Medicaid Provider Spending

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

PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC.

NPI: 1629056890 · WAUKESHA, WI 53188 · 273Y00000X

$21.39M
Total Medicaid Paid
1,287,422
Total Claims
961,497
Beneficiaries
363
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162,925 $3.38M
2019 167,539 $3.15M
2020 154,932 $2.93M
2021 194,596 $3.15M
2022 216,347 $3.02M
2023 226,606 $3.13M
2024 164,477 $2.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 37,183 30,977 $2.14M
99284 28,553 23,615 $1.33M
80053 69,280 51,558 $997K
U0003 Cov-19 amp prb hgh thruput 14,505 12,325 $972K
96361 8,822 6,072 $953K
97530 26,544 10,454 $651K
99213 10,717 8,809 $499K
96365 8,769 5,485 $486K
70450 7,435 6,266 $432K
97140 23,153 7,678 $425K
80307 7,717 6,268 $398K
85025 70,227 51,318 $391K
87491 13,967 11,404 $385K
99214 6,028 4,660 $368K
74177 6,027 5,081 $359K
97112 14,040 5,061 $349K
87591 13,904 11,346 $347K
G0378 Hospital observation per hr 6,771 5,507 $345K
99212 7,250 5,966 $338K
99211 6,285 5,109 $313K
80050 11,946 10,191 $305K
99285 9,020 7,646 $297K
96360 3,786 2,684 $243K
80061 22,679 19,708 $227K
97110 9,754 3,815 $212K
76816 4,175 3,328 $211K
99282 3,567 3,125 $198K
96366 2,481 1,458 $194K
93306 2,365 2,087 $186K
84443 15,213 13,143 $183K
80048 18,231 13,157 $180K
82306 8,605 7,484 $180K
76819 5,053 1,923 $179K
59025 2,537 1,776 $174K
88175 8,915 7,339 $174K
87624 5,959 4,973 $156K
0241U 4,893 4,253 $148K
84702 8,330 6,308 $141K
74176 2,440 2,133 $140K
94640 4,197 2,799 $138K
87086 18,292 15,349 $138K
43239 893 803 $137K
87070 11,938 10,344 $129K
97162 4,344 3,750 $125K
96413 4,447 2,559 $124K
83036 15,699 13,772 $124K
71275 1,809 1,598 $121K
84484 14,701 10,886 $114K
87635 2,950 2,488 $103K
88305 10,292 6,176 $101K
85027 16,556 12,478 $90K
G0480 Drug test def 1-7 classes 2,257 1,826 $85K
82947 12,915 7,576 $84K
87661 3,934 3,145 $82K
87653 2,301 2,027 $73K
76705 2,278 1,987 $72K
J0585 Injection,onabotulinumtoxina 1,016 800 $71K
81001 24,414 20,327 $70K
87389 3,694 3,116 $68K
76830 1,949 1,747 $66K
80081 975 806 $66K
76856 1,520 1,351 $63K
84703 6,037 5,212 $62K
82607 5,551 4,808 $61K
87808 5,017 4,245 $59K
72148 1,132 1,000 $58K
82728 5,812 5,021 $57K
84439 6,922 5,787 $56K
64615 571 509 $55K
85610 7,911 5,304 $55K
96415 794 578 $54K
76817 3,187 2,468 $53K
83690 10,434 8,533 $53K
83735 11,877 7,710 $51K
87502 566 512 $50K
78452 373 312 $48K
87186 7,512 5,367 $48K
93971 1,848 1,617 $47K
84146 2,506 2,258 $46K
87077 6,618 5,123 $45K
87880 2,460 2,142 $43K
72125 1,960 1,678 $42K
86480 923 795 $42K
70553 755 650 $41K
93017 1,054 902 $41K
96367 1,049 619 $40K
G0463 Hospital outpt clinic visit 7,913 6,168 $39K
87804 2,349 1,286 $39K
82247 1,348 737 $39K
76801 932 802 $38K
86769 1,145 1,000 $38K
81025 2,874 2,405 $36K
86803 3,180 2,717 $36K
76805 530 479 $36K
83880 1,762 1,470 $34K
97163 1,472 1,283 $33K
84153 2,573 2,191 $32K
77067 2,975 2,691 $32K
82550 6,935 5,746 $31K
83655 2,314 2,065 $30K
87210 5,052 4,271 $30K
85379 3,709 3,231 $27K
97113 590 208 $26K
83550 4,727 4,084 $26K
87088 4,123 3,211 $25K
96372 11,649 6,520 $25K
80047 1,396 1,211 $24K
80164 1,704 1,416 $24K
80076 2,505 2,236 $23K
86780 2,684 2,246 $23K
90834 788 484 $22K
83540 5,278 4,562 $22K
97166 1,054 919 $22K
12001 283 246 $21K
82043 4,353 3,767 $21K
76811 471 426 $19K
82570 4,898 4,051 $19K
97161 530 480 $19K
93005 24,153 19,051 $19K
