Medicaid Provider Spending

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

ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.

NPI: 1851336044 · WEST BEND, WI 53095 · General Acute Care Hospital · NPI assigned 06/19/2006

$5.82M
Total Medicaid Paid
294,209
Total Claims
229,165
Beneficiaries
178
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERICSON, ALLEN (PRESIDENT)
NPI Enumeration Date06/19/2006

Related Entities

Other providers sharing the same authorized official: ERICSON, ALLEN

ProviderCityStateTotal Paid
FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC OAK CREEK WI $1.16M
FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC NEW BERLIN WI $1.10M
FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC MEQUON WI $540K
FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC PEWAUKEE WI $486K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,710 $747K
2019 37,480 $810K
2020 35,881 $751K
2021 43,753 $818K
2022 46,563 $900K
2023 52,726 $950K
2024 42,096 $842K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,650 15,110 $961K
96361 Intravenous infusion, hydration; each additional hour 7,458 5,241 $825K
99284 Emergency department visit for the evaluation and management, high severity 11,911 10,020 $557K
80053 Comprehensive metabolic panel 12,172 9,445 $311K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,535 2,809 $288K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,216 2,794 $210K
70450 Computed tomography, head or brain; without contrast material 3,396 3,002 $200K
80048 Basic metabolic panel (calcium, ionized) 9,184 7,260 $185K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,515 2,052 $175K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,583 2,924 $159K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,763 1,536 $120K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,981 14,361 $110K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 981 891 $102K
G0378 Hospital observation service, per hour 2,913 2,406 $97K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 939 589 $91K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1,517 1,289 $88K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,326 2,137 $76K
84443 Thyroid stimulating hormone (TSH) 5,703 5,140 $75K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,014 1,306 $59K
85610 4,693 3,305 $56K
99282 Emergency department visit for the evaluation and management, low to moderate severity 690 629 $47K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,963 1,839 $46K
71275 Computed tomographic angiography, chest, with contrast material 694 612 $46K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,062 907 $45K
84484 6,319 3,470 $45K
87086 Culture, bacterial; quantitative colony count, urine 5,826 5,111 $43K
81025 4,259 3,577 $41K
87081 2,697 2,536 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 353 319 $32K
83880 1,453 1,263 $29K
74176 Computed tomography, abdomen and pelvis; without contrast material 483 416 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 492 272 $28K
87070 2,682 2,439 $26K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 264 241 $25K
83735 5,480 4,001 $24K
83690 4,572 3,742 $24K
84702 1,653 1,049 $23K
71046 Radiologic examination, chest; 2 views 3,277 2,968 $23K
80143 1,420 1,141 $19K
82962 3,385 1,954 $19K
87077 2,407 2,155 $18K
81001 5,677 4,851 $18K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 343 308 $16K
82077 1,624 1,328 $16K
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 1,193 1,016 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 863 763 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 420 368 $15K
85027 3,155 2,445 $15K
72125 Computed tomography, cervical spine; without contrast material 777 692 $15K
80179 1,383 1,128 $15K
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 351 277 $13K
87186 2,159 1,881 $13K
80076 1,982 1,707 $13K
82728 1,094 976 $12K
82607 832 756 $11K
83605 1,421 1,149 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 314 159 $10K
87205 2,698 2,452 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 276 195 $10K
85379 1,292 1,160 $10K
76830 Ultrasound, transvaginal 261 235 $9K
84439 1,198 1,035 $9K
96367 162 83 $9K
81003 1,859 1,638 $8K
87400 196 178 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 300 260 $8K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 308 291 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,384 7,315 $5K
87040 779 366 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 92 77 $5K
82805 248 196 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 105 80 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,076 681 $4K
87210 721 647 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 57 51 $4K
80050 General health panel 190 177 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,745 2,063 $3K
87147 670 610 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 46 $3K
71045 Radiologic examination, chest; single view 4,676 4,065 $3K
84100 840 599 $3K
76642 56 52 $2K
76801 52 39 $2K
77065 Tomosynthesis, mammo 80 69 $2K
74018 129 115 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,889 7,351 $2K
70551 Magnetic resonance imaging, brain; without contrast material 43 39 $2K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 30 27 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 117 109 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 35 26 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17 14 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 62 55 $2K
96375 Therapeutic injection; each additional sequential IV push 6,995 5,163 $2K
74183 21 12 $1K
80061 Lipid panel 79 76 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 80 64 $889.64
86850 173 148 $801.73
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 31 27 $797.50
83615 235 159 $776.98
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 26 24 $740.49
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 26 24 $740.49
84145 45 40 $707.07
93971 35 28 $673.14
70498 12 12 $659.63
82746 56 51 $622.73
86900 312 261 $609.83
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,216 4,397 $546.78
83970 15 14 $545.01
95806 89 81 $536.70
86901 251 213 $496.92
Q3014 Telehealth originating site facility fee 15 12 $449.80
84703 72 68 $448.56
86140 117 98 $433.31
73630 58 54 $373.33
94060 13 12 $373.27
82565 100 78 $367.38
85730 97 88 $325.30
88304 43 38 $311.76
77066 Tomosynthesis, mammo 26 25 $302.61
J1885 Injection, ketorolac tromethamine, per 15 mg 5,221 4,075 $265.31
90715 49 38 $253.56
87899 13 12 $251.31
87106 30 24 $238.40
77063 Screening digital breast tomosynthesis, bilateral 12 12 $236.82
82570 50 26 $234.64
36415 Collection of venous blood by venipuncture 3,134 2,128 $179.91
77061 28 25 $175.24
84550 58 48 $174.73
0352U 62 54 $161.00
73130 72 62 $160.06
71250 13 12 $156.47
72131 21 14 $154.52
J1170 Injection, hydromorphone, up to 4 mg 2,911 1,955 $134.09
83540 26 25 $133.81
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $119.92
82550 27 24 $116.35
96376 2,833 1,894 $113.61
73560 122 106 $99.18
36416 3,078 1,982 $94.59
83036 Hemoglobin; glycosylated (A1C) 12 12 $90.63
83550 13 12 $86.69
73110 31 24 $76.45
85652 47 37 $74.44
36591 323 160 $72.34
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 957 615 $71.09
J2060 Injection, lorazepam, 2 mg 769 623 $60.65
84156 20 14 $60.37
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,174 4,790 $51.02
77062 12 12 $46.25
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,492 521 $10.94
J2704 Injection, propofol, 10 mg 1,430 1,058 $8.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,195 1,702 $7.20
J3475 Injection, magnesium sulfate, per 500 mg 313 235 $2.82
J0696 Injection, ceftriaxone sodium, per 250 mg 881 618 $2.46
A9585 Injection, gadobutrol, 0.1 ml 1,488 1,331 $2.02
J2765 Injection, metoclopramide hcl, up to 10 mg 855 692 $0.83
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,805 1,388 $0.82
J3010 Injection, fentanyl citrate, 0.1 mg 3,659 2,332 $0.73
P9612 Catheterization for collection of specimen, single patient, all places of service 181 153 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 925 750 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 297 249 $0.00
J0690 Injection, cefazolin sodium, 500 mg 318 200 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 55 38 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 50 39 $0.00
J1790 Injection, droperidol, up to 5 mg 35 26 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 48 40 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 30 25 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 671 523 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 468 354 $0.00
73610 32 25 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 59 24 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 155 132 $0.00
C9113 Injection, pantoprazole sodium, per vial 19 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 100 73 $0.00
J1171 Injection, hydromorphone, 0.1 mg 56 36 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 15 12 $0.00
73030 15 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 20 12 $0.00