Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SHEBOYGAN › ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS

NPI: 1730184342 · SHEBOYGAN, WI 53081 · General Acute Care Hospital · NPI assigned 06/20/2005

$5.04M
Total Medicaid Paid
256,560
Total Claims
201,772
Beneficiaries
142
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CFO)
NPI Enumeration Date06/20/2005

Related Entities

Other providers sharing the same authorized official: ALLEN, PATRICIA

ProviderCityStateTotal Paid
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $58.07M
CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA $14.72M
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $9.09M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5.63M
ABUNDANT LIFE NURSING AND SUPPORTIVE SERVICES LLC TAVARES FL $5.52M
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS- 3RD ORDER OF ST FRANCIS EAU CLAIRE WI $4.62M
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $2.63M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $1.15M
CENTRAL IOWA HOSPITAL CORPORATION WEST DES MOINES IA $996K
ABUNDANT LIFE NURSING LLC MOUNT DORA FL $307K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $287K
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI $63K
ST CLARE MEMORIAL HOSPITAL, INC LENA WI $44K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $43K
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $26K
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS EAU CLAIRE WI $5K
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F CHIPPEWA FALLS WI $5K
ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,083 $571K
2019 32,535 $600K
2020 29,665 $549K
2021 41,602 $696K
2022 46,819 $902K
2023 44,434 $928K
2024 30,422 $792K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 12,197 10,570 $692K
96361 5,471 4,146 $602K
99284 10,433 8,748 $478K
87633 1,380 1,200 $324K
41899 776 665 $319K
96365 4,215 3,061 $248K
99285 5,811 4,925 $240K
99282 3,787 3,350 $220K
80053 10,757 8,767 $196K
74177 2,794 2,454 $165K
70450 2,546 2,233 $131K
96360 1,555 1,343 $116K
43239 596 537 $105K
85025 16,282 12,556 $96K
80048 6,056 4,840 $81K
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 1,633 1,328 $70K
87635 1,750 1,421 $64K
87798 2,394 1,202 $61K
G0378 Hospital observation service, per hour 1,095 848 $52K
94640 1,460 1,079 $44K
96366 472 333 $40K
84484 5,153 3,324 $40K
87426 1,451 1,268 $40K
80306 1,618 1,371 $39K
81025 4,213 3,606 $38K
87804 1,567 736 $37K
74176 600 519 $37K
87486 1,381 1,201 $35K
81001 8,720 7,345 $34K
71275 470 416 $32K
87581 1,378 1,198 $31K
45380 142 125 $27K
83605 2,932 2,109 $19K
83690 3,823 3,219 $19K
87086 1,876 1,635 $19K
93306 206 188 $18K
76705 620 559 $17K
71046 2,643 2,377 $14K
84443 1,055 946 $14K
80076 2,229 1,927 $13K
83880 602 538 $11K
70553 112 95 $10K
72125 538 483 $10K
83735 2,578 2,003 $9K
85379 1,245 1,114 $9K
87880 396 363 $8K
87040 1,610 779 $8K
82805 374 288 $8K
87491 181 174 $7K
85610 2,215 1,754 $7K
86140 1,437 1,211 $6K
87591 181 175 $6K
77063 370 328 $6K
87081 302 272 $5K
94664 215 181 $5K
71260 98 91 $5K
87077 588 461 $5K
96374 7,696 6,113 $4K
77067 383 341 $4K
99214 103 49 $4K
85730 932 799 $3K
11042 29 13 $3K
93005 8,302 6,531 $2K
87186 451 353 $2K
85652 918 786 $2K
80061 79 75 $2K
96375 6,878 5,222 $2K
71045 3,875 3,253 $2K
96372 3,115 2,285 $2K
86850 72 61 $1K
97597 80 44 $1K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 109 85 $1K
84439 133 119 $1K
93971 41 40 $1K
85027 97 79 $944.34
84702 57 49 $709.52
72148 12 12 $694.82
G0379 Direct admission of patient for hospital observation care 14 12 $654.09
83036 55 50 $629.37
82565 53 44 $591.40
87807 43 40 $472.57
94060 30 27 $335.04
86901 118 102 $241.21
86900 118 102 $241.21
94729 86 78 $240.59
87088 42 37 $239.95
87210 42 40 $175.56
94726 27 24 $152.17
36415 2,114 1,658 $117.29
87070 18 12 $71.02
88305 2,652 1,613 $69.13
J7120 Ringers lactate infusion, up to 1000 cc 5,938 4,749 $53.02
81003 48 31 $45.03
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 32 25 $42.22
87205 18 12 $35.55
73630 76 69 $34.60
96376 2,055 1,501 $23.59
J2270 Injection, morphine sulfate, up to 10 mg 1,370 1,028 $22.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,644 4,371 $21.24
J7030 Infusion, normal saline solution , 1000 cc 7,345 5,740 $20.76
J3490 Unclassified drugs 3,480 1,947 $13.37
C9113 Injection, pantoprazole sodium, per vial 34 26 $12.45
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,005 4,773 $7.68
J2250 Injection, midazolam hydrochloride, per 1 mg 3,824 2,795 $5.99
P9612 Catheterization for collection of specimen, single patient, all places of service 100 88 $5.53
J1885 Injection, ketorolac tromethamine, per 15 mg 5,853 3,693 $5.10
73030 14 13 $4.47
J3010 Injection, fentanyl citrate, 0.1 mg 4,161 3,258 $3.16
J0690 Injection, cefazolin sodium, 500 mg 762 607 $2.60
J3475 Injection, magnesium sulfate, per 500 mg 55 52 $2.05
J2704 Injection, propofol, 10 mg 3,575 2,373 $1.30
J1170 Injection, hydromorphone, up to 4 mg 2,408 1,739 $0.74
88304 16 12 $0.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,156 2,456 $0.09
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 935 695 $0.01
A9270 Non-covered item or service 1,753 1,215 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 241 181 $0.00
J7050 Infusion, normal saline solution, 250 cc 858 629 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,170 957 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 41 24 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 1,041 854 $0.00
J2060 Injection, lorazepam, 2 mg 542 420 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 220 151 $0.00
J3360 Injection, diazepam, up to 5 mg 44 40 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 121 96 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 70 58 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 13 12 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,067 758 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,309 1,849 $0.00
88312 255 204 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,869 1,602 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 37 15 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 49 39 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 229 188 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 130 111 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 61 40 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 34 28 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 48 44 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 29 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 32 27 $0.00
J1171 Injection, hydromorphone, 0.1 mg 23 18 $0.00
73610 17 14 $0.00