Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Milwaukee › NPI 1811926132
Hospital

Columbia ST. Mary's Hospital Milwaukee, INC

Columbia ST. Mary's Hospital Milwaukee, INC was paid $140K by Medicaid between Jan 2018 and Jan 2021, across 14 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 51% of everything it billed.

33Billing provider infoCOLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
MILWAUKEE, WI 53211
33aNPI1811926132assigned 06/30/2006
28Total paid$140K
24GClaims6,854
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2021

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,570$40K
20193,436$58K
20201,809$41K
202139$362.14
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90792 Psychiatric diagnostic evaluation with medical services 51% 979 760 $71K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 1,730 712 $25K
99221 9.3% 369 338 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 9.1% 1,236 523 $13K
99238 Hospital discharge day management, 30 minutes or less 5.5% 334 307 $8K
99222 Initial hospital care, per day, moderate complexity 4.2% 114 102 $6K
99239 Hospital discharge day management, more than 30 minutes 1.9% 50 39 $3K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 19 13 $1K
90870 <1% 30 14 $722.90
D1206 Topical application of fluoride varnish 0% 1,105 736 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 17 12 $0.00
D1351 Sealant - per tooth 0% 73 17 $0.00
2 more codes
D0191 0% 743 $0.00
D1120 Dental cleaning, child 0% 55 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMCCULLOUGH, MICHAEL (CFO)
Same official

Other billing entities under MCCULLOUGH, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.