Medicaid Provider Spending

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

THEDACARE MEDICAL CENTER - NEW LONDON, INC.

NPI: 1538127220 · NEW LONDON, WI 54961 · Critical Access Hospital · NPI assigned 05/02/2006

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

Authorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more

$9.19M
Total Medicaid Paid
218,876
Total Claims
172,417
Beneficiaries
140
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date05/02/2006

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $32.77M
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NEENAH WI $18.23M
THEDACARE, INCORPORATED NEW LONDON WI $14.90M
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $11.53M
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $10.85M
THEDACARE MEDICAL CENTER - BERLIN, INC. BERLIN WI $9.40M
THEDACARE, INCORPORATED APPLETON WI $8.29M
THEDACARE, INCORPORATED APPLETON WI $7.37M
THEDACARE MEDICAL CENTER - WILD ROSE, INC WILD ROSE WI $6.04M
THEDACARE, INCORPORATED MENASHA WI $1.46M
THEDACARE, INCORPORATED APPLETON WI $1.16M
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $974K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC APPLETON WI $834K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $429K
THEDACARE MEDICAL CENTER - SHAWANO, INC. CLINTONVILLE WI $212K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $50K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $45K
THEDACARE, INCORPORATED OSHKOSH WI $41K
THEDACARE, INCORPORATED SHAWANO WI $37K
THEDACARE, INCORPORATED WAUPACA WI $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,037 $924K
2019 28,999 $1.16M
2020 28,043 $1.12M
2021 37,120 $1.45M
2022 36,365 $1.37M
2023 35,029 $1.59M
2024 27,283 $1.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,362 12,236 $2.07M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,658 6,644 $1.31M
99284 Emergency department visit for the evaluation and management, high severity 7,053 5,612 $1.19M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,263 2,316 $667K
96361 Intravenous infusion, hydration; each additional hour 1,380 1,014 $573K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,971 1,713 $531K
70450 Computed tomography, head or brain; without contrast material 1,713 1,521 $402K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,234 866 $361K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,345 2,074 $358K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,178 966 $205K
80048 Basic metabolic panel (calcium, ionized) 18,385 14,075 $133K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,037 761 $127K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,881 1,830 $119K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,115 12,481 $88K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,977 1,750 $76K
87631 825 734 $76K
74176 Computed tomography, abdomen and pelvis; without contrast material 220 196 $61K
84443 Thyroid stimulating hormone (TSH) 4,207 3,797 $54K
80076 8,979 7,325 $50K
77067 Screening mammography, bilateral, including computer-aided detection 745 705 $47K
80061 Lipid panel 3,675 3,405 $41K
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 836 699 $33K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,173 1,015 $26K
G0378 Hospital observation service, per hour 842 417 $26K
81025 2,201 1,911 $25K
84484 4,060 2,622 $25K
83036 Hemoglobin; glycosylated (A1C) 2,776 2,580 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 54 52 $23K
71275 Computed tomographic angiography, chest, with contrast material 85 78 $20K
80306 1,486 1,288 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,205 550 $17K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,171 477 $17K
96368 56 51 $17K
81001 5,957 5,147 $16K
83690 3,333 2,788 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 192 178 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,735 1,922 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 652 589 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 131 55 $13K
83735 2,567 1,963 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 352 329 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 369 342 $12K
85610 3,839 2,772 $12K
87086 Culture, bacterial; quantitative colony count, urine 1,989 1,765 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,902 3,981 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 364 335 $11K
77063 Screening digital breast tomosynthesis, bilateral 160 147 $11K
71046 Radiologic examination, chest; 2 views 1,096 977 $10K
72125 Computed tomography, cervical spine; without contrast material 142 119 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 30 24 $9K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 278 233 $8K
80053 Comprehensive metabolic panel 755 642 $8K
97162 236 208 $7K
83880 564 464 $7K
85380 1,142 980 $7K
87650 202 188 $6K
85730 1,851 1,616 $6K
84439 792 705 $5K
87081 72 65 $5K
82077 587 493 $5K
83605 1,135 869 $5K
82948 1,217 458 $5K
87070 549 480 $5K
86140 1,135 880 $5K
81003 1,612 1,401 $5K
36415 Collection of venous blood by venipuncture 14,615 11,153 $5K
87480 244 228 $4K
87510 245 229 $4K
87660 226 211 $4K
87040 959 452 $3K
71045 Radiologic examination, chest; single view 3,181 2,716 $3K
82728 345 303 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,938 4,077 $3K
87186 455 421 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 191 173 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 44 42 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16 13 $2K
82947 810 500 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 13 13 $2K
36592 605 466 $2K
85027 425 341 $2K
80143 145 129 $2K
87807 112 102 $1K
85651 439 359 $1K
80179 126 113 $1K
82570 318 293 $1K
96375 Therapeutic injection; each additional sequential IV push 4,208 3,354 $1K
85379 172 149 $1K
84703 187 160 $1K
87088 225 214 $1K
96376 1,137 808 $892.38
82962 503 211 $786.24
82150 142 121 $722.53
85652 332 284 $674.97
82043 132 125 $640.55
83540 143 125 $601.31
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,460 2,757 $584.43
83550 105 92 $571.58
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18 13 $499.29
90715 14 14 $476.66
73130 20 13 $432.50
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 157 124 $385.81
73630 50 39 $366.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,175 2,731 $261.41
84481 16 13 $216.52
82607 14 13 $202.01
G0103 Prostate cancer screening; prostate specific antigen test (psa) 12 12 $180.75
J1885 Injection, ketorolac tromethamine, per 15 mg 2,785 2,269 $166.04
82565 23 17 $149.94
J7120 Ringers lactate infusion, up to 1000 cc 562 500 $138.48
84460 26 24 $129.34
85014 57 50 $119.84
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,281 2,632 $114.74
J2704 Injection, propofol, 10 mg 299 214 $113.44
73110 13 12 $100.16
85018 46 39 $98.52
83615 32 26 $97.25
82550 19 12 $88.47
88305 Level IV - Surgical pathology, gross and microscopic examination 69 63 $33.42
J3010 Injection, fentanyl citrate, 0.1 mg 1,297 1,063 $32.70
36416 16 12 $31.96
J1170 Injection, hydromorphone, up to 4 mg 807 552 $27.86
J7050 Infusion, normal saline solution, 250 cc 3,742 2,046 $22.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 388 326 $14.41
73610 14 13 $12.74
J2270 Injection, morphine sulfate, up to 10 mg 203 157 $9.51
A9577 Injection, gadobenate dimeglumine (multihance), per ml 16 13 $7.27
J1200 Injection, diphenhydramine hcl, up to 50 mg 246 198 $6.33
J2765 Injection, metoclopramide hcl, up to 10 mg 18 14 $4.81
J2060 Injection, lorazepam, 2 mg 73 51 $4.68
J0696 Injection, ceftriaxone sodium, per 250 mg 274 192 $4.47
A9270 Non-covered item or service 665 389 $2.42
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 887 731 $0.01
J7030 Infusion, normal saline solution , 1000 cc 15 15 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 57 50 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 84 67 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 35 27 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 19 17 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 34 29 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00