Medicaid Provider Spending

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

AURORA HEALTH CARE SOUTHERN LAKES, INC.

NPI: 1861557753 · BURLINGTON, WI 53105 · General Acute Care Hospital · NPI assigned 12/22/2006

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$5.25M
Total Medicaid Paid
253,744
Total Claims
201,222
Beneficiaries
170
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WAUWATOSA WI $9.78M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,099 $797K
2019 36,785 $741K
2020 32,295 $631K
2021 40,689 $817K
2022 37,173 $750K
2023 39,598 $844K
2024 28,105 $672K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 8,826 7,959 $523K
96361 Intravenous infusion, hydration; each additional hour 3,788 3,181 $484K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,366 4,925 $480K
99284 Emergency department visit for the evaluation and management, high severity 7,742 6,877 $396K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,068 4,448 $264K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,759 2,527 $211K
80053 Comprehensive metabolic panel 11,154 9,139 $201K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 930 881 $190K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,608 3,166 $186K
70450 Computed tomography, head or brain; without contrast material 2,560 2,339 $169K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,204 2,031 $135K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,798 1,556 $100K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,302 2,762 $94K
45380 Colonoscopy, flexible; with biopsy, single or multiple 483 462 $92K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 918 793 $90K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,423 10,463 $80K
97161 1,933 1,830 $79K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,267 881 $78K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,752 1,606 $73K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 281 272 $71K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 558 539 $56K
80048 Basic metabolic panel (calcium, ionized) 3,009 2,299 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,330 1,166 $52K
84484 4,743 4,034 $48K
71260 Computed tomography, thorax, diagnostic; with contrast material 536 487 $39K
76642 1,154 957 $39K
77067 Screening mammography, bilateral, including computer-aided detection 2,531 2,385 $38K
84145 2,125 1,910 $37K
64493 184 155 $36K
83605 3,818 3,281 $34K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,219 633 $32K
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 534 471 $32K
82077 1,345 1,117 $32K
83880 958 875 $31K
74176 Computed tomography, abdomen and pelvis; without contrast material 432 384 $30K
71275 Computed tomographic angiography, chest, with contrast material 412 368 $30K
64494 200 128 $28K
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 530 446 $27K
64483 151 130 $26K
81025 2,938 2,624 $25K
83735 5,000 3,797 $24K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 633 403 $24K
87086 Culture, bacterial; quantitative colony count, urine 2,340 2,096 $24K
76705 Ultrasound, abdominal, real time with image documentation; limited 646 604 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 568 524 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 191 187 $21K
83690 3,607 3,138 $20K
82962 3,474 1,965 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 388 365 $19K
77063 Screening digital breast tomosynthesis, bilateral 2,479 2,333 $18K
76830 Ultrasound, transvaginal 497 459 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 387 356 $15K
93356 155 148 $15K
85610 3,379 2,984 $14K
81001 4,194 3,771 $13K
87040 1,059 859 $12K
97162 360 341 $12K
85379 1,419 1,285 $11K
G0378 Hospital observation service, per hour 905 812 $9K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 108 58 $9K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 151 143 $9K
62323 53 51 $9K
81003 2,030 1,841 $9K
84703 921 851 $9K
80143 689 593 $8K
80179 674 580 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 118 53 $7K
85730 1,530 1,372 $7K
72125 Computed tomography, cervical spine; without contrast material 311 289 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 41 $7K
97035 564 230 $7K
93975 201 186 $6K
97535 Self-care/home management training, each 15 minutes 540 391 $6K
97597 161 105 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 71 63 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 43 42 $5K
64635 39 26 $5K
64495 30 12 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,967 6,005 $5K
93971 129 119 $5K
87081 146 137 $4K
84443 Thyroid stimulating hormone (TSH) 371 349 $4K
0240U 146 137 $4K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,540 2,915 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 83 57 $4K
64636 51 26 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 201 187 $4K
71250 117 109 $3K
82565 215 205 $3K
97113 49 17 $3K
77066 Tomosynthesis, mammo 192 174 $2K
87186 262 245 $2K
71045 Radiologic examination, chest; single view 4,068 3,586 $1K
97165 45 38 $1K
94729 62 54 $1K
77062 108 98 $1K
77065 Tomosynthesis, mammo 116 98 $1K
97116 92 53 $975.13
72141 13 12 $945.94
71046 Radiologic examination, chest; 2 views 962 890 $789.17
85027 186 150 $788.22
80076 96 84 $772.29
87077 108 102 $680.48
88305 Level IV - Surgical pathology, gross and microscopic examination 2,708 2,528 $651.19
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,575 1,170 $615.44
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 56 49 $609.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 441 219 $492.86
J2469 Injection, palonosetron hcl, 25 mcg 317 285 $491.20
94726 73 65 $403.65
96375 Therapeutic injection; each additional sequential IV push 3,151 2,688 $384.08
86900 13 12 $349.25
94060 30 26 $347.59
77061 62 51 $332.38
J2704 Injection, propofol, 10 mg 5,363 4,053 $307.02
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,737 3,873 $297.56
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 1,608 1,377 $268.55
80047 15 15 $130.79
82728 13 12 $129.42
J7030 Infusion, normal saline solution , 1000 cc 7,162 5,475 $118.31
87070 19 13 $110.47
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,947 4,973 $82.29
87205 33 25 $81.96
86140 19 15 $81.27
90715 15 12 $65.50
83615 16 13 $63.59
84100 20 15 $58.80
86901 13 12 $31.25
J7120 Ringers lactate infusion, up to 1000 cc 6,477 5,762 $16.25
96376 621 471 $10.68
J2250 Injection, midazolam hydrochloride, per 1 mg 5,821 5,007 $7.32
J3010 Injection, fentanyl citrate, 0.1 mg 3,627 3,062 $5.08
J1170 Injection, hydromorphone, up to 4 mg 1,644 1,213 $3.66
J2270 Injection, morphine sulfate, up to 10 mg 897 690 $2.57
J1885 Injection, ketorolac tromethamine, per 15 mg 3,410 2,796 $1.84
J0690 Injection, cefazolin sodium, 500 mg 1,308 1,047 $1.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,864 2,582 $0.92
36415 Collection of venous blood by venipuncture 2,331 1,577 $0.84
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,878 1,644 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,055 905 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 141 137 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,655 1,343 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 58 55 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 667 557 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 300 261 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 120 106 $0.00
A4565 Slings 12 12 $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 102 96 $0.00
J1171 Injection, hydromorphone, 0.1 mg 15 12 $0.00
73610 14 12 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 17 12 $0.00
J1644 Injection, heparin sodium, per 1000 units 58 29 $0.00
C1729 Catheter, drainage 20 12 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 15 13 $0.00
A9585 Injection, gadobutrol, 0.1 ml 1,054 950 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 134 111 $0.00
J7050 Infusion, normal saline solution, 250 cc 1,155 754 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 231 167 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 12 12 $0.00
J1790 Injection, droperidol, up to 5 mg 114 101 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 145 127 $0.00
J2060 Injection, lorazepam, 2 mg 464 351 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 222 189 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 256 139 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 46 40 $0.00
C1769 Guide wire 138 124 $0.00
J7999 Compounded drug, not otherwise classified 14 13 $0.00
80320 33 28 $0.00
88342 12 12 $0.00