Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › GREEN BAY › ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS

ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS

NPI: 1649246877 · GREEN BAY, WI 54303 · General Acute Care Hospital · NPI assigned 02/27/2006

$12.79M
Total Medicaid Paid
529,330
Total Claims
433,760
Beneficiaries
209
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHARLIER, BRIAN (COO)
NPI Enumeration Date02/27/2006

Related Entities

Other providers sharing the same authorized official: CHARLIER, BRIAN

ProviderCityStateTotal Paid
ST. VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST. FRANCIS GREEN BAY WI $627K
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS GREEN BAY WI $106K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS MARINETTE WI $59K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77,066 $2.17M
2019 78,587 $2.14M
2020 71,329 $1.65M
2021 80,746 $1.73M
2022 83,617 $1.83M
2023 78,903 $1.87M
2024 59,082 $1.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 32,204 28,487 $2.30M
96361 Intravenous infusion, hydration; each additional hour 9,520 7,774 $1.35M
99284 Emergency department visit for the evaluation and management, high severity 19,085 16,688 $1.01M
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,800 10,715 $990K
41899 Unlisted procedure, dentoalveolar structures 2,109 1,809 $832K
80053 Comprehensive metabolic panel 26,377 22,064 $622K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,932 7,797 $454K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,752 2,865 $320K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,839 2,501 $283K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,035 3,651 $270K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,472 1,371 $254K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,567 3,970 $235K
70450 Computed tomography, head or brain; without contrast material 3,398 3,010 $224K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,888 23,949 $190K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,646 2,669 $172K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,081 2,662 $152K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,705 2,847 $149K
80048 Basic metabolic panel (calcium, ionized) 7,247 5,703 $130K
81025 8,897 7,986 $122K
87430 3,518 3,290 $117K
87081 2,353 2,196 $114K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 5,951 5,465 $111K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,590 3,247 $108K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,212 1,104 $107K
G0378 Hospital observation service, per hour 2,592 1,984 $107K
81001 17,902 15,734 $105K
71275 Computed tomographic angiography, chest, with contrast material 1,458 1,332 $105K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,887 2,592 $101K
84484 9,457 7,036 $100K
80306 2,802 2,517 $97K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,391 1,251 $97K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,464 2,258 $96K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,458 2,252 $85K
87086 Culture, bacterial; quantitative colony count, urine 4,548 4,097 $72K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,915 4,512 $66K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,544 1,419 $64K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 300 273 $61K
84443 Thyroid stimulating hormone (TSH) 3,997 3,609 $53K
83690 8,519 7,405 $49K
84702 1,964 1,514 $49K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 529 302 $45K
87210 2,222 2,045 $41K
12001 405 360 $38K
80061 Lipid panel 2,984 2,705 $36K
87077 1,983 1,650 $36K
83036 Hemoglobin; glycosylated (A1C) 3,821 3,482 $32K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 443 415 $31K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 112 94 $30K
80050 General health panel 1,994 1,801 $30K
83880 1,370 1,199 $28K
85379 2,818 2,563 $24K
83735 4,400 3,505 $23K
83605 2,813 2,114 $22K
84439 2,257 2,012 $21K
85610 3,793 2,948 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 124 116 $20K
87807 864 791 $20K
87040 2,778 1,395 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 123 119 $17K
72125 Computed tomography, cervical spine; without contrast material 748 691 $17K
29125 160 152 $16K
82565 852 753 $14K
85027 1,748 1,582 $14K
86140 2,858 2,262 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 149 137 $13K
87186 1,797 1,518 $12K
70496 174 151 $11K
70498 164 143 $11K
93017 240 227 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 444 370 $10K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 112 100 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 170 148 $9K
87088 1,440 1,231 $9K
82728 749 661 $9K
71046 Radiologic examination, chest; 2 views 2,406 2,250 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 224 107 $8K
86480 113 106 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,730 12,440 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material 171 156 $7K
85730 1,897 1,673 $7K
82950 879 821 $7K
86481 81 78 $7K
93971 203 196 $5K
99281 Emergency department visit for the evaluation and management, self-limited or minor 72 68 $5K
12011 40 38 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 198 177 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,973 12,060 $4K
85652 1,773 1,408 $4K
94664 204 179 $4K
87486 112 94 $4K
