Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › FORT ATKINSON › FORT HEALTHCARE, INC.

FORT HEALTHCARE, INC.

NPI: 1811916281 · FORT ATKINSON, WI 53538 · Multi-Specialty Clinic/Center · NPI assigned 07/18/2006

$9.44M
Total Medicaid Paid
524,322
Total Claims
390,297
Beneficiaries
237
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNELSON, JAMES (VP FINANCE)
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: NELSON, JAMES

ProviderCityStateTotal Paid
ACR HOMES, INC. ROSEVILLE MN $156.04M
DAYTON PEDIATRICS P C DAYTON TN $3.09M
HURON EYE CLINIC PC HURON SD $1.17M
VI NEUROLOGICAL MEDICAL GROUP INC. ST THOMAS VI $771K
NADABURG ELEMENTARY DISTRICT WITTMANN AZ $174K
RICKMAN FAMILY MEDICAL CLINIC RICKMAN TN $79K
MONROE COUNTY HEALTH CENTER, BOARD OF TRUSTEES PETERSTOWN WV $53K
NELSON CLINIC AND REHABILITATION CARE PA WILLMAR MN $44K
NELSON FAMILY DENTISTRY GENERAL PARTNERSHIP DBA POLISHED DENTAL BISMARCK ND $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60,450 $991K
2019 60,091 $998K
2020 63,036 $1.09M
2021 85,637 $1.46M
2022 92,373 $1.66M
2023 93,173 $1.73M
2024 69,562 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,014 12,327 $804K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,418 10,773 $755K
96361 Intravenous infusion, hydration; each additional hour 6,860 4,635 $597K
99284 Emergency department visit for the evaluation and management, high severity 12,494 10,719 $577K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,138 5,294 $364K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,883 6,555 $297K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,350 2,122 $279K
80053 Comprehensive metabolic panel 23,554 18,889 $267K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,155 4,469 $267K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26,810 20,158 $253K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 5,559 3,183 $222K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,061 2,750 $209K
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 2,679 2,330 $187K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,719 2,506 $177K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,857 3,287 $169K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,956 2,595 $169K
70450 Computed tomography, head or brain; without contrast material 3,719 3,228 $166K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,626 4,080 $162K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,628 4,083 $146K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 488 433 $129K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,911 950 $125K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,132 972 $110K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,388 1,897 $107K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,769 1,459 $95K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,382 2,133 $93K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,403 1,531 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,501 3,147 $81K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 757 683 $81K
87086 Culture, bacterial; quantitative colony count, urine 8,064 6,701 $80K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 1,230 985 $80K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 848 772 $78K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,987 6,800 $76K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,645 1,477 $73K
81025 7,389 6,257 $73K
84443 Thyroid stimulating hormone (TSH) 5,966 5,095 $71K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,472 1,184 $70K
81001 13,790 11,416 $68K
80061 Lipid panel 5,410 4,648 $62K
80048 Basic metabolic panel (calcium, ionized) 7,426 5,269 $62K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 702 632 $54K
87081 3,747 3,322 $47K
97162 1,704 1,465 $46K
74176 Computed tomography, abdomen and pelvis; without contrast material 827 710 $45K
83036 Hemoglobin; glycosylated (A1C) 5,674 4,851 $44K
80050 General health panel 2,099 1,733 $43K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,297 1,173 $41K
84484 6,823 4,756 $40K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,558 2,212 $40K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 90 82 $40K
80081 606 526 $39K
71275 Computed tomographic angiography, chest, with contrast material 713 606 $39K
87186 3,949 2,985 $36K
80306 2,525 2,065 $34K
59025 Fetal non-stress test 597 378 $33K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 445 400 $33K
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 1,943 1,711 $32K
71046 Radiologic examination, chest; 2 views 5,027 4,475 $32K
88142 1,855 1,603 $31K
82962 7,727 3,297 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,326 1,143 $29K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,731 9,917 $29K
77067 Screening mammography, bilateral, including computer-aided detection 818 764 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 420 353 $27K
83880 1,902 1,541 $27K
83690 5,370 4,522 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 516 464 $24K
76830 Ultrasound, transvaginal 708 644 $24K
87631 155 140 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 786 636 $23K
87040 2,552 1,342 $21K
83605 4,008 2,796 $20K
83735 4,477 2,823 $20K
87503 704 632 $20K
93356 235 209 $19K
87070 2,500 2,101 $19K
72125 Computed tomography, cervical spine; without contrast material 1,172 1,027 $19K
86803 1,596 1,386 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 386 322 $16K
83655 1,412 1,075 $16K
84702 937 596 $16K
85027 2,730 2,107 $16K
76857 315 289 $15K
85610 3,363 2,295 $15K
85379 1,180 1,043 $15K
96367 504 271 $14K
G0378 Hospital observation service, per hour 3,704 2,649 $14K
81002 1,110 866 $14K
87205 2,000 1,639 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,146 2,140 $13K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 208 92 $13K
