Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MENOMONEE FALLS › FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.

FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.

NPI: 1568787448 · MENOMONEE FALLS, WI 53051 · Case Management Agency · NPI assigned 04/02/2010

$13.87M
Total Medicaid Paid
880,257
Total Claims
754,096
Beneficiaries
211
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGHAFERI, AMIR (PRESIDENT & CEO)
Parent OrganizationFROEDTERT HEALTH, INC.
NPI Enumeration Date04/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103,172 $1.61M
2019 109,337 $1.74M
2020 88,507 $1.41M
2021 138,776 $1.99M
2022 149,215 $2.17M
2023 167,091 $2.44M
2024 124,159 $2.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 153,177 128,856 $5.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88,025 77,004 $2.36M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 23,811 11,251 $512K
84443 Thyroid stimulating hormone (TSH) 22,579 20,479 $307K
80061 Lipid panel 28,432 25,852 $301K
80053 Comprehensive metabolic panel 33,631 30,550 $289K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12,353 11,153 $289K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,662 5,930 $281K
90834 Psychotherapy, 45 minutes with patient 10,181 5,729 $268K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 37,194 33,634 $238K
83036 Hemoglobin; glycosylated (A1C) 26,302 24,015 $190K
99215 Prolong outpt/office vis 4,232 3,466 $178K
90686 14,411 13,669 $174K
80050 General health panel 3,929 2,938 $139K
80048 Basic metabolic panel (calcium, ionized) 18,190 16,322 $133K
85027 24,581 22,097 $133K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,025 1,749 $129K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,644 2,570 $118K
91322 848 775 $104K
77067 Screening mammography, bilateral, including computer-aided detection 1,065 1,010 $104K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,320 1,210 $90K
0002A 2,555 2,476 $89K
99284 Emergency department visit for the evaluation and management, high severity 2,908 2,660 $88K
87210 17,401 15,641 $81K
0001A 2,616 2,557 $79K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,356 1,292 $75K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,353 4,903 $71K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 504 464 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 725 608 $54K
81001 17,329 15,905 $48K
84439 5,859 5,331 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,142 1,296 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 714 689 $41K
71046 Radiologic examination, chest; 2 views 3,467 2,644 $41K
83550 5,845 5,338 $39K
76819 Fetal biophysical profile; without non-stress testing 514 333 $39K
84702 3,163 2,314 $37K
11721 3,647 2,927 $36K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,874 3,984 $31K
77063 Screening digital breast tomosynthesis, bilateral 925 882 $31K
83540 6,098 5,571 $30K
0124A 933 866 $30K
90480 902 821 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 755 675 $29K
90837 Psychotherapy, 53 minutes with patient 634 279 $28K
99223 Prolong inpt eval add15 m 828 641 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 928 884 $27K
93000 2,156 1,899 $26K
82043 5,141 4,797 $25K
85610 7,343 5,002 $25K
84153 1,496 1,390 $25K
80076 3,140 2,809 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 618 476 $21K
81025 2,699 2,477 $20K
0003A 669 588 $20K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 381 309 $20K
83735 3,602 2,943 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 999 517 $17K
81003 8,847 6,735 $17K
73630 1,060 702 $17K
77080 408 342 $17K
0011A 561 549 $17K
86140 3,556 3,280 $16K
90853 Group psychotherapy (other than of a multiple-family group) 1,206 426 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 124 104 $16K
0012A 433 425 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 94 92 $14K
99233 Prolong inpt eval add15 m 984 335 $13K
82950 2,837 2,574 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,958 1,832 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 328 311 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 571 503 $11K
90656 602 586 $10K
90677 84 75 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 184 173 $10K
85652 4,298 4,016 $10K
77089 234 205 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 364 235 $9K
0054A 263 249 $9K
36415 Collection of venous blood by venipuncture 144,623 128,396 $9K
0031A 236 219 $8K
99205 Prolong outpt/office vis 111 88 $7K
98929 201 160 $7K
83690 1,131 1,070 $7K
