Medicaid Provider Spending

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

SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS

NPI: 1619355351 · EAU CLAIRE, WI 54701 · Addiction Medicine (Family Medicine) Physician · NPI assigned 05/14/2015

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

Authorized official ALLEN, PATRICIA controls 18+ related entities in our dataset. Read more

$4.62M
Total Medicaid Paid
161,301
Total Claims
110,475
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CHIEF FINANCIAL OFFICER)
Parent OrganizationSACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS
NPI Enumeration Date05/14/2015

Related Entities

Other providers sharing the same authorized official: ALLEN, PATRICIA

ProviderCityStateTotal Paid
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $58.07M
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $14.72M
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $9.09M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5.63M
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC TAVARES FL $5.52M
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $5.04M
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $2.63M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $1.15M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $996K
ABUNDANT LIFE NURSING LLC MOUNT DORA FL $307K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $287K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $63K
ST CLARE MEMORIAL HOSPITAL, INC LENA WI $44K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $43K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $26K
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $5K
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,825 $382K
2019 20,988 $550K
2020 21,070 $562K
2021 30,079 $822K
2022 29,149 $918K
2023 36,352 $1.06M
2024 7,838 $333K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,580 38,347 $1.16M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,888 16,361 $736K
97530 Therapeutic activities, direct patient contact, each 15 minutes 10,177 4,243 $530K
99232 Subsequent hospital care, per day, moderate complexity 18,436 7,930 $331K
90834 Psychotherapy, 45 minutes with patient 5,738 3,313 $288K
99222 Initial hospital care, per day, moderate complexity 5,460 4,590 $246K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,058 1,848 $193K
90837 Psychotherapy, 53 minutes with patient 2,070 1,310 $175K
99238 Hospital discharge day management, 30 minutes or less 5,698 4,782 $146K
80305 12,079 6,934 $93K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,935 1,706 $83K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,631 1,499 $83K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,962 1,731 $66K
99233 Prolong inpt eval add15 m 1,824 842 $53K
99223 Prolong inpt eval add15 m 767 648 $41K
90832 Psychotherapy, 30 minutes with patient 827 375 $41K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,243 779 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 449 410 $33K
0002A 791 734 $24K
0001A 878 793 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,655 1,493 $22K
99239 Hospital discharge day management, more than 30 minutes 413 328 $22K
90792 Psychiatric diagnostic evaluation with medical services 237 197 $21K
H0022 Alcohol and/or drug intervention service (planned facilitation) 420 203 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 395 377 $15K
90791 Psychiatric diagnostic evaluation 134 117 $11K
90686 984 933 $10K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 154 127 $10K
0004A 258 235 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 147 140 $9K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 402 151 $9K
99221 172 156 $8K
97535 Self-care/home management training, each 15 minutes 372 181 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 328 270 $5K
0012A 145 140 $5K
0011A 188 159 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 213 174 $4K
20610 108 92 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 30 25 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 289 268 $3K
99441 396 274 $3K
0071A 124 77 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 213 89 $3K
0124A 81 77 $3K
99215 Prolong outpt/office vis 45 38 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 481 432 $2K
91320 25 19 $2K
0072A 99 64 $2K
0054A 53 52 $2K
92567 131 123 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28 25 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $2K
0031A 54 44 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 41 41 $1K
80050 General health panel 31 28 $1K
86580 259 222 $1K
80061 Lipid panel 117 110 $1K
90962 30 26 $1K
90480 42 31 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 455 344 $1K
99442 80 50 $988.15
80053 Comprehensive metabolic panel 109 98 $947.38
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 12 $821.70
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $670.78
71046 Radiologic examination, chest; 2 views 48 37 $629.38
92557 32 28 $606.19
V5266 Battery for use in hearing device 56 51 $601.54
0064A 23 16 $542.26
80048 Basic metabolic panel (calcium, ionized) 68 63 $487.91
83036 Hemoglobin; glycosylated (A1C) 53 51 $443.37
J1040 Injection, methylprednisolone acetate, 80 mg 62 49 $428.99
84443 Thyroid stimulating hormone (TSH) 25 24 $366.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 122 113 $358.23
90961 13 12 $281.13
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 107 97 $238.55
87660 13 12 $222.97
87480 13 12 $201.72
87081 31 27 $182.51
87510 13 12 $181.67
93000 15 14 $170.50
85652 14 12 $40.78
90670 12 12 $39.72
90651 12 12 $36.41
81001 14 13 $31.43
91300 1,981 1,635 $2.73
91301 348 310 $1.23
91312 104 99 $0.00
99177 115 108 $0.00
91308 32 30 $0.00
91305 101 98 $0.00
91307 272 171 $0.00
36415 Collection of venous blood by venipuncture 44 42 $0.00
91303 54 44 $0.00
91306 23 16 $0.00