97163 428 376 $12K
87507 37 33 $12K
87088 2,352 1,892 $11K
74018 646 567 $10K
84145 947 782 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 359 316 $10K
85018 2,509 1,880 $9K
82803 706 546 $9K
86140 1,465 1,101 $8K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 105 89 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 221 204 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 279 241 $7K
97597 352 183 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 170 138 $6K
97166 223 201 $6K
82728 655 546 $6K
73630 1,212 1,068 $6K
82607 495 409 $5K
81003 2,564 2,149 $5K
84439 559 454 $5K
82570 1,154 990 $5K
71045 Radiologic examination, chest; single view 6,568 5,498 $4K
73564 880 728 $4K
85730 457 376 $4K
86901 668 543 $4K
87210 482 432 $4K
87581 160 133 $4K
87486 160 133 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,444 6,079 $4K
80164 197 164 $4K
82950 765 608 $4K
88720 43 37 $3K
77063 Screening digital breast tomosynthesis, bilateral 468 434 $3K
73030 651 567 $3K
82043 711 622 $3K
97116 231 109 $3K
36415 Collection of venous blood by venipuncture 33,335 22,803 $3K
84153 218 164 $3K
93971 88 80 $3K
83540 567 471 $3K
80076 362 309 $3K
93976 91 79 $3K
87561 88 74 $3K
73610 935 846 $2K
87147 402 324 $2K
86850 629 507 $2K
86780 207 183 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 24 24 $2K
87077 417 282 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 47 40 $2K
71250 59 48 $2K
85014 888 660 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,856 2,876 $2K
82465 245 215 $2K
85651 591 433 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 13 13 $2K
73110 442 367 $1K
73130 461 394 $1K
86900 673 544 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 32 12 $1K
12001 12 12 $1K
70486 42 40 $1K
76642 17 17 $1K
96375 Therapeutic injection; each additional sequential IV push 6,261 4,666 $1K
70496 14 12 $1K
82565 275 181 $1K
82105 62 53 $914.60
72148 Magnetic resonance imaging, lumbar spine; without contrast material 16 15 $904.35
73502 238 212 $896.71
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 29 27 $896.71
72100 77 66 $785.18
J2795 Injection, ropivacaine hydrochloride, 1 mg 269 224 $747.22
85652 259 217 $668.13
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 881 706 $660.64
82550 198 132 $614.69
76770 13 13 $612.46
76000 170 144 $594.34
87340 62 57 $591.52
99152 280 259 $586.85
76801 33 30 $548.10
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,389 4,511 $515.35
87641 44 39 $463.85
82746 37 28 $413.94
73080 43 38 $405.03
0064A 35 20 $368.34
97535 Self-care/home management training, each 15 minutes 23 12 $286.68
0352U 281 249 $283.27
90715 57 51 $282.51
84403 12 12 $280.47
96376 2,728 1,647 $275.79
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 199 130 $266.44
73140 41 39 $262.40
92557 13 13 $211.49
88342 39 36 $204.44
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 14 13 $169.45
82947 33 29 $112.59
36416 4,947 3,287 $74.34
84132 14 12 $53.48
93041 546 494 $51.65
90686 50 41 $38.90
J1885 Injection, ketorolac tromethamine, per 15 mg 4,990 4,113 $35.16
73562 12 12 $34.22
A9270 Non-covered item or service 17,600 5,042 $28.73
A9577 Injection, gadobenate dimeglumine (multihance), per ml 371 313 $18.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 50 $13.25
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,143 5,807 $7.52
J2704 Injection, propofol, 10 mg 186 173 $4.56
J0690 Injection, cefazolin sodium, 500 mg 1,967 1,614 $4.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,077 3,517 $3.29
J0696 Injection, ceftriaxone sodium, per 250 mg 2,014 1,199 $2.43
J2250 Injection, midazolam hydrochloride, per 1 mg 2,749 2,349 $1.87
J7120 Ringers lactate infusion, up to 1000 cc 963 701 $1.71
J2060 Injection, lorazepam, 2 mg 548 429 $1.62
J7030 Infusion, normal saline solution , 1000 cc 2,218 1,780 $1.56
P9612 Catheterization for collection of specimen, single patient, all places of service 330 300 $1.40
J2270 Injection, morphine sulfate, up to 10 mg 609 460 $0.77
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 238 204 $0.50
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,268 1,068 $0.24
J3475 Injection, magnesium sulfate, per 500 mg 577 343 $0.13
J1170 Injection, hydromorphone, up to 4 mg 1,747 1,283 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,343 1,183 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 25 25 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,827 1,598 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 194 159 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 316 268 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 233 193 $0.00
J1790 Injection, droperidol, up to 5 mg 95 83 $0.00
J3480 Injection, potassium chloride, per 2 meq 45 29 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 12 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 27 25 $0.00
J2785 Injection, regadenoson, 0.1 mg 16 12 $0.00
G0008 Administration of influenza virus vaccine 57 49 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 129 111 $0.00
51798 14 12 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 90 82 $0.00
C9113 Injection, pantoprazole sodium, per vial 91 51 $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 285 248 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 30 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 236 219 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 17 12 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 72 70 $0.00
A4649 Surgical supply; miscellaneous 16 12 $0.00
S0028 Injection, famotidine, 20 mg 51 41 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 312 227 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 28 24 $0.00
S9443 Lactation classes, non-physician provider, per session 16 12 $0.00