Medicaid Provider Spending

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

MCHS HOSPITALS INC

NPI: 1902437650 · WESTON, WI 54476 · General Acute Care Hospital · NPI assigned 01/31/2020

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

Authorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more

$6.40M
Total Medicaid Paid
308,480
Total Claims
244,899
Beneficiaries
264
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent OrganizationMARSHFEILD CLINIC HEALTH SYSTEM INC
NPI Enumeration Date01/31/2020

Related Entities

Other providers sharing the same authorized official: MUNSON, JOLYN

ProviderCityStateTotal Paid
MCHS HOSPITALS INC MARSHFIELD WI $45.31M
MARSHFIELD CLINIC INC MARSHFIELD WI $19.61M
MCHS HOSPITALS INC EAU CLAIRE WI $12.41M
MCHS HOSPITALS INC MARSHFIELD WI $11.82M
BEAVER DAM COMMUNITY HOSPITALS INC BEAVER DAM WI $10.58M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $10.23M
MCHS HOSPITALS INC LADYSMITH WI $7.36M
MCHS HOSPITALS INC EAU CLAIRE WI $4.14M
MCHS HOSPITALS INC MINOCQUA WI $2.90M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $2.44M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $2.29M
MCHS HOSPITALS INC WAUSAU WI $1.84M
MCHS HOSPITALS INC WESTON WI $1.22M
MCHS HOSPITALS INC MINOCQUA WI $1.16M
MCHS HOSPITALS INC MARSHFIELD WI $988K
MCHS HOSPITALS INC LADYSMITH WI $867K
BEAVER DAM COMMUNITY HOSPITALS INC BEAVER DAM WI $847K
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $648K
MCHS HOSPITALS INC MARSHFIELD WI $563K
MCHS HOSPITALS INC MINOCQUA WI $338K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12,402 $234K
2021 59,477 $1.20M
2022 78,790 $1.52M
2023 85,123 $1.81M
2024 72,688 $1.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,518 10,962 $798K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,440 10,757 $760K
99283 Emergency department visit for the evaluation and management, moderate severity 10,118 8,322 $581K
96361 Intravenous infusion, hydration; each additional hour 4,555 3,014 $526K
99284 Emergency department visit for the evaluation and management, high severity 7,343 5,845 $378K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,701 2,351 $148K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,498 1,775 $147K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,307 1,985 $143K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,027 2,485 $131K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,304 2,162 $129K
80053 Comprehensive metabolic panel 10,718 8,159 $122K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,960 1,834 $113K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,552 1,294 $101K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,919 1,740 $95K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,317 1,960 $93K
70450 Computed tomography, head or brain; without contrast material 1,282 1,095 $82K
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 1,039 957 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,919 1,756 $80K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,687 10,215 $80K
99215 Prolong outpt/office vis 1,303 1,180 $76K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,832 1,615 $70K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,409 865 $64K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,166 1,106 $63K
99244 Office or other outpatient consultation, moderate to high complexity 984 897 $62K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,104 2,782 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,006 889 $55K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 791 648 $53K
84443 Thyroid stimulating hormone (TSH) 2,627 2,275 $48K
80048 Basic metabolic panel (calcium, ionized) 4,612 3,625 $47K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 572 499 $46K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,021 830 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 838 741 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,333 5,830 $40K
90670 978 893 $36K
84484 3,515 2,309 $33K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 497 414 $29K
80061 Lipid panel 2,027 1,773 $29K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 333 205 $28K
81001 7,425 6,125 $27K
90674 1,741 1,565 $27K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 938 759 $26K
87634 572 499 $26K
87086 Culture, bacterial; quantitative colony count, urine 2,425 2,044 $25K
83735 5,410 4,096 $23K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 603 539 $23K
81025 2,307 1,933 $23K
83036 Hemoglobin; glycosylated (A1C) 2,270 2,007 $22K
99243 341 313 $21K
82728 1,360 1,201 $20K
83880 708 594 $20K
84145 844 711 $19K
90680 932 840 $18K
85610 2,464 1,827 $18K
83690 3,507 2,690 $17K
93296 610 565 $17K
85027 2,301 1,920 $16K
84702 493 343 $15K
87186 835 680 $14K
90633 566 522 $14K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 585 516 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 843 571 $14K
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 883 818 $13K
83605 1,349 964 $13K
82962 2,845 1,093 $12K
86140 3,055 2,574 $12K
80306 658 542 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 212 193 $11K
11721 251 236 $10K
90715 825 739 $9K
90651 265 249 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 133 116 $9K
80050 General health panel 1,937 1,610 $8K
86803 596 501 $8K
59025 Fetal non-stress test 114 69 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,409 4,952 $8K
0001A 569 527 $8K
0002A 498 469 $7K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 52 50 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,222 4,497 $7K
88142 425 304 $7K
81514 50 39 $6K
90619 179 164 $6K
82077 699 549 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 81 77 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 94 82 $6K
93298 172 163 $6K
87081 260 223 $6K
71046 Radiologic examination, chest; 2 views 960 819 $5K
85379 716 612 $5K
96367 86 67 $5K
74018 646 564 $5K
93976 180 164 $5K
84439 671 586 $5K
85730 1,153 887 $5K
86850 1,293 1,054 $5K
90686 550 523 $5K
83550 722 650 $5K
86780 447 371 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 109 80 $4K
87340 549 462 $4K
90698 496 481 $4K
81513 56 47 $4K
97597 53 42 $4K
73630 1,101 756 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 97 86 $4K
