Medicaid Provider Spending

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

THEDACARE MEDICAL CENTER - SHAWANO, INC.

NPI: 1548260839 · SHAWANO, WI 54166 · Critical Access Hospital · NPI assigned 07/28/2005

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

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

$32.77M
Total Medicaid Paid
667,792
Total Claims
519,874
Beneficiaries
251
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date07/28/2005

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
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 MEDICAL CENTER - NEW LONDON, INC. NEW LONDON WI $9.19M
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 79,116 $3.34M
2019 81,633 $3.74M
2020 80,620 $3.66M
2021 103,999 $4.50M
2022 110,185 $5.38M
2023 114,935 $6.66M
2024 97,304 $5.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 42,395 36,650 $5.92M
99284 Emergency department visit for the evaluation and management, high severity 25,690 20,828 $4.23M
96361 Intravenous infusion, hydration; each additional hour 7,786 5,711 $3.24M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,845 19,591 $3.20M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,976 5,351 $1.87M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,833 4,293 $1.47M
70450 Computed tomography, head or brain; without contrast material 4,881 4,363 $1.37M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,536 4,423 $1.01M
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,439 3,950 $695K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,895 1,269 $512K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,944 1,575 $495K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,310 3,112 $470K
41899 Unlisted procedure, dentoalveolar structures 328 262 $464K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,771 831 $415K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,455 1,302 $380K
71275 Computed tomographic angiography, chest, with contrast material 1,197 1,066 $374K
80048 Basic metabolic panel (calcium, ionized) 41,827 30,765 $363K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,259 1,329 $354K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,526 4,047 $283K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,288 5,543 $279K
71260 Computed tomography, thorax, diagnostic; with contrast material 885 798 $246K
72125 Computed tomography, cervical spine; without contrast material 2,091 1,909 $231K
87631 2,208 1,953 $212K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 253 234 $210K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,573 28,310 $205K
96367 994 770 $189K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 640 487 $149K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,128 2,916 $147K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 367 349 $146K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,670 2,694 $141K
12001 535 464 $140K
G0378 Hospital observation service, per hour 3,911 1,946 $137K
71046 Radiologic examination, chest; 2 views 5,790 5,152 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited 993 889 $131K
80076 21,826 17,253 $123K
77067 Screening mammography, bilateral, including computer-aided detection 1,674 1,585 $105K
84443 Thyroid stimulating hormone (TSH) 7,566 6,794 $96K
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 1,837 1,546 $88K
81025 6,257 5,456 $87K
80306 5,969 5,156 $85K
84484 11,825 7,386 $76K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 370 335 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 989 888 $74K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,101 1,924 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,379 2,054 $67K
99215 Prolong outpt/office vis 320 240 $67K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,394 1,206 $62K
73564 1,940 1,754 $55K
73610 1,978 1,718 $51K
80061 Lipid panel 4,603 4,321 $51K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,516 1,369 $50K
76801 535 436 $50K
87086 Culture, bacterial; quantitative colony count, urine 6,414 5,642 $49K
81001 14,915 12,653 $47K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,529 1,384 $47K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 57 54 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 253 195 $46K
83690 8,802 7,299 $43K
97162 1,288 1,196 $43K
83880 3,032 2,459 $42K
73110 1,230 1,019 $41K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 783 306 $41K
83036 Hemoglobin; glycosylated (A1C) 4,704 4,374 $39K
73630 1,782 1,587 $39K
96368 174 122 $38K
77063 Screening digital breast tomosynthesis, bilateral 641 606 $36K
73030 1,348 1,199 $34K
0202U Oncology (prostate), multianalyte, gene expression profiling 3,993 3,559 $34K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,625 5,532 $34K
74018 1,252 1,134 $32K
93971 237 218 $32K
83735 7,710 6,172 $31K
87070 2,845 2,604 $30K
76830 Ultrasound, transvaginal 197 182 $30K
83605 5,106 4,041 $28K
82077 2,837 2,280 $28K
72100 954 874 $28K
87040 6,117 2,910 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 214 195 $25K
70498 64 59 $25K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 800 743 $22K
85610 8,228 5,807 $22K
81003 8,314 7,073 $20K
73130 1,124 992 $19K
82948 3,814 1,855 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 61 36 $17K
87650 489 453 $16K
85380 2,593 2,288 $16K
70496 44 43 $16K
87186 2,713 2,431 $15K
90715 527 467 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 697 637 $15K
80143 1,261 1,087 $14K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 50 43 $14K
80179 1,222 1,058 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,607 10,558 $13K
12002 43 39 $13K
86140 3,731 2,825 $13K
85730 3,423 2,997 $12K
80053 Comprehensive metabolic panel 1,194 1,026 $11K
85027 2,701 2,165 $11K
87088 2,322 2,097 $11K
82805 605 500 $11K
94060 108 104 $11K