87428 558 484 $19K
82950 1,338 1,173 $18K
G0108 Diab manage trn per indiv 335 195 $18K
82746 1,965 1,675 $18K
83970 700 597 $17K
86850 1,849 1,502 $17K
80074 555 447 $17K
71045 19,013 15,769 $17K
H2012 Behav hlth day treat, per hr 4,392 131 $16K
71046 3,162 2,757 $16K
82565 2,047 1,643 $16K
87040 2,289 1,114 $16K
86140 3,923 3,051 $15K
73721 327 290 $15K
82330 1,777 1,383 $15K
87205 4,472 3,681 $14K
77063 2,505 2,236 $14K
M0243 Casirivi and imdevi inj 40 32 $14K
71260 528 426 $14K
45380 93 86 $14K
84403 786 633 $13K
86038 1,426 1,190 $13K
45385 72 63 $13K
82784 1,728 993 $12K
96374 19,753 15,769 $12K
83516 1,081 649 $11K
80320 4,439 3,589 $11K
84132 2,082 1,630 $11K
J2315 Naltrexone, depot form 31 24 $10K
84100 3,024 2,012 $10K
70551 254 220 $10K
87529 199 144 $9K
71250 356 299 $9K
87147 2,179 1,135 $9K
M0245 Bamlan and etesev infusion 22 19 $9K
87081 882 777 $9K
83001 611 513 $9K
78815 163 138 $8K
85652 4,032 3,370 $8K
88304 1,084 850 $8K
76536 225 205 $8K
85007 2,316 1,639 $8K
36415 83,973 58,140 $8K
99215 Prolong outpt/office vis 117 102 $7K
83605 932 708 $7K
97035 713 273 $7K
81003 2,285 1,945 $7K
70486 247 226 $6K
95886 96 88 $6K
83615 2,455 1,826 $6K
84156 1,769 1,386 $6K
76642 434 377 $6K
88342 1,411 1,022 $6K
95806 245 222 $5K
87150 155 140 $5K
87807 356 311 $5K
96375 15,486 11,277 $5K
80178 776 642 $5K
86901 2,291 1,819 $5K
72100 1,378 1,233 $5K
76770 138 123 $5K
82248 1,310 990 $4K
86900 1,983 1,568 $4K
94060 144 122 $4K
86618 314 258 $4K
86364 495 398 $4K
86003 848 96 $4K
12011 60 55 $4K
74018 970 814 $4K
93970 126 103 $4K
84460 1,027 856 $4K
80329 4,121 3,366 $3K
94770 52 41 $3K
87102 489 388 $3K
87522 Neg quan hep c or qual rna 79 64 $3K
97165 103 96 $3K
87340 411 352 $3K
87426 90 77 $3K
84450 866 733 $3K
90715 529 462 $3K
84550 794 662 $3K
73610 1,120 1,015 $3K
64400 17 14 $3K
36430 18 12 $3K
72141 82 66 $2K
C8929 Tte w or wo fol wcon,doppler 27 24 $2K
87798 60 43 $2K
93225 91 83 $2K
96376 4,848 3,279 $2K
97535 375 209 $2K
84481 185 153 $2K
86376 210 156 $2K
73630 1,074 902 $2K
73502 510 431 $2K
85018 1,047 858 $2K
87636 19 15 $2K
12002 50 38 $2K
97032 161 80 $2K
73562 1,192 999 $2K
86431 448 367 $2K
86706 197 176 $2K
99281 12 12 $2K
87493 58 49 $2K
83721 308 252 $2K
93880 63 51 $2K
97167 105 90 $1K
88307 257 171 $1K
82803 75 62 $1K
90791 34 24 $1K
73130 561 473 $1K
82272 264 220 $1K
82670 60 48 $1K
62323 17 12 $1K
84165 200 176 $1K
88341 151 65 $1K
87801 26 25 $1K
82553 231 199 $1K
73030 1,052 862 $1K
85730 225 193 $990.28
82533 101 68 $957.00
82040 76 64 $913.05
90686 154 131 $907.29
85046 232 190 $890.01
77066 Tomosynthesis, mammo 89 81 $838.10
76813 79 73 $728.00
87563 39 25 $662.44
87075 116 92 $648.09
36591 74 51 $594.03
76982 69 61 $562.57
93296 58 56 $560.56
93226 91 83 $545.45
G0279 Tomosynthesis, mammo 248 204 $533.41
99454 113 105 $506.61
90471 736 643 $490.44
J1170 Hydromorphone injection 7,870 5,080 $484.28
Q9967 Locm 300-399mg/ml iodine,1ml 11,326 9,070 $467.68
J2405 Ondansetron hcl injection 14,027 10,626 $462.37
88142 26 24 $434.19
86704 42 38 $428.50
85014 303 244 $420.94
73110 213 181 $403.76
G0008 Admin influenza virus vac 326 288 $393.44
83520 41 28 $386.40
84480 32 26 $372.63
76870 12 12 $366.85
94729 82 66 $360.34
81002 48 42 $355.31
93270 28 24 $336.71
J2469 Palonosetron hcl 222 105 $321.19
J1650 Inj enoxaparin sodium 5,405 2,036 $315.21
36416 682 496 $315.10
J1885 Ketorolac tromethamine inj 9,953 7,866 $315.04
