Medicaid Provider Spending

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

ADVOCATE SHERMAN HOSPITAL

NPI: 1629026364 · ELGIN, IL 60123 · Urgent Care Clinic/Center · NPI assigned 05/05/2006

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$1.18M
Total Medicaid Paid
60,615
Total Claims
39,014
Beneficiaries
77
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date05/05/2006

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WAUWATOSA WI $9.78M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,231 $419K
2019 29,362 $599K
2020 10,022 $159K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,710 1,452 $863K
77067 Screening mammography, bilateral, including computer-aided detection 732 677 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,074 2,574 $44K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,588 3,129 $22K
97162 427 257 $21K
71046 Radiologic examination, chest; 2 views 2,221 1,868 $20K
97161 422 267 $18K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 994 531 $14K
80053 Comprehensive metabolic panel 4,082 2,862 $14K
84443 Thyroid stimulating hormone (TSH) 2,133 1,738 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,372 3,245 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 886 583 $6K
87086 Culture, bacterial; quantitative colony count, urine 1,945 1,528 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 642 555 $6K
73610 406 324 $6K
73630 506 387 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 293 198 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 294 199 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,669 1,310 $5K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 40 39 $4K
73562 259 187 $3K
83655 403 304 $3K
80061 Lipid panel 1,647 1,350 $3K
74018 320 278 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 87 81 $3K
87081 1,984 1,725 $3K
84439 1,049 871 $3K
83036 Hemoglobin; glycosylated (A1C) 1,279 1,060 $2K
77063 Screening digital breast tomosynthesis, bilateral 278 263 $2K
87186 498 377 $2K
85610 1,313 566 $2K
81003 3,063 2,422 $2K
36415 Collection of venous blood by venipuncture 856 597 $2K
73030 114 71 $2K
81001 1,418 1,112 $1K
80048 Basic metabolic panel (calcium, ionized) 388 313 $1K
81025 1,389 1,016 $1K
29125 44 39 $964.80
87807 327 296 $808.54
85027 563 307 $780.65
73110 90 79 $735.71
86703 104 98 $703.44
73140 94 82 $450.88
73130 46 39 $446.41
29515 12 12 $383.68
84481 149 127 $362.29
85651 234 162 $294.83
87205 318 223 $257.04
J1885 Injection, ketorolac tromethamine, per 15 mg 140 69 $241.86
87070 190 131 $235.32
87808 80 40 $223.00
72100 15 15 $193.73
82570 171 148 $170.68
86038 27 13 $141.15
83735 97 61 $135.17
36416 276 82 $119.81
73564 13 13 $118.82
73080 12 12 $115.06
J0696 Injection, ceftriaxone sodium, per 250 mg 66 25 $110.12
84156 149 120 $71.67
86140 51 28 $61.04
82607 15 12 $47.20
85007 49 37 $41.00
82728 27 24 $35.00
84550 23 12 $26.46
86308 26 26 $26.16
86850 18 13 $22.17
82247 17 14 $22.13
83540 27 24 $15.68
82248 16 13 $13.05
86900 18 13 $12.07
86901 18 13 $11.62
85014 40 36 $9.16
85018 41 37 $5.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 43 31 $3.57
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 169 160 $0.00
87077 19 12 $0.00