Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MONROE › THE MONROE CLINIC, INC.

THE MONROE CLINIC, INC.

NPI: 1740291491 · MONROE, WI 53566 · Medicare Defined Swing Bed Hospital Unit · NPI assigned 08/10/2006

$6.28M
Total Medicaid Paid
351,591
Total Claims
270,239
Beneficiaries
225
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALKER, TROY (DIRECTOR OF FINANCE)
NPI Enumeration Date08/10/2006

Related Entities

Other providers sharing the same authorized official: WALKER, TROY

ProviderCityStateTotal Paid
WAUPUN MEMORIAL HOSPITAL BEAVER DAM WI $366K
SSM HEALTHCARE OF WI INC BARABOO WI $202K
AGNESIAN HEALTHCARE, INC FOND DU LAC WI $28K
SSM HEALTH CARE OF WISCONSIN INC BARABOO WI $831.82
SSM HEALTHCARE OF WI INC BARABOO WI $124.80
ST CLARE IMAGING SERVICES, LLC BARABOO WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,151 $1.12M
2019 55,388 $956K
2020 39,272 $651K
2021 52,621 $813K
2022 56,835 $847K
2023 55,188 $984K
2024 41,136 $906K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 15,832 13,272 $778K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,377 23,158 $700K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,883 4,658 $438K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,276 11,355 $426K
96361 Intravenous infusion, hydration; each additional hour 4,210 3,109 $415K
99284 Emergency department visit for the evaluation and management, high severity 6,941 5,785 $303K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 29,962 19,717 $225K
92015 Determination of refractive state 5,075 3,990 $223K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,724 3,284 $216K
80053 Comprehensive metabolic panel 14,369 11,586 $199K
90834 Psychotherapy, 45 minutes with patient 4,455 2,960 $152K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,534 2,920 $114K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,834 1,530 $99K
70450 Computed tomography, head or brain; without contrast material 2,143 1,784 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,653 11,024 $71K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,313 1,410 $68K
90832 Psychotherapy, 30 minutes with patient 1,885 1,028 $68K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,389 1,331 $66K
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 1,204 1,016 $60K
81001 4,647 3,926 $59K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 963 438 $59K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,811 1,262 $53K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,379 2,161 $53K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 839 716 $52K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 951 795 $49K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 698 592 $47K
87081 2,466 2,148 $47K
80048 Basic metabolic panel (calcium, ionized) 4,242 3,344 $43K
99215 Prolong outpt/office vis 1,011 836 $42K
87631 401 358 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,323 1,131 $42K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 724 708 $41K
90837 Psychotherapy, 53 minutes with patient 613 418 $39K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,001 875 $39K
97162 1,184 1,033 $39K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,288 1,131 $39K
92340 Fitting of spectacles, except for aphakia; monofocal 2,083 1,815 $38K
84443 Thyroid stimulating hormone (TSH) 3,817 3,390 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,106 1,015 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,425 801 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,998 1,818 $32K
80061 Lipid panel 3,824 3,509 $28K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,276 1,120 $26K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 459 439 $25K
84484 4,306 2,974 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,736 2,950 $21K
87086 Culture, bacterial; quantitative colony count, urine 2,449 2,063 $20K
81025 1,846 1,578 $20K
85610 2,765 1,981 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 761 341 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 341 278 $17K
0002A 442 426 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 410 350 $14K
83036 Hemoglobin; glycosylated (A1C) 3,131 2,890 $14K
84145 1,279 967 $14K
0001A 462 427 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 227 219 $13K
85027 3,821 3,399 $13K
83690 2,987 2,401 $12K
83605 2,081 1,465 $12K
81003 2,541 2,187 $11K
90686 1,841 1,769 $10K
80306 761 629 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 279 210 $9K
82077 514 410 $8K
83735 2,238 1,707 $7K
82962 1,231 595 $7K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 93 85 $7K
71275 Computed tomographic angiography, chest, with contrast material 137 105 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 163 149 $7K
G0378 Hospital observation service, per hour 819 636 $7K
82565 409 305 $6K
0004A 189 169 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 480 446 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 126 121 $6K
97161 99 91 $6K
71046 Radiologic examination, chest; 2 views 2,185 1,865 $6K
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 187 155 $6K
97035 675 241 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,066 3,051 $6K
90792 Psychiatric diagnostic evaluation with medical services 112 78 $6K
82948 1,198 727 $5K
72125 Computed tomography, cervical spine; without contrast material 366 304 $5K
