Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Columbia ST. Mary's Hospital Milwaukee, INC

Columbia ST. Mary's Hospital Milwaukee, INC was paid $26K by Medicaid between Feb 2018 and Mar 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.

33Billing provider infoCOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
MEQUON, WI 53097
33aNPI1710928221assigned 06/08/2006
28Total paid$26K
24GClaims1,983
24DCodes billed10
24AFirst – last monthFeb 2018 – Mar 2024
Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#125 of 359
Median peer was paid$4K
This provider vs. median6.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201895$2K
201930$903.40
202014$633.20
2022851$6K
2023972$16K
2024incomplete21$807.54
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 46% 1,329 432 $12K
99223 Prolong inpt eval add15 m 17% 165 141 $5K
99239 Hospital discharge day management, more than 30 minutes 12% 80 68 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 145 53 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 5.7% 174 52 $1K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.6% 17 16 $943.41
99252 3.1% 21 12 $807.54
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24 20 $131.16
80053 Comprehensive metabolic panel <1% 12 12 $59.40
36415 Collection of venous blood by venipuncture 0% 16 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCCULLOUGH, MICHAEL (CFO)
Same official

Other billing entities under MCCULLOUGH, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.