Medicaid Provider Spending

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

ADVOCATE HEALTH AND HOSPITALS CORPORATION

NPI: 1548375082 · OAK LAWN, IL 60453 · Psychiatric Hospital Unit · NPI assigned 08/21/2006

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

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

$2.31M
Total Medicaid Paid
61,832
Total Claims
31,445
Beneficiaries
54
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date08/21/2006

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
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 22,118 $639K
2019 30,802 $1.42M
2020 8,912 $252K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,767 2,645 $1.75M
97161 1,944 957 $213K
77067 Screening mammography, bilateral, including computer-aided detection 1,910 1,731 $101K
97162 465 208 $52K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 957 637 $23K
77063 Screening digital breast tomosynthesis, bilateral 1,968 1,724 $21K
80053 Comprehensive metabolic panel 6,013 3,302 $20K
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 178 150 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,168 971 $12K
93750 468 346 $11K
77066 Tomosynthesis, mammo 157 136 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,421 3,305 $10K
83880 1,334 928 $9K
71046 Radiologic examination, chest; 2 views 859 758 $8K
83735 3,636 1,976 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 996 405 $7K
85610 3,327 1,761 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 358 93 $5K
80048 Basic metabolic panel (calcium, ionized) 1,482 1,110 $5K
84443 Thyroid stimulating hormone (TSH) 704 487 $3K
36415 Collection of venous blood by venipuncture 893 490 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 366 338 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 275 220 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 586 426 $3K
72100 141 131 $2K
85027 964 738 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 27 $2K
83615 878 592 $1K
86850 687 556 $1K
86901 804 662 $991.42
80061 Lipid panel 527 397 $791.48
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 13 $780.06
86900 816 666 $775.76
81003 972 742 $683.50
81001 735 506 $591.43
Q3014 Telehealth originating site facility fee 19 19 $467.63
82570 318 238 $422.09
83036 Hemoglobin; glycosylated (A1C) 329 236 $345.57
84100 258 110 $341.07
87086 Culture, bacterial; quantitative colony count, urine 102 86 $321.26
72040 28 28 $310.12
87210 134 109 $213.35
84156 288 196 $188.12
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 14 $180.48
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 14 $137.01
84439 75 53 $83.09
82607 23 14 $53.52
84702 17 15 $43.33
85018 32 24 $21.74
84703 14 12 $7.13
85652 13 12 $3.93
J1644 Injection, heparin sodium, per 1000 units 267 92 $2.76
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 50 26 $0.00
36591 29 13 $0.00