Medicaid Provider Spending

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

FROEDTERT SOUTH, INC.

NPI: 1558305284 · KENOSHA, WI 53143 · Clinic/Center · NPI assigned 06/15/2006

$5.22M
Total Medicaid Paid
194,246
Total Claims
167,358
Beneficiaries
102
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLEY, THOMAS (VICE PRESIDENT & CFO)
Parent OrganizationFROEDTERT SOUTH, INC.
NPI Enumeration Date06/15/2006

Related Entities

Other providers sharing the same authorized official: KELLEY, THOMAS

ProviderCityStateTotal Paid
FROEDTERT SOUTH, INC. PLEASANT PRAIRIE WI $33.07M
TOWN OF MARSHFIELD MARSHFIELD MA $329K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,873 $610K
2019 27,078 $710K
2020 20,646 $586K
2021 28,987 $825K
2022 25,874 $772K
2023 38,266 $850K
2024 26,522 $867K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 61,805 54,220 $2.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,020 41,892 $1.25M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,107 1,907 $362K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 30,823 25,551 $204K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,910 3,540 $198K
99215 Prolong outpt/office vis 3,425 2,465 $168K
45380 Colonoscopy, flexible; with biopsy, single or multiple 365 323 $78K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,561 1,414 $72K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,238 2,024 $66K
93000 5,904 5,200 $63K
70450 Computed tomography, head or brain; without contrast material 1,908 1,713 $56K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 908 835 $53K
71046 Radiologic examination, chest; 2 views 4,946 4,552 $43K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 610 547 $28K
20610 611 412 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 826 752 $25K
99232 Subsequent hospital care, per day, moderate complexity 1,806 616 $24K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 836 749 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,453 1,327 $20K
99000 4,063 3,380 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 257 228 $14K
71045 Radiologic examination, chest; single view 2,780 2,207 $12K
77067 Screening mammography, bilateral, including computer-aided detection 498 452 $12K
73630 821 639 $12K
90961 293 281 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 37 37 $9K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 65 41 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 333 302 $7K
99233 Prolong inpt eval add15 m 265 81 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 103 99 $6K
93016 362 318 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 150 132 $5K
99152 158 148 $4K
11721 339 315 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 436 411 $4K
98942 162 38 $4K
93018 362 318 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 40 40 $3K
90686 219 209 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 76 64 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 27 24 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 37 13 $2K
99385 44 41 $2K
99223 Prolong inpt eval add15 m 61 53 $2K
99222 Initial hospital care, per day, moderate complexity 73 62 $2K
73030 143 125 $2K
93350 55 51 $2K
0240U 81 78 $2K
72100 105 97 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 475 381 $2K
73564 52 43 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 28 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 27 26 $2K
90962 40 38 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 37 $1K
74018 108 102 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 656 552 $1K
73562 86 69 $1K
95718 13 12 $1K
73610 73 63 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 249 178 $1K
59025 Fetal non-stress test 26 16 $877.39
82947 357 326 $876.88
81025 107 100 $814.05
99442 64 41 $767.36
81003 542 495 $739.90
G0127 Trimming of dystrophic nails, any number 161 145 $723.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 298 247 $718.09
72110 18 17 $711.37
93308 31 31 $542.24
73110 41 37 $499.56
99231 Subsequent hospital care, per day, straightforward or low complexity 39 14 $402.94
94010 33 26 $394.16
99443 16 13 $384.78
95251 49 47 $382.57
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $361.66
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 59 56 $271.29
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $251.40
73130 13 12 $250.40
J1040 Injection, methylprednisolone acetate, 80 mg 29 24 $196.01
77063 Screening digital breast tomosynthesis, bilateral 14 12 $167.79
90670 52 47 $161.91
96161 40 25 $126.70
93321 25 25 $113.14
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 12 $84.74
90647 16 14 $62.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 42 $55.00
93325 25 25 $53.94
90648 19 16 $53.65
90723 15 13 $45.90
90681 16 13 $43.72
90685 13 12 $41.27
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) 58 52 $30.41
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 18 14 $16.60
94760 63 61 $13.96
3045F 15 13 $10.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,132 2,457 $0.16
3079F 58 55 $0.01
3080F 45 42 $0.00
3075F 27 26 $0.00
3074F 14 13 $0.00
0502F 1,256 846 $0.00