Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › FOND DU LAC › AGNESIAN HEALTHCARE INC

AGNESIAN HEALTHCARE INC

NPI: 1730162991 · FOND DU LAC, WI 54935 · Optometrist · NPI assigned 11/22/2005

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

Authorized official GRINNELL, AMY controls 11+ related entities in our dataset. Read more

$7.40M
Total Medicaid Paid
299,024
Total Claims
253,540
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRINNELL, AMY (VP-FINANCE, CFO)
NPI Enumeration Date11/22/2005

Related Entities

Other providers sharing the same authorized official: GRINNELL, AMY

ProviderCityStateTotal Paid
DEAN HEALTH SYSTEMS, INC MADISON WI $26.19M
AGNESIAN HEALTHCARE, INC FOND DU LAC WI $17.74M
DEAN HEALTH SYSTEMS, INC MADISON WI $919K
DEAN HEALTH SYSTEMS, INC. MADISON WI $856K
DEAN HEALTH SYSTEMS, INC. SUN PRAIRIE WI $750K
DEAN RETAIL SERVICES, INC. JANESVILLE WI $106K
DEAN RETAIL SERVICES, INC. SUN PRAIRIE WI $65K
DEAN RETAIL SERVICES, INC. MADISON WI $65K
DEAN RETAIL SERVICES, INC. STOUGHTON WI $6K
DEAN RETAIL SERVICES, INC. SUN PRAIRIE WI $5K
DEAN RETAIL SERVICES, INC. WAUNAKEE WI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,054 $995K
2019 35,609 $897K
2020 35,174 $786K
2021 53,112 $1.18M
2022 51,378 $1.22M
2023 50,032 $1.17M
2024 33,665 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,318 80,308 $2.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45,061 39,579 $1.47M
99284 Emergency department visit for the evaluation and management, high severity 14,840 13,713 $460K
90834 Psychotherapy, 45 minutes with patient 12,875 7,487 $367K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,233 4,921 $293K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 13,940 7,283 $246K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,164 4,041 $244K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,513 2,380 $197K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 26,978 22,029 $164K
90792 Psychiatric diagnostic evaluation with medical services 1,558 1,283 $129K
99283 Emergency department visit for the evaluation and management, moderate severity 4,598 4,225 $106K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,468 1,395 $84K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,312 3,933 $80K
11721 4,022 3,759 $71K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,918 2,583 $68K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,017 1,869 $67K
99232 Subsequent hospital care, per day, moderate complexity 4,554 1,820 $64K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,976 1,831 $59K
3008F 6,881 6,597 $57K
99308 Subsequent nursing facility care, per day, straightforward 3,458 3,196 $55K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,112 1,949 $45K
99215 Prolong outpt/office vis 757 690 $41K
90677 680 646 $34K
90686 5,242 5,035 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 876 805 $32K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,648 823 $31K
J1050 Injection, medroxyprogesterone acetate, 1 mg 326 322 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 845 722 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 498 454 $26K
99239 Hospital discharge day management, more than 30 minutes 523 474 $26K
90837 Psychotherapy, 53 minutes with patient 624 430 $24K
0012A 585 561 $20K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,885 768 $20K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 406 291 $18K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 120 103 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 565 521 $17K
0011A 584 553 $17K
90723 2,291 2,180 $17K
92015 Determination of refractive state 2,567 1,983 $16K
90647 2,131 2,030 $16K
90670 3,104 2,980 $16K
93000 1,657 1,519 $14K
99223 Prolong inpt eval add15 m 349 324 $13K
99305 560 507 $13K
90680 1,724 1,639 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 380 317 $12K
99243 195 185 $12K
V5266 Battery for use in hearing device 968 930 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 436 349 $10K
0002A 261 250 $9K
98940 758 326 $9K
31231 206 193 $8K
0001A 205 199 $7K
95886 131 119 $7K
99238 Hospital discharge day management, 30 minutes or less 302 254 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 114 109 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 308 282 $6K
0064A 308 157 $6K
99460 71 67 $5K
94726 857 805 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $4K
92551 323 303 $4K
99173 238 219 $4K
99219 110 102 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,263 1,066 $4K
94729 854 804 $3K
92504 177 159 $3K
0031A 87 75 $3K
94060 369 351 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 83 69 $3K
90633 420 411 $2K
0004A 68 58 $2K
20610 57 51 $2K
90656 117 116 $2K
90961 21 20 $2K
0072A 87 42 $2K
93016 113 106 $1K
69210 140 132 $1K
99222 Initial hospital care, per day, moderate complexity 50 44 $1K
99233 Prolong inpt eval add15 m 54 24 $1K
31575 12 12 $1K
00126 24 24 $1K
99205 Prolong outpt/office vis 12 12 $1K
93018 113 106 $1K
99244 Office or other outpatient consultation, moderate to high complexity 18 14 $955.08
59025 Fetal non-stress test 40 29 $878.95
0071A 60 22 $867.22
75574 14 13 $844.98
17110 39 37 $828.66
00170 Anesthesia for intraoral procedures, including biopsy 13 12 $822.04
L3260 Surgical boot/shoe, each 45 37 $720.62
95816 13 12 $688.36
99000 191 182 $682.92
L4387 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf 17 12 $681.81
90836 18 13 $637.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 120 117 $586.49
90651 110 109 $564.33
99221 17 14 $523.02
0052A 19 14 $499.90
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $490.89
93295 24 24 $472.49
90480 15 12 $463.65
73630 42 31 $414.17
92567 26 26 $355.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 506 477 $292.06
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 106 100 $272.10
51798 48 45 $262.44
99152 15 14 $256.91
90700 26 26 $228.86
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 568 521 $206.70
L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment 16 12 $205.60
90832 Psychotherapy, 30 minutes with patient 34 13 $188.67
90734 12 12 $185.25
90716 12 12 $180.75
90707 12 12 $180.75
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 12 $179.94
93308 14 14 $120.22
71045 Radiologic examination, chest; single view 15 14 $104.59
99441 23 15 $77.31
90710 26 25 $70.36
94010 15 14 $64.27
G0008 Administration of influenza virus vaccine 61 58 $0.00