Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Shawano › NPI 1548260839
Hospital

Thedacare Medical Center - Shawano, INC.

Thedacare Medical Center - Shawano, INC. was paid $32.77M by Medicaid between Jan 2018 and Dec 2024, across 251 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.

33Billing provider infoTHEDACARE MEDICAL CENTER - SHAWANO, INC.
SHAWANO, WI 54166
33aNPI1548260839assigned 07/28/2005
33bProvider typeCritical Access Hospital
28Total paid$32.77M
24GClaims667,792
24DCodes billed251
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in Wisconsin

Rank by total paid#1 of 48
Median peer was paid$4.30M
This provider vs. median7.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201879,116$3.34M
201981,633$3.74M
202080,620$3.66M
2021103,999$4.50M
2022110,185$5.38M
2023114,935$6.66M
2024incomplete97,304$5.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 42,395 36,650 $5.92M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 25,690 20,828 $4.23M
96361 Intravenous infusion, hydration; each additional hour 9.9% 7,786 5,711 $3.24M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9.8% 21,845 19,591 $3.20M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5.7% 7,976 5,351 $1.87M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.5% 4,833 4,293 $1.47M
70450 Computed tomography, head or brain; without contrast material 4.2% 4,881 4,363 $1.37M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 5,536 4,423 $1.01M
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.1% 4,439 3,950 $695K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.6% 1,895 1,269 $512K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.5% 1,944 1,575 $495K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.4% 4,310 3,112 $470K
239 more codes
41899 Unlisted procedure, dentoalveolar structures 1.4% 328 $464K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.3% 1,771 $415K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 1,455 $380K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 1,197 $374K
80048 Basic metabolic panel (calcium, ionized) 1.1% 41,827 $363K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 2,259 $354K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 11,526 $283K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,288 $279K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 885 $246K
72125 Computed tomography, cervical spine; without contrast material <1% 2,091 $231K
87631 <1% 2,208 $212K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 253 $210K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 37,573 $205K
96367 <1% 994 $189K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 640 $149K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,128 $147K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 367 $146K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 6,670 $141K
12001 <1% 535 $140K
G0378 Hospital observation service, per hour <1% 3,911 $137K
71046 Radiologic examination, chest; 2 views <1% 5,790 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 993 $131K
80076 <1% 21,826 $123K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,674 $105K
84443 Thyroid stimulating hormone (TSH) <1% 7,566 $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% 1,837 $88K
81025 <1% 6,257 $87K
80306 <1% 5,969 $85K
84484 <1% 11,825 $76K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 370 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 989 $74K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,101 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,379 $67K
99215 Doctor's office visit, returning patient (complex) <1% 320 $67K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,394 $62K
73564 <1% 1,940 $55K
73610 <1% 1,978 $51K
80061 Lipid panel <1% 4,603 $51K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,516 $50K
76801 <1% 535 $50K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,414 $49K
81001 <1% 14,915 $47K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,529 $47K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 57 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 253 $46K
83690 <1% 8,802 $43K
97162 <1% 1,288 $43K
83880 <1% 3,032 $42K
73110 <1% 1,230 $41K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 783 $41K
83036 Hemoglobin; glycosylated (A1C) <1% 4,704 $39K
73630 <1% 1,782 $39K
96368 <1% 174 $38K
77063 Screening digital breast tomosynthesis, bilateral <1% 641 $36K
73030 <1% 1,348 $34K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 3,993 $34K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 7,625 $34K
74018 <1% 1,252 $32K
93971 <1% 237 $32K
83735 <1% 7,710 $31K
87070 <1% 2,845 $30K
76830 Ultrasound, transvaginal <1% 197 $30K
83605 <1% 5,106 $28K
82077 <1% 2,837 $28K
72100 <1% 954 $28K
87040 <1% 6,117 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 214 $25K
70498 <1% 64 $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 <1% 800 $22K
85610 <1% 8,228 $22K
81003 <1% 8,314 $20K
73130 <1% 1,124 $19K
82948 <1% 3,814 $19K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 61 $17K
87650 <1% 489 $16K
85380 <1% 2,593 $16K
70496 <1% 44 $16K
87186 <1% 2,713 $15K
90715 <1% 527 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 697 $15K
80143 <1% 1,261 $14K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 50 $14K
80179 <1% 1,222 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,607 $13K
12002 <1% 43 $13K
86140 <1% 3,731 $13K
85730 <1% 3,423 $12K
80053 Comprehensive metabolic panel <1% 1,194 $11K
85027 <1% 2,701 $11K
87088 <1% 2,322 $11K
82805 <1% 605 $11K
94060 <1% 108 $11K
70486 <1% 85 $11K
71045 Radiologic examination, chest; single view <1% 8,500 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 662 $10K
73502 <1% 394 $10K