92015 Determination of refractive state 1,636 1,150 $7K
99283 Emergency department visit for the evaluation and management, moderate severity 348 308 $7K
99000 1,907 1,772 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 768 479 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 43 37 $6K
99493 63 55 $6K
84550 1,544 1,378 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg 75 73 $6K
99385 110 96 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 220 164 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 310 217 $5K
0071A 223 142 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 93 87 $5K
T1016 Case management, each 15 minutes 662 376 $5K
92504 280 243 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 45 44 $5K
86592 925 883 $5K
70450 Computed tomography, head or brain; without contrast material 70 57 $4K
99239 Hospital discharge day management, more than 30 minutes 145 106 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 62 55 $4K
84100 1,092 948 $4K
82570 883 779 $4K
0013A 129 111 $4K
85014 1,534 1,442 $4K
76830 Ultrasound, transvaginal 49 43 $3K
81015 1,501 1,373 $3K
0072A 153 105 $3K
99232 Subsequent hospital care, per day, moderate complexity 313 136 $3K
85651 907 835 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 77 24 $3K
90791 Psychiatric diagnostic evaluation 59 50 $3K
99308 Subsequent nursing facility care, per day, straightforward 546 263 $3K
97162 62 56 $3K
85018 1,140 1,083 $3K
0052A 76 69 $3K
84156 816 709 $3K
99243 48 46 $3K
82947 664 620 $2K
H1003 Prenatal care, at-risk enhanced service; education 74 68 $2K
74018 189 154 $2K
99244 Office or other outpatient consultation, moderate to high complexity 30 29 $2K
90662 110 103 $2K
92551 168 167 $2K
73030 156 102 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 100 94 $2K
99222 Initial hospital care, per day, moderate complexity 96 66 $2K
0051A 54 54 $2K
82565 363 316 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 53 52 $2K
92557 57 54 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 2,328 2,265 $2K
84460 353 314 $2K
82550 250 234 $2K
0064A 54 49 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 589 496 $2K
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) 153 110 $2K
99251 64 57 $2K
99386 26 25 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 240 199 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 87 86 $1K
73560 132 65 $1K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26 25 $1K
84450 254 231 $1K
90670 221 216 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 132 103 $1K
95806 30 26 $1K
73610 65 47 $1K
90792 Psychiatric diagnostic evaluation with medical services 19 13 $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) 1,790 1,665 $991.25
90715 14 14 $889.81
72100 44 33 $867.32
76705 Ultrasound, abdominal, real time with image documentation; limited 15 12 $839.24
99306 Prolong nursin fac eval 15m 46 30 $737.59
80047 84 78 $732.60
73564 32 26 $717.44
97161 13 12 $698.66
99173 34 34 $627.53
83721 87 80 $595.48
97113 16 13 $564.69
J7030 Infusion, normal saline solution , 1000 cc 677 467 $544.28
99238 Hospital discharge day management, 30 minutes or less 14 13 $542.98
0053A 19 19 $534.24
87081 62 60 $514.40
80305 53 43 $489.51
99221 16 12 $485.59
82962 233 219 $463.96
90723 92 91 $451.32
90461 467 455 $437.85
82248 105 89 $420.15
0081A 18 12 $419.76
99252 15 15 $419.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 128 115 $404.09
99310 Prolong nursin fac eval 15m 46 25 $400.48
83880 12 12 $391.35
84703 57 53 $382.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,733 16,944 $368.87
62370 15 12 $337.19
99442 74 42 $309.45
73562 17 12 $298.42
99201 15 14 $286.20
71045 Radiologic examination, chest; single view 59 53 $284.92
99443 75 30 $210.14
0352U 523 503 $209.75
90685 58 57 $190.88
90472 Immunization administration, each additional vaccine (list separately) 4,409 2,601 $190.72
82247 34 25 $180.34
85007 60 53 $163.92
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 13 $154.65
83615 28 26 $152.27
99307 92 60 $152.20
85379 15 14 $132.85
82150 13 13 $91.44
90647 26 26 $87.08
86308 13 13 $66.60
J1885 Injection, ketorolac tromethamine, per 15 mg 81 70 $57.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 14 $10.80
91300 5,792 5,056 $7.89
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 71 61 $5.95
91301 1,181 1,132 $1.16
91312 934 867 $0.52
91305 624 576 $0.51
91307 380 250 $0.04
91306 54 49 $0.04
G0008 Administration of influenza virus vaccine 208 190 $0.00
91303 236 219 $0.00
99406 16 14 $0.00
91308 41 27 $0.00