Medicaid Provider Spending

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

THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.

NPI: 1689038408 · APPLETON, WI 54911 · General Acute Care Hospital · NPI assigned 04/07/2016

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

Authorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more

$429K
Total Medicaid Paid
86,148
Total Claims
49,724
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
Parent OrganizationTHEDACARE REGIONAL MEDICAL CENTER, APPLETON, INC.
NPI Enumeration Date04/07/2016

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $32.77M
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NEENAH WI $18.23M
THEDACARE, INCORPORATED NEW LONDON WI $14.90M
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $11.53M
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $10.85M
THEDACARE MEDICAL CENTER - BERLIN, INC. BERLIN WI $9.40M
THEDACARE MEDICAL CENTER - NEW LONDON, INC. NEW LONDON WI $9.19M
THEDACARE, INCORPORATED APPLETON WI $8.29M
THEDACARE, INCORPORATED APPLETON WI $7.37M
THEDACARE MEDICAL CENTER - WILD ROSE, INC WILD ROSE WI $6.04M
THEDACARE, INCORPORATED MENASHA WI $1.46M
THEDACARE, INCORPORATED APPLETON WI $1.16M
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $974K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC APPLETON WI $834K
THEDACARE MEDICAL CENTER - SHAWANO, INC. CLINTONVILLE WI $212K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $50K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $45K
THEDACARE, INCORPORATED OSHKOSH WI $41K
THEDACARE, INCORPORATED SHAWANO WI $37K
THEDACARE, INCORPORATED WAUPACA WI $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,406 $57K
2019 7,123 $62K
2020 8,340 $82K
2021 19,849 $125K
2022 27,425 $89K
2023 11,288 $11K
2024 5,717 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,674 1,233 $115K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 955 365 $62K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,138 723 $29K
80048 Basic metabolic panel (calcium, ionized) 10,984 6,088 $28K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,427 6,444 $27K
80076 7,780 4,289 $20K
96375 Therapeutic injection; each additional sequential IV push 2,201 878 $17K
95810 Polysomnography; sleep staging with 4 or more additional parameters 114 68 $13K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,350 779 $13K
84443 Thyroid stimulating hormone (TSH) 2,557 1,994 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 461 326 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,019 820 $8K
80061 Lipid panel 1,665 1,364 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 461 326 $5K
95811 12 12 $5K
96367 355 130 $4K
82728 1,092 866 $4K
87480 365 256 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,064 318 $4K
83036 Hemoglobin; glycosylated (A1C) 1,155 934 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 72 62 $3K
87510 370 261 $2K
87660 243 167 $2K
J7050 Infusion, normal saline solution, 250 cc 7,258 2,620 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,446 474 $2K
84439 1,102 870 $2K
82607 398 315 $2K
83615 496 323 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 125 93 $2K
87086 Culture, bacterial; quantitative colony count, urine 445 333 $1K
80306 160 129 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,142 705 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 657 212 $1K
84481 484 393 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 16 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 97 80 $938.80
83550 503 383 $822.73
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 134 104 $778.16
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 68 45 $683.37
77336 76 25 $666.95
83540 506 389 $653.54
J2469 Injection, palonosetron hcl, 25 mcg 16 12 $601.60
81001 472 336 $538.81
86140 325 222 $495.22
83735 405 179 $473.04
85027 228 164 $460.83
36591 74 41 $449.80
J1750 Injection, iron dextran, 50 mg 24 12 $420.97
82043 169 129 $396.84
81025 129 69 $386.68
82570 195 147 $382.68
85610 355 207 $370.38
84460 290 234 $359.82
85651 256 193 $359.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 15 15 $316.86
86780 60 39 $259.88
82565 290 249 $231.43
87340 31 25 $179.44
86803 19 16 $158.54
J1100 Injection, dexamethasone sodium phosphate, 1 mg 314 122 $146.38
36415 Collection of venous blood by venipuncture 13,354 9,662 $143.62
82947 89 66 $138.57
87070 53 26 $96.09
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 37 12 $80.00
87186 38 25 $71.76
81003 96 52 $68.73
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 98 42 $60.38
83690 14 13 $55.12
96361 Intravenous infusion, hydration; each additional hour 55 12 $33.10
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,465 880 $33.00
84450 33 26 $31.88
J2405 Injection, ondansetron hydrochloride, per 1 mg 212 77 $29.88
88305 Level IV - Surgical pathology, gross and microscopic examination 167 148 $25.76
87088 15 13 $25.47
84165 20 12 $22.12
J1756 Injection, iron sucrose, 1 mg 81 25 $0.00
96415 27 12 $0.00