Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Aurora Psychiatric Hospital, INC.

Aurora Psychiatric Hospital, INC. was paid $28.09M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 77% of everything it billed.

33Billing provider infoAURORA PSYCHIATRIC HOSPITAL, INC.
WAUWATOSA, WI 53213
33aNPI1881627438assigned 07/08/2006
33bProvider typeClinic/Center
28Total paid$28.09M
24GClaims190,039
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Wisconsin

Rank by total paid#1 of 102
Median peer was paid$54K
This provider vs. median524×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

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

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

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201841,430$6.74M
201935,101$6.15M
202023,091$3.80M
202128,546$3.70M
202224,204$3.45M
202322,294$2.56M
2024incomplete15,373$1.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2012 Behavioral health day treatment, per hour 77% 127,434 11,905 $21.73M
90853 Group psychotherapy (other than of a multiple-family group) 17% 29,770 4,451 $4.81M
S9480 Intensive outpatient psychiatric services, per diem 2.3% 5,995 745 $635K
99253 2.0% 11,464 10,048 $570K
99254 <1% 1,823 1,494 $82K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 484 89 $73K
90792 Psychiatric diagnostic evaluation with medical services <1% 395 365 $39K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 1,563 1,167 $29K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 289 276 $27K
90847 Family psychotherapy with the patient present, 50 minutes <1% 339 296 $20K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 554 274 $20K
99252 <1% 499 357 $14K
13 more codes
99233 Hospital visit by a doctor, follow-up day (complex) <1% 708 $11K
80305 <1% 4,265 $10K
82075 <1% 3,268 $7K
99221 <1% 222 $3K
99239 Hospital discharge day management, more than 30 minutes <1% 101 $2K
99223 Prolong inpt eval add15 m <1% 58 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 372 $2K
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 <1% 53 $2K
99222 Initial hospital care, per day, moderate complexity <1% 49 $722.89
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) <1% 162 $222.94
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) <1% 95 $122.48
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% 53 $57.35
36415 Collection of venous blood by venipuncture <1% 24 $8.34

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 officialRICHARDSON, KARA (VP MANAGED HEALTH)
Same official

Other billing entities under RICHARDSON, KARA

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