Medicaid Provider Spending

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

ST CLARE MEMORIAL HOSPITAL, INC

NPI: 1851477913 · OCONTO FALLS, WI 54154 · Critical Access Hospital · NPI assigned 10/31/2006

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

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

$9.09M
Total Medicaid Paid
147,680
Total Claims
105,183
Beneficiaries
110
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALLEN, PATRICIA (CFO)
NPI Enumeration Date10/31/2006

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
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
ST CLARE MEMORIAL HOSPITAL, INC OCONTO FALLS WI $26K
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
2018 17,166 $590K
2019 17,320 $744K
2020 19,037 $970K
2021 25,869 $1.56M
2022 25,878 $1.60M
2023 25,687 $1.85M
2024 16,723 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 1,155 983 $1.99M
99283 Emergency department visit for the evaluation and management, moderate severity 6,056 4,616 $1.27M
96361 Intravenous infusion, hydration; each additional hour 2,641 1,868 $1.09M
99284 Emergency department visit for the evaluation and management, high severity 6,502 4,467 $986K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,644 1,100 $687K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,917 8,729 $623K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,922 2,531 $608K
74177 Computed tomography, abdomen and pelvis; with contrast material 949 744 $260K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,617 1,261 $257K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,156 6,376 $249K
70450 Computed tomography, head or brain; without contrast material 906 694 $225K
80053 Comprehensive metabolic panel 8,298 5,973 $186K
80048 Basic metabolic panel (calcium, ionized) 2,490 1,704 $48K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,913 6,784 $45K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 162 125 $44K
80306 2,585 1,908 $41K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 223 168 $40K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 961 856 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,650 1,176 $29K
97597 202 87 $27K
71046 Radiologic examination, chest; 2 views 762 597 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,291 1,137 $21K
80061 Lipid panel 1,564 1,401 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,089 601 $19K
84484 3,321 2,106 $18K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 51 12 $15K
80050 General health panel 1,344 1,187 $14K
83036 Hemoglobin; glycosylated (A1C) 1,440 1,236 $12K
81025 1,383 1,167 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 323 251 $11K
81001 5,204 3,931 $11K
87086 Culture, bacterial; quantitative colony count, urine 2,136 1,645 $11K
84443 Thyroid stimulating hormone (TSH) 1,031 833 $11K
00170 Anesthesia for intraoral procedures, including biopsy 54 50 $9K
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 188 135 $9K
83690 1,928 1,436 $8K
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 200 153 $7K
87081 620 563 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 29 25 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 426 181 $7K
85610 2,059 1,195 $6K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 22 16 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,836 2,714 $6K
83735 1,502 977 $5K
83880 340 251 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,215 685 $5K
83605 1,129 680 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 211 90 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 166 37 $4K
87486 223 168 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,850 2,693 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 126 69 $4K
87581 222 167 $4K
86140 1,117 721 $4K
71045 Radiologic examination, chest; single view 2,043 1,508 $3K
87040 1,122 426 $3K
85379 629 494 $3K
87077 722 480 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 414 304 $2K
99442 154 81 $2K
90686 162 157 $2K
87186 541 364 $2K
96375 Therapeutic injection; each additional sequential IV push 3,486 2,163 $2K
84439 213 173 $1K
73630 44 41 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 59 50 $1K
85652 659 420 $1K
0004A 27 26 $967.36
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $922.25
74018 16 13 $828.37
0001A 18 18 $697.57
73030 17 15 $618.94
36415 Collection of venous blood by venipuncture 2,879 2,230 $610.05
82550 112 75 $458.41
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 13 $434.64
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $434.64
0012A 15 13 $423.96
88305 Level IV - Surgical pathology, gross and microscopic examination 284 152 $413.95
J7030 Infusion, normal saline solution , 1000 cc 4,881 3,042 $376.84
87088 91 66 $357.24
85730 152 111 $272.40
87420 19 17 $263.58
J3490 Unclassified drugs 2,537 969 $230.34
81003 76 65 $211.94
86803 14 14 $202.36
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 13 $200.91
99307 15 14 $171.96
82043 17 14 $129.06
82962 139 63 $126.50
87070 21 13 $94.37
J1885 Injection, ketorolac tromethamine, per 15 mg 2,876 2,282 $85.88
82570 16 13 $80.86
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,071 1,899 $78.36
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,419 2,258 $50.14
J7120 Ringers lactate infusion, up to 1000 cc 1,422 1,115 $48.55
J2704 Injection, propofol, 10 mg 1,624 1,265 $46.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 138 110 $25.90
J1170 Injection, hydromorphone, up to 4 mg 115 68 $4.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,093 854 $0.84
J7050 Infusion, normal saline solution, 250 cc 31 15 $0.00
96376 173 84 $0.00
A9270 Non-covered item or service 434 129 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 22 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 32 24 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 81 36 $0.00
J2060 Injection, lorazepam, 2 mg 23 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 40 37 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 51 39 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 18 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 20 14 $0.00