Medicaid Provider Spending

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

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

NPI: 1710928221 · MEQUON, WI 53097 · Family Medicine Physician · NPI assigned 06/08/2006

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

Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more

$26K
Total Medicaid Paid
1,983
Total Claims
820
Beneficiaries
10
Codes Billed
2018-02
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL

ProviderCityStateTotal Paid
ASCENSION SE WISCONSIN HOSPITAL, INC MILWAUKEE WI $94.32M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MILWAUKEE WI $64.53M
ASCENSION ST FRANCIS HOSPITAL, INC MILWAUKEE WI $35.87M
ASCENSION NE WISCONSIN, INC APPLETON WI $19.89M
A.F.C. TRANSPORTATION, INC FLAGSTAFF AZ $10.12M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $9.82M
ASCENSION WISCONSIN LABORATORIES, INC MILWAUKEE WI $5.81M
ASCENSION NE WISCONSIN, INC OSHKOSH WI $4.31M
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. WICHITA KS $4.09M
ASCENSION CALUMET HOSPITAL, INC CHILTON WI $3.78M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC MILWAUKEE WI $769K
SACRED HEART REHABILITATION INSTITUTE, INC. MEQUON WI $603K
MERCY MEDICAL CENTER OF OSHKOSH, INC. OSHKOSH WI $486K
ASCENSION NE WISCONSIN, INC APPLETON WI $343K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC GLENDALE WI $158K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $140K
ASCENSION NE WISCONSIN, INC MENASHA WI $63K
ASCENSION SE WISCONSIN HOSPITAL, INC WAUWATOSA WI $9K
SACRED HEART REHABILITATION INSTITUTE, INC MILWAUKEE WI $6K
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC MOUNT PLEASANT WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 95 $2K
2019 30 $903.40
2020 14 $633.20
2022 851 $6K
2023 972 $16K
2024 21 $807.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 1,329 432 $12K
99223 Prolong inpt eval add15 m 165 141 $5K
99239 Hospital discharge day management, more than 30 minutes 80 68 $3K
99233 Prolong inpt eval add15 m 145 53 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 174 52 $1K
99284 Emergency department visit for the evaluation and management, high severity 17 16 $943.41
99252 21 12 $807.54
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24 20 $131.16
80053 Comprehensive metabolic panel 12 12 $59.40
36415 Collection of venous blood by venipuncture 16 14 $0.00