Wheaton Franciscan Healthcare - Franklin, INC.

Wheaton Franciscan Healthcare - Franklin, INC. was paid $436K by Medicaid between Jan 2018 and May 2018, across 88 billing codes. Its largest line is 96361, Intravenous infusion, hydration; each additional hour — 13% of everything it billed.

33Billing provider infoWHEATON FRANCISCAN HEALTHCARE - FRANKLIN, INC.
FRANKLIN, WI 53132

33aNPI1457479552assigned 03/27/2007

33bProvider typeGeneral Acute Care Hospital

28Total paid$436K

24GClaims15,517

24DCodes billed88

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#48 of 60

Median peer was paid$2.90M

This provider vs. median0.2×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	15,517	$436K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96361	Intravenous infusion, hydration; each additional hour	13%	402	359	$55K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	11%	1,149	334	$49K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	10%	924	846	$45K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	10%	838	792	$44K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.1%	414	380	$22K
80053	Comprehensive metabolic panel	4.0%	652	605	$17K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	3.9%	690	229	$17K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	3.9%	168	159	$17K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	3.6%	85	81	$16K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.9%	186	174	$13K
87081		2.2%	207	201	$10K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.1%	69	60	$9K

76 more codes

96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	2.1%	101	$9K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	1.7%	128	$7K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.7%	132	$7K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.6%	935	$7K
80048	Basic metabolic panel (calcium, ionized)	1.5%	380	$7K
74177	Computed tomography, abdomen and pelvis; with contrast material	1.5%	87	$7K
70450	Computed tomography, head or brain; without contrast material	1.4%	142	$6K
81001		1.3%	461	$6K
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	1.1%	90	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	230	$5K
81025		<1%	368	$4K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	69	$4K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	116	$4K
82962		<1%	206	$4K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	38	$4K
71046	Radiologic examination, chest; 2 views	<1%	412	$3K
97161		<1%	67	$3K
81003		<1%	277	$3K
84484		<1%	276	$2K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	15	$2K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	52	$2K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	52	$2K
83690		<1%	245	$2K
97162		<1%	43	$2K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	65	$2K
82565		<1%	47	$1K
76830	Ultrasound, transvaginal	<1%	16	$1K
85610		<1%	148	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	132	$915.47
84443	Thyroid stimulating hormone (TSH)	<1%	55	$906.45
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	33	$883.25
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	14	$718.48
82550		<1%	60	$667.66
83605		<1%	76	$605.75
85027		<1%	81	$546.24
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	453	$501.20
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	15	$494.46
80061	Lipid panel	<1%	32	$476.14
74018		<1%	26	$402.79
80076		<1%	39	$341.25
85730		<1%	52	$282.34
71045	Radiologic examination, chest; single view	<1%	185	$261.82
83880		<1%	14	$238.88
85379		<1%	28	$236.40
82553		<1%	38	$190.95
87040		<1%	12	$171.52
87186		<1%	27	$167.98
83036	Hemoglobin; glycosylated (A1C)	<1%	18	$162.54
86901		<1%	44	$142.28
77063	Screening digital breast tomosynthesis, bilateral	<1%	17	$126.75
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	451	$120.77
73630		<1%	29	$107.55
72100		<1%	12	$83.90
86900		<1%	15	$77.23
86850		<1%	13	$64.83
73610		<1%	27	$64.80
83735		<1%	14	$64.15
73564		<1%	13	$48.80
73502		<1%	12	$32.00
96375	Therapeutic injection; each additional sequential IV push	<1%	330	$28.23
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	196	$9.83
36415	Collection of venous blood by venipuncture	<1%	114	$3.00
J2704	Injection, propofol, 10 mg	<1%	189	$2.37
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	186	$2.17
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	336	$0.59
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	224	$0.26
J2405	Injection, ondansetron hydrochloride, per 1 mg	0%	271	$0.00
J2270	Injection, morphine sulfate, up to 10 mg	0%	49	$0.00
J1170	Injection, hydromorphone, up to 4 mg	0%	100	$0.00
J1100	Injection, dexamethasone sodium phosphate, 1 mg	0%	126	$0.00
96376		0%	13	$0.00
J0690	Injection, cefazolin sodium, 500 mg	0%	57	$0.00
94760		0%	170	$0.00
J2765	Injection, metoclopramide hcl, up to 10 mg	0%	71	$0.00
J0131	Injection, acetaminophen, not otherwise specified,10 mg	0%	17	$0.00
J3010	Injection, fentanyl citrate, 0.1 mg	0%	49	$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.

From NPPES

Who's on the registration

Authorized officialDICUS-JOHNSON, COREEN (PRESIDENT)