70486 85 74 $11K
71045 Radiologic examination, chest; single view 8,500 7,187 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 662 613 $10K
73502 394 357 $10K
87807 620 565 $10K
87210 1,558 1,401 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,626 11,164 $9K
97035 818 376 $8K
84439 1,056 949 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,614 2,985 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 30 25 $7K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 41 40 $6K
87634 94 83 $6K
36415 Collection of venous blood by venipuncture 22,486 16,979 $6K
82947 2,066 1,345 $6K
82728 551 502 $6K
71250 57 54 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 276 235 $5K
84702 355 251 $5K
85651 1,552 1,276 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 30 24 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $5K
86850 821 701 $5K
85379 598 552 $4K
87150 157 143 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 647 529 $3K
29125 60 56 $3K
73080 112 94 $3K
82570 799 722 $3K
87081 525 481 $3K
12011 19 12 $3K
96375 Therapeutic injection; each additional sequential IV push 12,167 9,421 $3K
86900 995 840 $3K
76770 15 12 $3K
88720 251 153 $3K
73140 113 93 $3K
93017 15 13 $3K
76642 13 12 $2K
82962 1,398 646 $2K
86901 995 840 $2K
93225 28 26 $2K
97161 53 52 $2K
85652 900 734 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 15 15 $2K
82550 439 341 $2K
86618 99 67 $2K
83550 297 273 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 25 $2K
36592 1,069 649 $1K
94729 93 80 $1K
87340 177 147 $1K
87486 50 43 $1K
83540 334 304 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 51 44 $1K
87581 50 43 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,329 1,197 $1K
82043 226 211 $1K
82607 100 90 $936.78
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 28 24 $929.58
82565 235 199 $853.47
97166 38 37 $840.79
86780 82 74 $741.95
84703 100 94 $692.48
A9577 Injection, gadobenate dimeglumine (multihance), per ml 542 476 $669.57
86703 39 31 $585.97
J7120 Ringers lactate infusion, up to 1000 cc 2,388 1,858 $515.98
73590 56 50 $514.93
85014 218 169 $494.43
93226 12 12 $480.66
82150 94 89 $479.46
74019 43 39 $458.85
J1885 Injection, ketorolac tromethamine, per 15 mg 9,405 7,754 $440.19
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,436 6,535 $428.51
83655 28 26 $419.11
84100 121 89 $415.01
96376 3,623 2,592 $385.14
97163 12 12 $380.99
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 8,223 6,637 $351.38
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 566 518 $349.77
85018 204 160 $330.49
72040 13 13 $304.84
51702 18 12 $301.05
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,227 7,907 $250.25
80055 12 12 $229.31
71101 41 37 $217.69
82274 28 25 $207.70
94726 27 27 $206.41
J2704 Injection, propofol, 10 mg 2,721 2,206 $204.65
0100U 15 14 $171.01
84460 30 25 $153.46
J0696 Injection, ceftriaxone sodium, per 250 mg 3,689 2,433 $142.46
82553 36 27 $138.56
J3010 Injection, fentanyl citrate, 0.1 mg 4,574 3,660 $137.26
84550 28 25 $129.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,264 3,486 $121.58
87147 29 25 $114.22
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 283 244 $105.57
88738 16 16 $92.71
82950 14 13 $86.43
84145 13 12 $84.85
82272 28 26 $83.96
J2250 Injection, midazolam hydrochloride, per 1 mg 1,171 999 $78.81
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 899 664 $77.12
36591 25 12 $69.57
82010 12 12 $67.77
87077 15 15 $66.69
J1170 Injection, hydromorphone, up to 4 mg 2,874 2,086 $64.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,416 1,886 $46.07
J2270 Injection, morphine sulfate, up to 10 mg 2,215 1,692 $34.78
J7050 Infusion, normal saline solution, 250 cc 9,549 4,635 $32.55
J2060 Injection, lorazepam, 2 mg 1,472 1,144 $29.44
J2360 Injection, orphenadrine citrate, up to 60 mg 383 346 $27.65
36416 21 14 $27.13
J0780 Injection, prochlorperazine, up to 10 mg 718 582 $24.46
J2765 Injection, metoclopramide hcl, up to 10 mg 1,003 775 $21.79
J3490 Unclassified drugs 692 555 $15.87
A9270 Non-covered item or service 1,719 1,257 $14.47
J3475 Injection, magnesium sulfate, per 500 mg 474 382 $14.00
J1650 Injection, enoxaparin sodium, 10 mg 434 190 $13.55
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 978 761 $7.49
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 13 13 $6.56
J2919 Injection, methylprednisolone sodium succinate, 5 mg 160 131 $6.14
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 100 49 $3.56
J1940 Injection, furosemide, up to 20 mg 114 82 $1.59
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 33 23 $0.93
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 121 99 $0.91
P9612 Catheterization for collection of specimen, single patient, all places of service 365 317 $0.59
J0690 Injection, cefazolin sodium, 500 mg 478 385 $0.46
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 2,603 2,136 $0.01
J3480 Injection, potassium chloride, per 2 meq 120 64 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 414 231 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 105 94 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 182 123 $0.00
J3360 Injection, diazepam, up to 5 mg 33 24 $0.00
88304 31 24 $0.00
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 27 15 $0.00
C1726 Catheter, balloon dilatation, non-vascular 35 25 $0.00
94760 178 80 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 15 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 13 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 30 12 $0.00
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 109 106 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 42 29 $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 108 80 $0.00
J7030 Infusion, normal saline solution , 1000 cc 70 61 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 16 14 $0.00