87653 75 69 $4K
86703 306 253 $3K
84703 439 377 $3K
93297 169 159 $3K
85652 1,663 1,424 $3K
83540 684 612 $3K
82784 330 302 $3K
83655 158 144 $3K
82950 231 200 $3K
86762 143 119 $3K
85018 648 523 $3K
86900 1,216 991 $3K
87040 385 190 $2K
96376 2,116 1,330 $2K
90716 75 69 $2K
73562 481 386 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 982 846 $2K
G0378 Hospital observation service, per hour 848 594 $2K
86901 1,215 990 $2K
0012A 119 110 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 82 65 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 41 36 $2K
82570 492 410 $2K
76801 47 39 $2K
72125 Computed tomography, cervical spine; without contrast material 97 77 $2K
72100 192 167 $2K
87077 259 213 $2K
87070 150 126 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 41 38 $2K
86364 192 175 $2K
90661 228 223 $2K
96415 18 12 $2K
82607 126 111 $2K
90696 88 73 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 84 78 $1K
94060 46 37 $1K
87481 56 47 $1K
0011A 129 111 $1K
90734 50 46 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 28 28 $1K
99205 Prolong outpt/office vis 15 15 $1K
G0008 Administration of influenza virus vaccine 753 669 $1K
96375 Therapeutic injection; each additional sequential IV push 5,420 3,797 $1K
71045 Radiologic examination, chest; single view 3,109 2,587 $1K
84450 332 286 $1K
99245 30 28 $1K
83970 52 44 $1K
0240U 47 40 $1K
80051 233 181 $1K
82947 295 235 $1K
0004A 26 21 $968.23
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 73 63 $929.58
84460 224 193 $926.50
36415 Collection of venous blood by venipuncture 19,487 14,445 $919.04
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 12 $910.90
20610 12 12 $895.30
76830 Ultrasound, transvaginal 40 36 $884.45
86618 45 39 $865.58
90677 336 301 $850.58
82565 263 236 $830.64
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 35 25 $774.50
81003 214 184 $769.85
73610 397 306 $750.73
90697 538 475 $709.22
87075 35 26 $694.01
90744 123 122 $691.67
71260 Computed tomography, thorax, diagnostic; with contrast material 16 13 $636.60
88305 Level IV - Surgical pathology, gross and microscopic examination 779 578 $621.75
82043 170 153 $619.55
84520 233 181 $580.10
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 141 87 $577.46
88720 19 13 $546.82
82040 170 147 $542.70
84075 142 121 $492.68
70355 63 51 $483.32
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 46 39 $460.78
36591 417 217 $455.79
90656 66 66 $440.39
87205 149 125 $404.90
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 12 12 $364.24
90710 95 80 $333.98
84156 148 113 $325.61
0031A 14 14 $311.98
90480 12 12 $270.55
90707 73 67 $246.98
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16 12 $199.04
83001 13 12 $192.00
74019 121 111 $188.30
80069 49 43 $162.27
86038 16 13 $138.51
36592 4,291 3,433 $108.02
73502 12 12 $102.96
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 188 119 $77.34
76937 18 14 $71.18
82550 18 15 $60.57
85007 18 14 $44.28
87210 15 12 $42.00
73030 67 57 $37.22
0124A 31 27 $37.17
51798 59 49 $35.78
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 37 12 $31.17
87088 15 13 $25.08
94664 13 12 $18.23
0072A 40 40 $12.39
90472 Immunization administration, each additional vaccine (list separately) 27 27 $6.19
J2704 Injection, propofol, 10 mg 1,703 1,439 $4.34
J3490 Unclassified drugs 2,275 1,485 $2.48
J8499 Prescription drug, oral, non chemotherapeutic, nos 2,927 2,142 $1.03
J1885 Injection, ketorolac tromethamine, per 15 mg 4,450 3,458 $0.82
J7120 Ringers lactate infusion, up to 1000 cc 1,984 1,644 $0.69
J1815 Injection, insulin, per 5 units 18 12 $0.23
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,463 3,321 $0.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,222 2,466 $0.07
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 229 197 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 39 31 $0.00
73130 33 24 $0.00
J1644 Injection, heparin sodium, per 1000 units 327 243 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,197 922 $0.00
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 26 14 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 313 220 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 738 378 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 226 163 $0.00
J7030 Infusion, normal saline solution , 1000 cc 1,781 1,301 $0.00
73110 16 12 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 197 176 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 177 137 $0.00
J3370 Injection, vancomycin hcl, 500 mg 19 12 $0.00
99152 21 16 $0.00
0071A 13 12 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 27 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 50 39 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 18 12 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 21 13 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 85 77 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,713 1,440 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,750 1,498 $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 64 51 $0.00
C1769 Guide wire 307 253 $0.00
J2060 Injection, lorazepam, 2 mg 347 206 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 2,194 1,806 $0.00
3044F 49 48 $0.00
J0690 Injection, cefazolin sodium, 500 mg 937 683 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,534 1,867 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 277 194 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 52 42 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 275 221 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,850 1,920 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 161 131 $0.00
A9270 Non-covered item or service 1,212 836 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 144 132 $0.00
J3535 Drug administered through a metered dose inhaler 95 80 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 16 15 $0.00
J1790 Injection, droperidol, up to 5 mg 18 12 $0.00
G0009 Administration of pneumococcal vaccine 34 31 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 94 82 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 37 30 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 31 26 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 22 20 $0.00