Medicaid Provider Spending

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

THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC

NPI: 1740920909 · APPLETON, WI 54911 · General Acute Care Hospital · NPI assigned 03/29/2022

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

Authorized official FLETT, WILLIAM controls 20+ related entities in our dataset. Read more

$834K
Total Medicaid Paid
64,373
Total Claims
47,631
Beneficiaries
87
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date03/29/2022

Related Entities

Other providers sharing the same authorized official: FLETT, WILLIAM

ProviderCityStateTotal Paid
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $32.77M
THEDACARE REGIONAL MEDICAL CENTER-NEENAH, INC. NEENAH WI $18.23M
THEDACARE, INCORPORATED NEW LONDON WI $14.90M
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $11.53M
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $10.85M
THEDACARE MEDICAL CENTER - BERLIN, INC. BERLIN WI $9.40M
THEDACARE MEDICAL CENTER - NEW LONDON, INC. NEW LONDON WI $9.19M
THEDACARE, INCORPORATED APPLETON WI $8.29M
THEDACARE, INCORPORATED APPLETON WI $7.37M
THEDACARE MEDICAL CENTER - WILD ROSE, INC WILD ROSE WI $6.04M
THEDACARE, INCORPORATED MENASHA WI $1.46M
THEDACARE, INCORPORATED APPLETON WI $1.16M
THEDACARE MEDICAL CENTER - SHAWANO, INC. SHAWANO WI $974K
THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC. APPLETON WI $429K
THEDACARE MEDICAL CENTER - SHAWANO, INC. CLINTONVILLE WI $212K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $50K
THEDACARE MEDICAL CENTER - WAUPACA, INC. WAUPACA WI $45K
THEDACARE, INCORPORATED OSHKOSH WI $41K
THEDACARE, INCORPORATED SHAWANO WI $37K
THEDACARE, INCORPORATED WAUPACA WI $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 8,246 $80K
2023 27,266 $328K
2024 28,861 $426K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,646 2,873 $146K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 726 652 $89K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,666 1,927 $80K
80048 Basic metabolic panel (calcium, ionized) 5,826 4,837 $63K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 757 679 $63K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,037 1,341 $46K
96368 442 404 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,215 3,330 $31K
97162 804 751 $30K
80061 Lipid panel 2,657 2,420 $28K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,448 884 $27K
83036 Hemoglobin; glycosylated (A1C) 1,924 1,756 $23K
62323 119 114 $20K
97163 686 635 $20K
80076 2,424 1,846 $18K
97113 388 168 $15K
81025 894 784 $11K
80306 611 565 $10K
82947 1,168 842 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 81 68 $6K
62321 28 28 $5K
85027 835 753 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 857 743 $5K
81001 770 680 $4K
80053 Comprehensive metabolic panel 217 190 $4K
C1776 Joint device (implantable) 154 141 $4K
97161 101 93 $4K
64493 13 12 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 93 83 $3K
85651 350 322 $3K
64483 14 12 $3K
83735 391 286 $2K
82043 367 339 $2K
85610 483 317 $2K
87631 15 15 $2K
84460 343 311 $2K
84443 Thyroid stimulating hormone (TSH) 145 126 $1K
82570 383 352 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 56 47 $1K
85014 62 54 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 56 47 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 55 46 $937.53
82565 134 123 $564.73
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $521.14
86140 53 52 $250.47
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,317 750 $246.24
77002 26 26 $239.36
J0171 Injection, adrenalin, epinephrine, 0.1 mg 469 290 $208.30
81003 121 100 $196.68
J1885 Injection, ketorolac tromethamine, per 15 mg 387 232 $183.08
J3010 Injection, fentanyl citrate, 0.1 mg 1,854 1,523 $150.36
87480 14 12 $146.15
99152 356 282 $144.03
87086 Culture, bacterial; quantitative colony count, urine 32 27 $135.83
82728 15 13 $123.35
J0690 Injection, cefazolin sodium, 500 mg 934 737 $115.65
J2704 Injection, propofol, 10 mg 1,616 1,324 $110.82
85018 62 54 $101.34
J7120 Ringers lactate infusion, up to 1000 cc 1,128 1,000 $93.40
87510 14 12 $65.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,666 1,323 $62.88
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,087 916 $48.29
87081 12 12 $44.29
36415 Collection of venous blood by venipuncture 720 573 $42.89
J1170 Injection, hydromorphone, up to 4 mg 195 145 $36.16
A9577 Injection, gadobenate dimeglumine (multihance), per ml 206 197 $36.08
J7050 Infusion, normal saline solution, 250 cc 2,034 1,375 $35.92
85652 13 13 $34.07
J2250 Injection, midazolam hydrochloride, per 1 mg 1,322 1,133 $32.76
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 675 487 $26.91
J2370 Injection, phenylephrine hcl, up to 1 ml 146 126 $23.33
73560 14 12 $18.86
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 195 167 $14.55
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 71 56 $12.85
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 553 528 $7.73
J3490 Unclassified drugs 101 91 $1.92
J3370 Injection, vancomycin hcl, 500 mg 481 352 $1.44
76000 12 12 $0.32
36592 61 56 $0.13
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 826 683 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 625 492 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 334 286 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 15 14 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 111 102 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 19 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 13 12 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 15 14 $0.00