Hospital
Midwest Orthopedic Specialty Hospital, LLC
Midwest Orthopedic Specialty Hospital, LLC was paid $23K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 76942, — 26% of everything it billed.
33Billing provider infoMIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
FRANKLIN, WI 53132
FRANKLIN, WI 53132
33aNPI1861635971assigned 04/20/2009
33bProvider typeSpecial Hospital
28Total paid$23K
24GClaims28,829
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,226 | $2K | |
| 2019 | 3,660 | $4K | |
| 2020 | 3,398 | $1K | |
| 2021 | 5,038 | $5K | |
| 2022 | 5,448 | $5K | |
| 2023 | 5,212 | $6K | |
| 2024incomplete | 2,847 | $41.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76942 | 26% | 1,313 | 1,120 | $6K | |
| 64448 | 14% | 12 | 12 | $3K | |
| 97116 | 13% | 262 | 154 | $3K | |
| 97165 | 11% | 127 | 101 | $2K | |
| 97161 | 10% | 130 | 104 | $2K | |
| 20610 | 8.6% | 29 | 25 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.3% | 147 | 51 | $1K |
| 97535 | Self-care/home management training, each 15 minutes | 5.1% | 128 | 78 | $1K |
| 81025 | 2.4% | 88 | 78 | $546.25 | |
| 82962 | 2.1% | 302 | 190 | $472.49 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.9% | 67 | 37 | $427.79 |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 3,501 | 2,467 | $0.84 |
16 more codes
| J2704 | Injection, propofol, 10 mg | <1% | 3,590 | $0.69 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,261 | $0.61 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,828 | $0.58 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 1,614 | $0.37 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 3,087 | $0.08 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 3,124 | $0.06 |
| A4550 | Surgical trays | 0% | 1,195 | $0.00 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 1,430 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 0% | 83 | $0.00 |
| C1776 | Joint device (implantable) | 0% | 104 | $0.00 |
| J1650 | Injection, enoxaparin sodium, 10 mg | 0% | 19 | $0.00 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 0% | 13 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 380 | $0.00 |
| A9270 | Non-covered item or service | 0% | 448 | $0.00 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 2,535 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 0% | 12 | $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 officialGANSEMER, SHEILA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Milwaukee, WI | $25K |
| Midwest Orthopedic Specialty Hospital, LLC | Wauwatosa, WI | $4K |
| Midwest Orthopedic Specialty Hospital, LLC | Hales Corners, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.