Medicaid Provider Spending

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

ADVOCATE HEALTH AND HOSPITALS CORPORATION

NPI: 1467560128 · HAZEL CREST, IL 60429 · Psychiatric Hospital Unit · NPI assigned 08/25/2006

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$821K
Total Medicaid Paid
22,275
Total Claims
13,259
Beneficiaries
39
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date08/25/2006

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WAUWATOSA WI $9.78M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,973 $262K
2019 12,043 $437K
2020 4,259 $123K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,096 1,643 $610K
77067 Screening mammography, bilateral, including computer-aided detection 1,623 1,435 $88K
97161 802 653 $60K
77063 Screening digital breast tomosynthesis, bilateral 1,433 1,270 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 348 284 $7K
80053 Comprehensive metabolic panel 1,902 1,202 $6K
71046 Radiologic examination, chest; 2 views 737 660 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 641 549 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,973 1,955 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 124 24 $3K
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 25 14 $2K
84443 Thyroid stimulating hormone (TSH) 396 334 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 82 54 $2K
80048 Basic metabolic panel (calcium, ionized) 614 486 $2K
97165 98 39 $1K
97162 13 12 $1K
36415 Collection of venous blood by venipuncture 375 252 $861.04
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 17 $764.25
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 139 121 $709.37
80061 Lipid panel 434 370 $609.22
87086 Culture, bacterial; quantitative colony count, urine 185 158 $604.25
81001 700 550 $499.63
83036 Hemoglobin; glycosylated (A1C) 306 266 $478.31
83735 129 74 $253.58
72110 13 13 $242.27
81003 356 302 $238.09
86850 134 112 $236.74
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21 12 $162.83
86901 135 112 $151.86
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $147.74
84439 38 18 $133.98
83525 28 12 $121.04
84100 63 28 $117.03
86900 135 112 $114.53
85610 76 50 $52.48
82570 21 12 $27.36
84484 18 17 $14.72
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 12 $0.00