87807 <1% 620 $10K
87210 <1% 1,558 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 13,626 $9K
97035 <1% 818 $8K
84439 <1% 1,056 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,614 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 30 $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 <1% 41 $6K
87634 <1% 94 $6K
36415 Collection of venous blood by venipuncture <1% 22,486 $6K
82947 <1% 2,066 $6K
82728 <1% 551 $6K
71250 <1% 57 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 276 $5K
84702 <1% 355 $5K
85651 <1% 1,552 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 30 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $5K
86850 <1% 821 $5K
85379 <1% 598 $4K
87150 <1% 157 $4K
99213 Doctor's office visit, returning patient (routine) <1% 14 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 647 $3K
29125 <1% 60 $3K
73080 <1% 112 $3K
82570 <1% 799 $3K
87081 <1% 525 $3K
12011 <1% 19 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 12,167 $3K
86900 <1% 995 $3K
76770 <1% 15 $3K
88720 <1% 251 $3K
73140 <1% 113 $3K
93017 <1% 15 $3K
76642 <1% 13 $2K
82962 <1% 1,398 $2K
86901 <1% 995 $2K
93225 <1% 28 $2K
97161 <1% 53 $2K
85652 <1% 900 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 15 $2K
82550 <1% 439 $2K
86618 <1% 99 $2K
83550 <1% 297 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 28 $2K
36592 <1% 1,069 $1K
94729 <1% 93 $1K
87340 <1% 177 $1K
87486 <1% 50 $1K
83540 <1% 334 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 51 $1K
87581 <1% 50 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,329 $1K
82043 <1% 226 $1K
82607 <1% 100 $936.78
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 28 $929.58
82565 <1% 235 $853.47
97166 <1% 38 $840.79
86780 <1% 82 $741.95
84703 <1% 100 $692.48
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 542 $669.57
86703 <1% 39 $585.97
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,388 $515.98
73590 <1% 56 $514.93
85014 <1% 218 $494.43
93226 <1% 12 $480.66
82150 <1% 94 $479.46
74019 <1% 43 $458.85
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,405 $440.19
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,436 $428.51
83655 <1% 28 $419.11
84100 <1% 121 $415.01
96376 <1% 3,623 $385.14
97163 <1% 12 $380.99
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 8,223 $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) <1% 566 $349.77
85018 <1% 204 $330.49
72040 <1% 13 $304.84
51702 <1% 18 $301.05
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,227 $250.25
80055 <1% 12 $229.31
71101 <1% 41 $217.69
82274 <1% 28 $207.70
94726 <1% 27 $206.41
J2704 Injection, propofol, 10 mg <1% 2,721 $204.65
0100U <1% 15 $171.01
84460 <1% 30 $153.46
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,689 $142.46
82553 <1% 36 $138.56
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,574 $137.26
84550 <1% 28 $129.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,264 $121.58
87147 <1% 29 $114.22
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 283 $105.57
88738 <1% 16 $92.71
82950 <1% 14 $86.43
84145 <1% 13 $84.85
82272 <1% 28 $83.96
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,171 $78.81
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 899 $77.12
36591 <1% 25 $69.57
82010 <1% 12 $67.77
87077 <1% 15 $66.69
J1170 Injection, hydromorphone, up to 4 mg <1% 2,874 $64.36
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,416 $46.07
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,215 $34.78
J7050 Infusion, normal saline solution, 250 cc <1% 9,549 $32.55
J2060 Injection, lorazepam, 2 mg <1% 1,472 $29.44
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 383 $27.65
36416 <1% 21 $27.13
J0780 Injection, prochlorperazine, up to 10 mg <1% 718 $24.46
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,003 $21.79
J3490 Unclassified drugs <1% 692 $15.87
A9270 Non-covered item or service <1% 1,719 $14.47
J3475 Injection, magnesium sulfate, per 500 mg <1% 474 $14.00
J1650 Injection, enoxaparin sodium, 10 mg <1% 434 $13.55
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 978 $7.49
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 13 $6.56
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 160 $6.14
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 100 $3.56
J1940 Injection, furosemide, up to 20 mg <1% 114 $1.59
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 33 $0.93
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 121 $0.91
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 365 $0.59
J0690 Injection, cefazolin sodium, 500 mg <1% 478 $0.46
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program <1% 2,603 $0.01
J3480 Injection, potassium chloride, per 2 meq 0% 120 $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 0% 414 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 0% 105 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 182 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 33 $0.00
88304 0% 31 $0.00
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 0% 27 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 35 $0.00
94760 0% 178 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 0% 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 14 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 30 $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 0% 109 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 42 $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 0% 108 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 70 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 16 $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 officialFLETT, WILLIAM (CFO)
Same official

Other billing entities under FLETT, WILLIAM

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.