Medicaid Provider Spending

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

INDIANHEAD MEDICAL CENTER SHELL LAKE, INC

NPI: 1568438125 · SHELL LAKE, WI 54871 · Critical Access Hospital · NPI assigned 02/24/2006

$501K
Total Medicaid Paid
18,050
Total Claims
11,152
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACK, SHANNON (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date02/24/2006

Related Entities

Other providers sharing the same authorized official: JACK, SHANNON

ProviderCityStateTotal Paid
INDIANHEAD MEDICAL CENTER SHELL LAKE, INC. SHELL LAKE WI $153K
INDIANHEAD MEDICAL CENTER SHELL LAKE, INC. SIREN WI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,557 $78K
2019 1,549 $57K
2020 1,149 $22K
2021 2,725 $65K
2022 2,745 $71K
2023 2,447 $95K
2024 2,878 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,157 674 $211K
99284 Emergency department visit for the evaluation and management, high severity 1,203 657 $112K
99282 Emergency department visit for the evaluation and management, low to moderate severity 175 123 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 963 738 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,456 678 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 759 353 $22K
80048 Basic metabolic panel (calcium, ionized) 2,088 1,375 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,164 2,049 $12K
80053 Comprehensive metabolic panel 1,495 977 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 223 172 $5K
84443 Thyroid stimulating hormone (TSH) 427 325 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 28 $3K
36415 Collection of venous blood by venipuncture 4,585 2,792 $2K
85610 131 70 $654.99
87650 25 25 $581.61
81001 36 25 $172.86
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 12 $160.35
80061 Lipid panel 22 17 $138.40
83036 Hemoglobin; glycosylated (A1C) 17 12 $99.38
86140 19 14 $63.80
85007 16 12 $39.36
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 12 $0.00
90688 20 12 $0.00