77067 Screening mammography, bilateral, including computer-aided detection 148 134 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 223 190 $4K
84703 767 644 $4K
99218 153 105 $4K
82607 262 229 $4K
87040 547 267 $4K
85379 702 591 $4K
0071A 192 96 $4K
83655 318 303 $3K
20610 275 226 $3K
0072A 149 93 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 115 82 $3K
87186 829 625 $3K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 624 516 $2K
71045 Radiologic examination, chest; single view 3,505 2,861 $2K
90791 Psychiatric diagnostic evaluation 34 28 $2K
97163 92 86 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,685 3,761 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $2K
0124A 46 44 $2K
80143 186 146 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 19 12 $1K
87210 335 304 $1K
0031A 45 38 $1K
80179 162 132 $1K
87634 14 14 $1K
90961 31 29 $1K
36415 Collection of venous blood by venipuncture 15,733 11,688 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 15 14 $1K
85730 404 330 $1K
80050 General health panel 60 55 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,453 5,128 $1K
77063 Screening digital breast tomosynthesis, bilateral 148 134 $1K
92341 42 40 $1K
87088 97 84 $966.58
96375 Therapeutic injection; each additional sequential IV push 3,790 2,856 $961.72
84132 22 12 $957.71
82728 174 153 $934.28
86703 178 163 $818.16
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 22 15 $762.00
90670 149 140 $743.96
90677 15 12 $722.42
85007 14 14 $668.10
96110 Developmental screening, with scoring and documentation, per standardized instrument 30 28 $652.11
80055 57 53 $642.08
V5266 Battery for use in hearing device 312 308 $606.67
86140 265 213 $601.84
90651 58 58 $586.98
73630 340 296 $579.92
87070 104 83 $557.99
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $487.63
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) 812 732 $467.54
83540 43 38 $453.42
84439 164 151 $396.76
90723 56 49 $386.06
99238 Hospital discharge day management, 30 minutes or less 15 12 $379.70
76700 Ultrasound, abdominal, real time with image documentation; complete 14 13 $370.07
11721 70 66 $355.92
83880 28 26 $355.55
86850 129 106 $349.98
87077 140 104 $346.19
90662 115 111 $343.25
84702 34 28 $302.11
99188 31 26 $296.47
99309 Subsequent nursing facility care, per day, low to moderate complexity 28 26 $290.14
73130 27 26 $279.84
73610 138 114 $276.84
85014 397 382 $200.31
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $193.44
90685 60 60 $191.98
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,971 1,915 $188.78
90734 25 25 $187.99
99443 19 13 $186.18
85652 163 133 $180.70
86900 116 95 $179.71
86901 113 92 $176.72
90633 55 50 $162.19
84450 68 55 $152.67
90694 56 50 $132.88
82570 87 83 $109.52
82947 41 36 $106.11
85018 211 202 $105.80
87205 48 40 $102.30
92551 12 12 $101.52
96161 25 24 $93.66
83550 14 14 $81.28
91307 77 51 $80.03
J3010 Injection, fentanyl citrate, 0.1 mg 3,571 2,736 $78.17
82043 56 52 $74.83
86592 91 83 $70.18
82746 12 12 $58.80
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,332 2,723 $54.54
82550 17 13 $53.84
84550 30 26 $47.62
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,062 3,105 $47.57
90710 13 13 $43.03
90647 12 12 $36.41
96376 410 262 $35.83
G0008 Administration of influenza virus vaccine 560 541 $33.27
J7030 Infusion, normal saline solution , 1000 cc 6,184 4,684 $32.74
88305 Level IV - Surgical pathology, gross and microscopic examination 910 696 $32.61
74019 13 13 $29.08
73564 68 54 $24.58
J1885 Injection, ketorolac tromethamine, per 15 mg 5,329 3,550 $23.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 24 $11.86
J7120 Ringers lactate infusion, up to 1000 cc 2,922 2,236 $10.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,910 2,244 $10.87
81015 36 31 $9.45
J0690 Injection, cefazolin sodium, 500 mg 488 330 $9.03
J2250 Injection, midazolam hydrochloride, per 1 mg 2,393 1,946 $8.52
99152 62 51 $7.18
J2704 Injection, propofol, 10 mg 2,198 1,853 $6.09
J1170 Injection, hydromorphone, up to 4 mg 432 317 $2.74
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 453 325 $2.17
72170 35 29 $1.76
91305 23 18 $0.01
A9270 Non-covered item or service 663 471 $0.00
J3490 Unclassified drugs 325 229 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 21 18 $0.00
A9585 Injection, gadobutrol, 0.1 ml 123 95 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 245 196 $0.00
J2060 Injection, lorazepam, 2 mg 61 49 $0.00
J7050 Infusion, normal saline solution, 250 cc 206 101 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 163 118 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 18 13 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 38 26 $0.00
73502 14 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 44 24 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 15 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 320 200 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 109 96 $0.00
72100 16 14 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 155 141 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 195 155 $0.00
36592 95 87 $0.00
91312 14 12 $0.00
73030 17 12 $0.00
91300 98 95 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 18 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 12 $0.00
A4649 Surgical supply; miscellaneous 222 178 $0.00