalveolar structures <1% 56 $16K
87040 <1% 1,486 $16K
84481 <1% 1,106 $15K
82077 <1% 1,773 $15K
83550 <1% 2,381 $15K
86787 <1% 2,416 $14K
86481 <1% 169 $14K
82043 <1% 2,682 $14K
86038 <1% 1,340 $13K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19,590 $13K
85730 <1% 3,537 $13K
12011 <1% 109 $12K
83970 <1% 392 $12K
82550 <1% 2,214 $12K
76770 <1% 220 $12K
82746 <1% 1,179 $12K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 129 $12K
85018 <1% 2,988 $11K
84460 <1% 2,521 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 799 $11K
84450 <1% 2,210 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 38 $11K
85007 <1% 3,459 $10K
80164 <1% 383 $10K
86900 <1% 3,767 $10K
76830 Ultrasound, transvaginal <1% 246 $10K
97162 <1% 406 $9K
71250 <1% 403 $9K
90832 Psychotherapy session, about 30 minutes <1% 631 $9K
30140 <1% 17 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,415 $8K
86901 <1% 3,769 $8K
59025 Fetal non-stress test <1% 115 $8K
86618 <1% 491 $8K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 277 $8K
96367 <1% 103 $8K
85652 <1% 3,184 $8K
83718 <1% 906 $7K
82465 <1% 1,177 $7K
84146 <1% 402 $7K
80050 General health panel <1% 164 $7K
82570 <1% 1,454 $7K
93458 <1% 17 $7K
87088 <1% 1,082 $7K
84466 <1% 786 $7K
95806 <1% 100 $6K
99460 <1% 74 $6K
80178 <1% 277 $6K
71045 Radiologic examination, chest; single view <1% 12,864 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 14 $6K
87205 <1% 1,525 $6K
82803 <1% 384 $5K
84132 <1% 866 $5K
82150 <1% 661 $5K
84156 <1% 1,327 $5K
96375 Therapeutic injection; each additional sequential IV push <1% 15,107 $5K
90715 <1% 745 $5K
80074 <1% 145 $4K
84144 <1% 148 $4K
86706 <1% 455 $4K
70486 <1% 142 $4K
86480 <1% 65 $4K
84550 <1% 841 $4K
70496 <1% 60 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 104 $4K
81015 <1% 140 $4K
94060 <1% 181 $4K
85014 <1% 756 $3K
82784 <1% 239 $3K
36591 <1% 388 $3K
81003 <1% 936 $3K
72141 <1% 62 $3K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 18 $3K
82040 <1% 304 $3K
70498 <1% 60 $3K
83001 <1% 211 $3K
76536 <1% 58 $3K
87147 <1% 608 $3K
36415 Collection of venous blood by venipuncture <1% 54,846 $2K
88307 <1% 201 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 73 $2K
73630 <1% 1,225 $2K
97116 <1% 270 $2K
94729 <1% 132 $2K
93225 <1% 131 $2K
93975 <1% 52 $2K
99462 <1% 74 $2K
82951 <1% 69 $2K
73030 <1% 714 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 76 $2K
84403 <1% 70 $2K
87272 <1% 54 $2K
84100 <1% 524 $1K
73110 <1% 509 $1K
86200 <1% 140 $1K
88304 <1% 657 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 73 $1K
94770 <1% 125 $1K
70491 <1% 31 $1K
86364 <1% 133 $1K
97166 <1% 40 $1K
77066 Tomosynthesis, mammo <1% 51 $1K
97035 <1% 110 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 34 $1K
72040 <1% 18 $1K
86258 <1% 111 $995.15
73130 <1% 665 $949.59
96417 <1% 94 $945.35
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 26 $942.76
73610 <1% 1,329 $923.00
76942 <1% 141 $834.89
74019 <1% 82 $834.43
73564 <1% 645 $753.67
72100 <1% 214 $740.54
J2469 Injection, palonosetron hcl, 25 mcg <1% 76 $733.12
73221 <1% 14 $723.02
73502 <1% 111 $718.33
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 500 $713.94
99203 Doctor's office visit, new patient (routine) <1% 13 $685.61
83002 <1% 54 $649.12
82670 <1% 35 $622.68
94726 <1% 89 $571.35
82533 <1% 14 $565.37
87449 <1% 36 $539.02
82330 <1% 21 $529.24
J1750 Injection, iron dextran, 50 mg <1% 50 $523.24
97161 <1% 12 $516.31
97163 <1% 21 $474.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 719 $401.33
73140 <1% 138 $391.31
96376 <1% 3,694 $319.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,779 $275.08
82010 <1% 47 $258.62
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,844 $233.35
86318 <1% 13 $195.00
80329 <1% 53 $173.10
88312 <1% 54 $169.97
80320 <1% 846 $164.11
83615 <1% 35 $151.37
83874 <1% 15 $143.67
77065 Tomosynthesis, mammo <1% 18 $142.26
A9585 Injection, gadobutrol, 0.1 ml <1% 1,394 $130.01
97165 <1% 15 $125.32
86705 <1% 21 $123.54
73560 <1% 85 $103.96
87075 <1% 37 $97.32
82952 <1% 34 $95.54
99152 <1% 728 $90.78
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 29 $90.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,786 $79.77
85049 <1% 33 $74.67
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 15,446 $69.85
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15 $58.80
88342 <1% 59 $58.64
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 10,325 $57.48
87324 <1% 19 $56.13
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 65 $52.78
C9113 Injection, pantoprazole sodium, per vial <1% 402 $51.39
82248 <1% 13 $48.61
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 5,137 $48.25
J0690 Injection, cefazolin sodium, 500 mg <1% 5,600 $47.72
J3010 Injection, fentanyl citrate, 0.1 mg <1% 10,928 $36.35
J1170 Injection, hydromorphone, up to 4 mg <1% 4,458 $36.24
A9270 Non-covered item or service <1% 16,985 $35.35
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,552 $32.66
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 14 $31.48
73090 <1% 19 $26.92
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,304 $22.83
J7050 Infusion, normal saline solution, 250 cc <1% 1,896 $17.65
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,691 $14.45
C1769 Guide wire <1% 1,013 $11.35
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,751 $11.19
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,380 $8.11
73080 <1% 44 $8.09
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,747 $7.97
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 267 $5.62
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 672 $4.44
J2060 Injection, lorazepam, 2 mg <1% 2,227 $3.57
G0475 Hiv antigen/antibody, combination assay, screening <1% 17 $2.96
99153 Mod sedat endo service >5yrs <1% 211 $1.93
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 184 $1.20
J3490 Unclassified drugs 0% 261 $0.00
J2704 Injection, propofol, 10 mg 0% 2,662 $0.00
74022 0% 13 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 205 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 57 $0.00
94644 0% 26 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 82 $0.00
V2632 Posterior chamber intraocular lens 0% 167 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 56 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 154 $0.00
36416 0% 44 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 13 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 14 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 17 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 17 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 217 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 311 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 436 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 127 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 261 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 930 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 740 $0.00
A4212 Non-coring needle or stylet with or without catheter 0% 347 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 201 $0.00
76000 0% 37 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 145 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 21 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 35 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 73 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 45 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 97 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 34 $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 0% 25 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

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Authorized officialMCCULLOUGH, MICHAEL (CFO)
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