Medicaid Provider Spending

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

AURORA HEALTH CARE NORTH, INC.

NPI: 1477508687 · TWO RIVERS, WI 54241 · Surgery Physician · NPI assigned 05/24/2006

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

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

$6.80M
Total Medicaid Paid
298,178
Total Claims
232,018
Beneficiaries
158
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date05/24/2006

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
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
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,076 $811K
2019 37,710 $876K
2020 35,627 $821K
2021 48,580 $1.01M
2022 49,859 $1.10M
2023 52,655 $1.19M
2024 38,671 $996K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 18,030 15,834 $1.04M
99284 Emergency department visit for the evaluation and management, high severity 17,420 15,596 $811K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 23,512 8,599 $786K
96361 Intravenous infusion, hydration; each additional hour 4,368 3,613 $583K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,876 7,900 $439K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,436 3,980 $309K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 12,059 4,835 $238K
80053 Comprehensive metabolic panel 12,416 9,929 $233K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,254 2,039 $167K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,942 2,652 $141K
70450 Computed tomography, head or brain; without contrast material 1,979 1,778 $139K
97161 2,842 2,632 $116K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,049 1,778 $116K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,032 886 $104K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,784 11,504 $94K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,001 946 $93K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,114 792 $80K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,615 1,422 $74K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,067 1,674 $74K
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 734 665 $59K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,798 1,969 $58K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,451 925 $56K
G0378 Hospital observation service, per hour 1,675 1,461 $52K
80048 Basic metabolic panel (calcium, ionized) 2,767 2,296 $51K
83880 1,646 1,476 $51K
84484 4,868 4,134 $50K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,168 1,085 $44K
97162 1,176 1,126 $42K
81025 3,770 3,333 $40K
87086 Culture, bacterial; quantitative colony count, urine 2,568 2,287 $35K
82077 1,211 1,037 $35K
74176 Computed tomography, abdomen and pelvis; without contrast material 406 384 $32K
71275 Computed tomographic angiography, chest, with contrast material 354 333 $31K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 538 435 $31K
82962 3,380 2,071 $30K
83735 5,617 4,507 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 544 453 $27K
83690 4,472 3,852 $25K
83605 2,730 2,354 $25K
84443 Thyroid stimulating hormone (TSH) 1,764 1,572 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 195 179 $24K
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 416 343 $22K
81001 4,467 3,933 $22K
99281 Emergency department visit for the evaluation and management, self-limited or minor 288 248 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 281 273 $17K
84145 891 766 $17K
81003 2,388 2,133 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,478 2,210 $15K
85379 1,808 1,637 $14K
87081 216 205 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple 42 41 $11K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 52 50 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 416 381 $9K
87040 747 606 $9K
80143 745 641 $9K
86140 1,645 1,429 $9K
80179 706 614 $9K
97035 714 329 $7K
85610 2,151 1,773 $7K
97165 193 176 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 16 12 $6K
85730 1,304 1,118 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $5K
71046 Radiologic examination, chest; 2 views 1,860 1,709 $5K
87077 209 190 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 239 228 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 41 39 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 74 70 $3K
71250 88 79 $3K
87186 313 274 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,739 4,856 $2K
97597 67 40 $2K
93017 41 37 $2K
82805 53 40 $2K
0240U 54 53 $2K
97116 115 67 $2K
71045 Radiologic examination, chest; single view 3,652 3,241 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,968 2,304 $1K
96375 Therapeutic injection; each additional sequential IV push 4,651 3,883 $1K
93975 27 25 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 26 26 $1K
82550 203 159 $1K
72125 Computed tomography, cervical spine; without contrast material 27 26 $983.36
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 25 $975.59
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22 13 $909.23
97166 28 27 $887.26
76536 26 26 $870.86
93971 56 51 $776.12
76830 Ultrasound, transvaginal 27 25 $517.76
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,078 6,857 $474.52
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 23 14 $474.21
86850 43 37 $428.94
94729 13 13 $404.66
85652 197 175 $397.77
71271 14 12 $389.39
87070 15 12 $385.63
82565 13 13 $380.82
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 100 92 $365.91
71260 Computed tomography, thorax, diagnostic; with contrast material 14 13 $315.41
84702 19 15 $226.43
94726 13 13 $187.04
97032 14 12 $174.60
82150 30 29 $162.01
96376 1,135 804 $161.02
86901 60 51 $144.21
86900 60 51 $144.21
82728 13 12 $143.34
88305 Level IV - Surgical pathology, gross and microscopic examination 1,552 1,412 $115.78
G0463 Hospital outpatient clinic visit for assessment and management of a patient 128 88 $86.23
84703 12 12 $86.09
74018 30 28 $83.97
94060 15 13 $81.22
J7030 Infusion, normal saline solution , 1000 cc 6,303 5,147 $67.90
87205 15 12 $62.18
85027 18 15 $54.73
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,872 5,535 $18.48
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 53 41 $15.86
J7120 Ringers lactate infusion, up to 1000 cc 5,804 4,918 $10.72
36415 Collection of venous blood by venipuncture 2,411 1,794 $5.73
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,787 1,452 $5.41
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,692 3,912 $3.44
J2704 Injection, propofol, 10 mg 6,296 4,069 $0.93
A9585 Injection, gadobutrol, 0.1 ml 863 757 $0.38
J1170 Injection, hydromorphone, up to 4 mg 2,060 1,536 $0.29
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 62 56 $0.10
J0690 Injection, cefazolin sodium, 500 mg 2,317 1,597 $0.00
J2060 Injection, lorazepam, 2 mg 244 200 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,694 1,900 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,167 3,738 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 5,697 4,674 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 3,042 2,693 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 676 456 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 715 605 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 232 211 $0.00
J1790 Injection, droperidol, up to 5 mg 127 117 $0.00
76801 12 12 $0.00
J7050 Infusion, normal saline solution, 250 cc 90 76 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 12 $0.00
J1815 Injection, insulin, per 5 units 22 12 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 34 32 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 45 27 $0.00
88300 17 13 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 243 204 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 885 463 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 430 382 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 907 710 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 250 234 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 162 75 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 982 848 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 378 306 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 84 69 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 247 232 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 162 146 $0.00
73630 28 26 $0.00
73610 31 26 $0.00
J3370 Injection, vancomycin hcl, 500 mg 81 50 $0.00
J1171 Injection, hydromorphone, 0.1 mg 21 14 $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 81 70 $0.00