Medicaid Provider Spending

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

THEDACARE MEDICAL CENTER - BERLIN, INC.

NPI: 1760413777 · BERLIN, WI 54923 · Critical Access Hospital · NPI assigned 07/06/2006

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

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

$9.40M
Total Medicaid Paid
251,937
Total Claims
188,896
Beneficiaries
173
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLETT, WILLIAM (CFO)
NPI Enumeration Date07/06/2006

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 - 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 $834K
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
2018 32,283 $1.07M
2019 28,880 $1.24M
2020 29,788 $1.11M
2021 44,530 $1.44M
2022 41,262 $1.39M
2023 43,298 $1.70M
2024 31,896 $1.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,346 11,252 $1.78M
99284 Emergency department visit for the evaluation and management, high severity 7,643 5,881 $1.09M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,535 5,597 $1.01M
96361 Intravenous infusion, hydration; each additional hour 2,810 1,913 $999K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,095 1,840 $539K
70450 Computed tomography, head or brain; without contrast material 2,135 1,800 $505K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,711 1,652 $448K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,993 1,733 $331K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,202 471 $304K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,986 1,491 $278K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,154 2,190 $186K
80048 Basic metabolic panel (calcium, ionized) 17,847 12,740 $144K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,570 2,994 $141K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 124 117 $105K
71046 Radiologic examination, chest; 2 views 2,449 2,092 $95K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 427 312 $92K
77067 Screening mammography, bilateral, including computer-aided detection 1,374 1,298 $90K
87631 958 844 $87K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,924 11,547 $81K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 724 473 $75K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 188 174 $74K
71275 Computed tomographic angiography, chest, with contrast material 194 176 $59K
80076 10,936 8,318 $54K
84443 Thyroid stimulating hormone (TSH) 4,680 4,002 $51K
G0378 Hospital observation service, per hour 1,682 789 $38K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 155 98 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 335 259 $34K
74176 Computed tomography, abdomen and pelvis; without contrast material 129 106 $34K
84484 5,175 3,356 $29K
77063 Screening digital breast tomosynthesis, bilateral 527 501 $25K
83880 1,602 1,317 $24K
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 611 471 $23K
80061 Lipid panel 2,167 1,936 $23K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,497 585 $22K
97162 606 547 $18K
83735 4,810 3,692 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,453 4,976 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited 126 108 $18K
83036 Hemoglobin; glycosylated (A1C) 2,294 2,067 $18K
80306 1,300 1,065 $17K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,090 966 $16K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 619 514 $16K
87086 Culture, bacterial; quantitative colony count, urine 2,543 2,152 $15K
83690 3,075 2,509 $14K
71260 Computed tomography, thorax, diagnostic; with contrast material 74 56 $14K
81025 1,536 1,295 $14K
81001 6,447 5,360 $13K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 22 13 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 203 176 $13K
72125 Computed tomography, cervical spine; without contrast material 143 121 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 880 378 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 335 282 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 335 282 $9K
96367 51 38 $9K
71045 Radiologic examination, chest; single view 4,617 3,793 $8K
83605 1,788 1,371 $8K
73630 296 274 $8K
74018 246 217 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 545 335 $7K
85610 2,760 1,985 $7K
85027 1,180 1,005 $6K
85380 993 886 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 193 167 $6K
82077 773 598 $6K
93356 19 19 $6K
87070 716 574 $5K
70498 13 12 $5K
87040 1,518 632 $5K
87186 861 716 $4K
82550 1,244 1,031 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 163 55 $4K
36592 862 593 $4K
84703 636 559 $4K
73610 130 115 $4K
82948 1,361 586 $4K
73030 146 127 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 12 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,004 3,219 $3K
82947 928 603 $3K
99000 745 569 $3K
36415 Collection of venous blood by venipuncture 13,829 10,417 $3K
72100 81 76 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,445 1,111 $3K
85730 919 782 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,084 1,435 $3K
93017 12 12 $2K
87088 510 432 $2K
86140 541 436 $2K
76830 Ultrasound, transvaginal 15 12 $2K
82553 555 488 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17 12 $2K
96376 750 521 $2K
80143 175 140 $2K
84439 237 203 $2K
80179 156 126 $1K
93971 14 13 $1K
94729 40 40 $1K
96375 Therapeutic injection; each additional sequential IV push 3,498 2,566 $1K
80053 Comprehensive metabolic panel 143 122 $1K
94060 14 14 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 50 46 $946.13
88305 Level IV - Surgical pathology, gross and microscopic examination 1,015 857 $904.93
86850 241 200 $903.36
82565 245 201 $779.17
82962 615 244 $748.84
82570 153 138 $729.70
85379 130 101 $724.64
93226 15 14 $690.38
94762 69 60 $642.82
73110 12 12 $567.13
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 33 27 $566.30
86900 281 231 $557.07
85651 153 130 $550.86
73564 56 51 $546.40
86901 280 231 $518.99
73502 14 13 $502.01
J7120 Ringers lactate infusion, up to 1000 cc 3,629 2,858 $499.98
97161 14 12 $480.19
73130 33 25 $456.70
87480 36 27 $406.68
J2704 Injection, propofol, 10 mg 2,523 2,114 $397.18
82728 41 36 $386.98
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,570 3,100 $382.40
94726 12 12 $380.00
87510 36 27 $362.57
87650 15 13 $307.48
90715 12 12 $299.47
84702 22 12 $295.80
84450 62 53 $289.44
82043 41 39 $262.37
84460 61 49 $257.21
87660 15 13 $142.31
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,956 2,997 $124.21
J3010 Injection, fentanyl citrate, 0.1 mg 3,115 2,294 $121.06
85652 53 43 $119.88
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 16 12 $105.70
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 142 127 $102.62
J2250 Injection, midazolam hydrochloride, per 1 mg 2,953 2,360 $99.48
J1885 Injection, ketorolac tromethamine, per 15 mg 2,827 2,222 $87.54
85014 47 38 $77.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,256 1,701 $75.56
82150 13 12 $71.62
83550 13 12 $48.48
J1200 Injection, diphenhydramine hcl, up to 50 mg 562 431 $46.72
J7050 Infusion, normal saline solution, 250 cc 5,131 2,299 $45.79
88738 12 12 $44.52
J2765 Injection, metoclopramide hcl, up to 10 mg 316 251 $41.46
84550 17 13 $38.18
83540 13 12 $35.67
81003 16 13 $29.84
J2270 Injection, morphine sulfate, up to 10 mg 520 354 $29.01
J1170 Injection, hydromorphone, up to 4 mg 321 237 $15.08
A9577 Injection, gadobenate dimeglumine (multihance), per ml 146 130 $6.54
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 12 12 $3.22
J0690 Injection, cefazolin sodium, 500 mg 177 140 $3.12
A9270 Non-covered item or service 888 467 $2.85
J3490 Unclassified drugs 352 281 $1.41
J0696 Injection, ceftriaxone sodium, per 250 mg 181 108 $0.69
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 101 94 $0.35
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,556 3,615 $0.01
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 1,475 1,199 $0.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 95 80 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 57 40 $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 84 54 $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 63 59 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 47 26 $0.00
J7030 Infusion, normal saline solution , 1000 cc 43 33 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 15 15 $0.00
J2060 Injection, lorazepam, 2 mg 33 25 $0.00
94761 164 142 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 28 21 $0.00