Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MIDDLETON › UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC

NPI: 1598784555 · MIDDLETON, WI 53562 · Multi-Specialty Clinic/Center · NPI assigned 07/19/2006

$15.17M
Total Medicaid Paid
743,824
Total Claims
636,584
Beneficiaries
268
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLANNERY, ROBERT (CAO AND CFO)
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: FLANNERY, ROBERT

ProviderCityStateTotal Paid
WISCONSIN SLEEP, INC MADISON WI $507K
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY MIDDLETON WI $379K
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY MADISON WI $66K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $57K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $8K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $4K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MIDDLETON WI $4K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $4K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $1K
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI $47.25

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97,049 $1.49M
2019 100,931 $1.59M
2020 85,638 $1.48M
2021 117,306 $2.14M
2022 125,182 $2.23M
2023 125,632 $3.11M
2024 92,086 $3.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,821 74,093 $2.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 112,903 104,439 $2.23M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 30,532 28,796 $1.10M
99284 Emergency department visit for the evaluation and management, high severity 28,941 27,442 $899K
88305 Level IV - Surgical pathology, gross and microscopic examination 17,126 15,703 $628K
74177 Computed tomography, abdomen and pelvis; with contrast material 14,107 13,088 $554K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 97,086 79,788 $515K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,453 5,061 $498K
70450 Computed tomography, head or brain; without contrast material 13,780 12,227 $389K
99215 Prolong outpt/office vis 6,270 5,780 $352K
71045 Radiologic examination, chest; single view 76,403 50,627 $345K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,703 10,739 $337K
90378 125 113 $306K
99232 Subsequent hospital care, per day, moderate complexity 18,861 7,379 $248K
71046 Radiologic examination, chest; 2 views 36,158 33,947 $245K
99283 Emergency department visit for the evaluation and management, moderate severity 10,186 9,764 $221K
71250 4,951 4,553 $218K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,572 5,896 $152K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,260 5,706 $152K
59025 Fetal non-stress test 8,180 4,959 $141K
71275 Computed tomographic angiography, chest, with contrast material 3,144 2,910 $133K
92015 Determination of refractive state 21,066 17,657 $120K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,727 1,632 $111K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,493 1,328 $105K
95720 873 434 $103K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,289 2,185 $99K
99243 2,194 2,084 $93K
90792 Psychiatric diagnostic evaluation with medical services 1,270 1,157 $91K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,650 2,398 $89K
74018 16,689 11,288 $85K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,461 2,259 $80K
88307 1,132 1,079 $71K
H0022 Alcohol and/or drug intervention service (planned facilitation) 1,929 1,369 $70K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 682 637 $67K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,703 2,492 $65K
90837 Psychotherapy, 53 minutes with patient 1,055 724 $63K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,213 1,132 $62K
77067 Screening mammography, bilateral, including computer-aided detection 1,307 1,263 $60K
70551 Magnetic resonance imaging, brain; without contrast material 865 808 $58K
76770 1,966 1,874 $55K
99238 Hospital discharge day management, 30 minutes or less 2,322 2,154 $54K
90834 Psychotherapy, 45 minutes with patient 1,863 1,362 $49K
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) 777 682 $47K
90686 10,852 10,693 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 933 868 $46K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,867 1,591 $43K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,747 1,606 $41K
99244 Office or other outpatient consultation, moderate to high complexity 500 472 $40K
96132 362 355 $36K
64643 1,275 1,179 $36K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,343 1,291 $34K
99460 467 433 $33K
72125 Computed tomography, cervical spine; without contrast material 879 807 $33K
88112 949 857 $32K
91322 276 259 $31K
0001A 1,396 1,372 $31K
64642 1,107 1,031 $30K
0002A 1,317 1,306 $30K
76497 10,199 9,470 $25K
84165 2,532 2,319 $24K
88342 744 684 $21K
99245 287 270 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 345 309 $19K
99233 Prolong inpt eval add15 m 666 281 $19K
93325 4,844 4,268 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 762 732 $18K
96133 197 191 $18K
95951 180 97 $17K
88141 1,032 969 $16K
62370 278 264 $16K
96116 221 204 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,217 1,129 $14K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 283 254 $14K
0004A 611 568 $13K
90480 382 359 $13K
94010 1,661 1,548 $13K
76942 915 848 $12K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 67 12 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 128 124 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,098 1,024 $11K
76818 348 261 $11K
90656 598 586 $11K
90961 163 147 $10K
74176 Computed tomography, abdomen and pelvis; without contrast material 321 297 $10K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 206 183 $10K
76801 315 301 $9K