71045 Radiologic examination, chest; single view 8,403 7,374 $3K
96375 Therapeutic injection; each additional sequential IV push 10,068 7,896 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 202 177 $3K
87070 125 101 $3K
90715 456 409 $3K
83550 446 398 $3K
85018 743 647 $3K
87581 112 94 $3K
76830 Ultrasound, transvaginal 58 55 $3K
80076 340 301 $2K
83540 465 415 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,446 4,811 $2K
82805 95 77 $2K
74018 384 354 $2K
84145 95 77 $1K
76536 27 24 $1K
70551 Magnetic resonance imaging, brain; without contrast material 14 12 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 138 78 $1K
0042T 28 24 $1K
G0379 Direct admission of patient for hospital observation care 31 27 $969.29
74178 12 12 $914.11
88304 109 94 $913.71
86900 407 340 $889.28
86901 407 340 $889.02
73630 932 848 $751.09
70486 29 26 $746.59
12002 14 13 $733.47
93225 43 38 $704.10
86850 103 90 $653.37
88312 938 721 $643.47
88174 47 39 $635.77
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 89 66 $541.55
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $484.82
72100 201 186 $439.71
73562 506 455 $380.27
97535 Self-care/home management training, each 15 minutes 56 38 $368.17
88112 15 13 $359.41
J7030 Infusion, normal saline solution , 1000 cc 17,412 13,981 $323.24
73502 62 54 $317.59
85007 63 52 $272.29
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14 12 $260.91
J7120 Ringers lactate infusion, up to 1000 cc 8,187 6,779 $226.24
36415 Collection of venous blood by venipuncture 2,671 1,865 $214.20
82550 51 42 $212.57
73610 1,008 927 $196.99
82607 14 12 $180.25
J1885 Injection, ketorolac tromethamine, per 15 mg 11,012 8,935 $172.82
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 532 437 $158.07
97162 16 14 $147.22
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,974 2,593 $141.67
J2765 Injection, metoclopramide hcl, up to 10 mg 1,429 1,268 $137.20
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,553 7,344 $119.72
82150 14 13 $115.57
73130 460 404 $103.14
93226 29 26 $103.05
84703 16 15 $93.71
96376 2,393 1,676 $83.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 425 374 $81.34
J3490 Unclassified drugs 7,026 3,609 $80.05
73030 391 354 $66.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,240 5,280 $56.80
88342 13 12 $47.83
P9612 Catheterization for collection of specimen, single patient, all places of service 360 324 $42.33
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,811 1,383 $37.89
73110 283 259 $34.07
99152 190 173 $22.88
J0696 Injection, ceftriaxone sodium, per 250 mg 3,265 2,081 $19.07
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,123 979 $14.81
88313 96 82 $7.12
J3480 Injection, potassium chloride, per 2 meq 66 27 $6.81
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,585 9,645 $5.70
73560 54 49 $4.22
J3010 Injection, fentanyl citrate, 0.1 mg 7,288 5,101 $1.74
J3475 Injection, magnesium sulfate, per 500 mg 108 89 $1.39
J2704 Injection, propofol, 10 mg 10,394 6,338 $1.15
J1170 Injection, hydromorphone, up to 4 mg 3,382 2,473 $1.04
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 704 619 $0.96
J0690 Injection, cefazolin sodium, 500 mg 2,167 1,734 $0.90
J2795 Injection, ropivacaine hydrochloride, 1 mg 824 676 $0.50
J2250 Injection, midazolam hydrochloride, per 1 mg 3,899 3,224 $0.49
J0171 Injection, adrenalin, epinephrine, 0.1 mg 704 517 $0.25
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 454 410 $0.00
A9270 Non-covered item or service 2,692 1,804 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 175 145 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 196 184 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 847 623 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 188 163 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 384 368 $0.00
J2060 Injection, lorazepam, 2 mg 1,432 1,196 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 306 234 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 166 132 $0.00
C1769 Guide wire 103 90 $0.00
J1790 Injection, droperidol, up to 5 mg 488 422 $0.00
99153 Mod sedat endo service >5yrs 39 37 $0.00
J7050 Infusion, normal saline solution, 250 cc 52 39 $0.00
J8540 Dexamethasone, oral, 0.25 mg 34 24 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 92 77 $0.00
J1630 Injection, haloperidol, up to 5 mg 24 24 $0.00
74019 49 48 $0.00
J2785 Injection, regadenoson, 0.1 mg 15 15 $0.00
71101 15 15 $0.00
72040 12 12 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 2,202 1,762 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,310 916 $0.00
J3370 Injection, vancomycin hcl, 500 mg 223 131 $0.00
73140 27 26 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 192 174 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 77 53 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 308 270 $0.00
J1644 Injection, heparin sodium, per 1000 units 464 178 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 224 127 $0.00
C9113 Injection, pantoprazole sodium, per vial 39 25 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 125 110 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 13 12 $0.00
73080 17 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 19 14 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 303 126 $0.00
73590 15 13 $0.00
C1776 Joint device (implantable) 14 13 $0.00