Medicaid Provider Spending

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

ST CLARE MEMORIAL HOSPITAL, INC

NPI: 1780851501 · OCONTO FALLS, WI 54154 · Clinical Medical Laboratory · NPI assigned 05/12/2008

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

Authorized official ALLEN, PATRICIA controls 18+ related entities in our dataset. Read more

$26K
Total Medicaid Paid
1,759
Total Claims
1,591
Beneficiaries
26
Codes Billed
2023-03
First Month
2023-04
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CFO)
Parent OrganizationST CLARE MEMORIAL HOSPITAL, INC
NPI Enumeration Date05/12/2008

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
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN WI $5.04M
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
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
2023 1,759 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 242 220 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 141 130 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 139 129 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 66 62 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 66 56 $2K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 75 65 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 50 42 $831.44
86803 81 74 $753.78
87086 Culture, bacterial; quantitative colony count, urine 129 122 $737.10
80061 Lipid panel 75 71 $701.62
80053 Comprehensive metabolic panel 87 77 $689.25
85025 Blood count; complete (CBC), automated, and automated differential WBC count 99 85 $660.90
84443 Thyroid stimulating hormone (TSH) 52 45 $646.48
86780 84 71 $611.46
83036 Hemoglobin; glycosylated (A1C) 84 83 $566.48
80048 Basic metabolic panel (calcium, ionized) 58 50 $376.23
84439 35 32 $227.66
87340 38 33 $219.93
87186 30 29 $216.77
87077 31 30 $210.56
88305 Level IV - Surgical pathology, gross and microscopic examination 17 14 $208.66
86038 16 15 $135.91
87088 15 14 $105.66
83735 14 13 $88.24
82043 14 13 $76.07
82570 21 16 $68.17