95957 296 255 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 520 503 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 394 388 $8K
86334 814 728 $8K
90935 Hemodialysis procedure with single evaluation by a physician 306 179 $8K
95874 1,018 937 $8K
92134 611 472 $7K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 308 265 $7K
99479 Subsequent intensive care, per day, very low birth weight infant 100 24 $7K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 31 29 $7K
77063 Screening digital breast tomosynthesis, bilateral 340 333 $7K
93320 324 288 $7K
73630 626 557 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 420 400 $6K
99152 509 460 $6K
92567 522 490 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 94 48 $5K
64615 130 115 $5K
96121 72 69 $5K
88313 391 353 $5K
62369 176 161 $5K
99354 108 94 $5K
0071A 277 193 $5K
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) 2,378 2,151 $4K
0072A 222 185 $4K
72131 79 77 $4K
99480 Subsequent intensive care, per day, low birth weight infant 51 12 $4K
99310 Prolong nursin fac eval 15m 190 164 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 349 172 $4K
90832 Psychotherapy, 30 minutes with patient 351 246 $4K
73610 317 281 $4K
93356 226 206 $4K
91321 55 52 $4K
0054A 177 172 $3K
67028 Intravitreal injection of a pharmacologic agent 37 36 $3K
90677 114 106 $3K
99464 66 62 $3K
93227 199 184 $3K
76813 111 105 $3K
96118 26 26 $3K
99242 80 79 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 131 125 $3K
99443 196 156 $2K
88348 70 63 $2K
70498 29 27 $2K
87631 63 56 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 283 268 $2K
72082 201 193 $2K
76821 77 55 $2K
96158 64 51 $2K
88331 113 101 $2K
85060 148 123 $2K
64644 51 42 $2K
76820 98 80 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 24 24 $2K
93454 13 12 $2K
92201 111 89 $2K
70491 29 26 $2K
70486 50 48 $2K
72128 36 36 $2K
54150 39 38 $2K
77002 109 104 $2K
72170 254 233 $1K
95800 54 47 $1K
73030 226 205 $1K
76830 Ultrasound, transvaginal 43 38 $1K
80305 198 159 $1K
85610 383 211 $1K
99239 Hospital discharge day management, more than 30 minutes 27 24 $1K
95718 18 14 $1K
0124A 112 97 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 109 97 $1K
92083 101 86 $1K
73562 109 92 $1K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 15 12 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $1K
94729 352 329 $1K
96165 139 116 $1K
99223 Prolong inpt eval add15 m 24 24 $1K
H0005 Alcohol and/or drug services; group counseling by a clinician 119 71 $1K
95886 53 51 $1K
90966 62 50 $1K
51784 28 27 $1K
95816 73 64 $1K
93321 166 153 $990.00
52310 16 15 $960.26
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 12 $959.42
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 62 38 $926.97
77014 48 12 $892.12
90670 442 433 $891.54
90723 259 248 $858.53
0031A 32 30 $839.52
92504 55 52 $824.32
76506 34 25 $789.72
0003A 39 24 $763.20
70496 15 13 $755.10
81025 133 125 $743.13
72100 84 79 $716.18
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 43 $700.71
99451 96 96 $693.36
73110 68 64 $689.30
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 29 28 $656.02
H0047 Alcohol and/or other drug abuse services, not otherwise specified 25 12 $639.72
99205 Prolong outpt/office vis 12 12 $573.45
73502 112 104 $571.86
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 258 243 $526.29
99221 13 12 $512.43
93971 37 37 $466.26
99188 104 93 $464.04
93018 49 46 $418.61
76642 41 37 $391.33
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 12 $385.99
74183 16 14 $383.99
99241 13 13 $378.10
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38 26 $371.39
0081A 38 30 $368.74
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 12 $364.80
92226 48 26 $356.52
99309 Subsequent nursing facility care, per day, low to moderate complexity 33 32 $354.07
96164 103 88 $327.78
73130 49 39 $313.65
00731 14 13 $307.86
98968 56 38 $307.12
90680 133 128 $301.64
81001 175 166 $300.62
96127 125 115 $300.55
73560 61 51 $296.55
11721 15 15 $278.55
0052A 12 12 $267.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 54 49 $258.45
92133 25 25 $254.15
92025 14 13 $233.93
88173 22 17 $231.20
95251 15 14 $210.85
80061 Lipid panel 24 24 $199.85
99459 12 12 $190.15
88108 13 13 $182.57
99307 25 25 $179.76
92060 14 14 $164.08
0074A 14 14 $152.64
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 183 167 $143.79
99308 Subsequent nursing facility care, per day, straightforward 12 12 $142.50
74019 34 29 $128.60
94618 15 13 $127.49
99201 12 12 $121.20
76857 13 13 $120.16
80053 Comprehensive metabolic panel 18 12 $118.27
88312 14 13 $116.34
88304 15 13 $113.52
90647 120 118 $109.23
88311 14 12 $102.71
99441 16 16 $97.83
84484 14 12 $87.29
73590 15 12 $78.55
0082A 18 15 $76.32
87210 37 36 $65.10
92202 16 13 $63.30
77001 16 12 $62.26
95117 14 12 $59.40
94726 18 18 $59.06
0399T 15 15 $56.04
51798 12 12 $52.86
90651 52 52 $43.03
99442 16 16 $42.12
85027 14 14 $31.92
93294 24 24 $28.14
81000 13 12 $26.65
90633 25 25 $23.17
96110 Developmental screening, with scoring and documentation, per standardized instrument 28 28 $17.26
97803 13 13 $12.41
J1885 Injection, ketorolac tromethamine, per 15 mg 14 13 $12.06
87081 15 15 $9.02
91312 44 42 $0.03
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,585 3,364 $0.00
99358 Prolong nursin fac eval 15m 249 208 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $0.00
90461 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 42 42 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 472 463 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 195 183 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 34 33 $0.00
G0008 Administration of influenza virus vaccine 17 17 $0.00