93922 14 13 $308.90
J0780 Prochlorperazine injection 942 765 $292.94
J0360 Hydralazine hcl injection 81 54 $272.46
88312 137 82 $265.03
84145 16 12 $262.42
84295 105 90 $252.22
J3010 Fentanyl citrate injection 8,490 6,650 $208.16
82378 15 12 $179.47
84466 13 13 $173.20
88112 15 13 $163.91
80175 14 12 $136.72
Q0245 Bamlanivimab and etesevima 22 19 $133.09
U0005 Infec agen detec ampli probe 128 107 $126.29
86308 29 24 $123.94
72040 99 95 $112.40
84155 34 29 $108.26
82140 14 13 $106.46
82785 16 13 $103.21
U0002 Covid-19 lab test non-cdc 24 21 $102.70
73560 49 37 $87.80
94726 42 37 $85.54
J0690 Cefazolin sodium injection 1,809 1,370 $80.40
74019 239 202 $77.34
97116 38 26 $68.40
Q0244 Casirivi and imdevi 1200 mg 40 32 $64.92
G0009 Admin pneumococcal vaccine 82 75 $62.11
72170 46 41 $55.09
95800 86 81 $54.94
94644 313 257 $43.00
J7120 Ringers lactate infusion 5,101 3,992 $39.71
51798 154 136 $39.34
J1100 Dexamethasone sodium phos 7,236 5,228 $36.27
Q0162 Ondansetron oral 3,057 2,366 $33.36
J1756 Iron sucrose injection 513 184 $27.94
J2250 Inj midazolam hydrochloride 3,446 2,871 $27.24
99152 260 219 $24.92
97602 26 12 $24.62
73080 58 50 $23.42
J3301 Triamcinolone acet inj nos 334 271 $22.38
J2270 Morphine sulfate injection 155 120 $22.13
A9585 Gadobutrol injection 2,410 2,026 $21.55
J2060 Lorazepam injection 2,527 1,957 $20.88
J2785 Regadenoson injection 116 101 $13.34
90472 32 30 $12.67
A9500 Tc99m sestamibi 435 306 $11.31
J1040 Methylprednisolone 80 mg inj 78 63 $10.52
J1644 Inj heparin sodium per 1000u 2,263 935 $8.47
73140 17 12 $8.40
J2710 Neostigmine methylslfte inj 380 295 $8.12
J3475 Inj magnesium sulfate 1,215 695 $7.77
J0696 Ceftriaxone sodium injection 3,259 2,155 $6.31
J2930 Methylprednisolone injection 1,429 1,066 $4.16
94760 1,910 1,451 $3.58
J2704 Inj, propofol, 10 mg 548 507 $3.39
J3480 Inj potassium chloride 2,290 1,329 $3.23
J2360 Orphenadrine injection 252 228 $2.73
J2765 Metoclopramide hcl injection 2,933 2,391 $2.72
J1200 Diphenhydramine hcl injectio 3,346 2,540 $2.61
86923 18 12 $2.26
C1894 Intro/sheath, non-laser 190 166 $2.21
J1642 Inj heparin sodium per 10 u 492 213 $0.01
G8978 Mobility current status 277 240 $0.00
G1004 Cdsm ndsc 6,966 5,402 $0.00
C9113 Inj pantoprazole sodium, via 639 303 $0.00
A9552 F18 fdg 175 139 $0.00
Q0163 Diphenhydramine hcl 50mg 1,083 732 $0.00
G8979 Mobility goal status 314 264 $0.00
Q9957 Inj perflutren lip micros,ml 148 127 $0.00
J2919 Inj, methylpred sod succ 5mg 161 120 $0.00
J0665 Inj, bupivacaine, nos, 0.5mg 329 275 $0.00
J0134 Inj acetaminophen -fresenius 52 25 $0.00
J1171 Inj, hydromorphone, 0.1 mg 92 55 $0.00
J0171 Adrenalin epinephrine inject 12 12 $0.00
90662 12 12 $0.00
36592 12 12 $0.00
A9270 Non-covered item or service 6,809 3,932 $0.00
J7999 Compounded drug, noc 1,513 1,127 $0.00
G8980 Mobility d/c status 28 24 $0.00
J3411 Thiamine hcl 100 mg 46 28 $0.00
J1790 Droperidol injection 101 82 $0.00
C1769 Guide wire 213 183 $0.00
G8987 Self care current status 28 27 $0.00
J2370 Phenylephrine hcl injection 38 29 $0.00
99153 Mod sedat endo service >5yrs 33 25 $0.00
G8988 Self care goal status 43 40 $0.00
J1010 Inj, methylpred acetate 1 mg 48 42 $0.00
J1630 Haloperidol injection 27 25 $0.00
J0330 Succinycholine chloride inj 89 55 $0.00
J3360 Diazepam injection 14 12 $0.00
J0131 Inj, acetaminophen (nos) 15 14 $0.00
73090 18 13 $0.00
J2371 Inj phenylephrine hcl 20 mcg 16 12 $0.00