Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Appleton › NPI 1902832306
Hospital

Thedacare Regional Medical Center - Appleton, INC.

Thedacare Regional Medical Center - Appleton, INC. was paid $11.53M by Medicaid between Jan 2018 and Dec 2024, across 290 billing codes. Its largest line is 99283, emergency room visit (moderate) — 10% of everything it billed.

33Billing provider infoTHEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
APPLETON, WI 54911
33aNPI1902832306assigned 06/25/2006
28Total paid$11.53M
24GClaims644,321
24DCodes billed290
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Wisconsin

Rank by total paid#16 of 60
Median peer was paid$2.90M
This provider vs. median4.0×

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 FLETT, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201871,240$1.48M
201976,158$1.45M
202079,830$1.42M
2021106,107$1.55M
2022100,457$1.55M
2023116,028$2.01M
2024incomplete94,501$2.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 21,827 18,914 $1.18M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.6% 21,892 18,285 $991K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6.0% 10,449 9,380 $689K
96361 Intravenous infusion, hydration; each additional hour 5.9% 5,723 4,560 $685K
80048 Basic metabolic panel (calcium, ionized) 5.5% 35,816 27,449 $637K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3.6% 16,385 15,057 $414K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3.4% 10,139 9,205 $395K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.9% 5,014 3,794 $333K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.8% 4,411 3,984 $324K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2.5% 8,717 8,150 $292K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.5% 10,137 9,203 $287K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.4% 6,050 5,331 $281K
278 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 2.0% 3,644 $235K
70450 Computed tomography, head or brain; without contrast material 1.9% 3,768 $220K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.9% 1,105 $220K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.8% 33,833 $207K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 2,122 $206K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.7% 11,218 $192K
41899 Unlisted procedure, dentoalveolar structures 1.7% 678 $190K
87631 1.3% 1,549 $155K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1.2% 5,450 $141K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.2% 6,045 $140K
99285 Emergency room visit (most serious) 1.2% 3,217 $137K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 1,751 $122K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,988 $114K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,680 $113K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 407 $91K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,226 $91K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,290 $86K
80076 <1% 11,398 $78K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,643 $73K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,744 $73K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 522 $71K
84443 Thyroid stimulating hormone (TSH) <1% 5,032 $62K
84484 <1% 8,547 $61K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,484 $61K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,184 $59K
G0378 Hospital observation service, per hour <1% 4,907 $56K
85610 <1% 6,407 $55K
81025 <1% 5,932 $55K
93017 <1% 1,190 $48K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,707 $48K
58571 <1% 28 $44K
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 <1% 992 $44K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 959 $42K
82948 <1% 5,778 $41K
81001 <1% 10,713 $37K
83690 <1% 6,656 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,529 $34K
86850 <1% 2,319 $32K
97162 <1% 933 $32K
80306 <1% 2,159 $31K
87070 <1% 1,685 $30K
83880 <1% 1,791 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 734 $27K
88307 <1% 961 $26K
93971 <1% 799 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 92 $26K
85027 <1% 3,780 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 466 $25K
85380 <1% 3,320 $25K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 49 $24K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 40 $24K
84702 <1% 1,437 $24K
83036 Hemoglobin; glycosylated (A1C) <1% 1,226 $24K
72125 Computed tomography, cervical spine; without contrast material <1% 1,246 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 994 $21K
82947 <1% 4,016 $21K
99215 Doctor's office visit, returning patient (complex) <1% 304 $20K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,856 $19K
87650 <1% 334 $19K
95886 <1% 253 $19K
83605 <1% 2,969 $19K
71046 Radiologic examination, chest; 2 views <1% 4,787 $19K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,896 $19K
86900 <1% 2,347 $17K
97163 <1% 725 $17K
82565 <1% 2,029 $17K
88342 <1% 2,000 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 236 $16K
84439 <1% 1,133 $16K
81003 <1% 3,906 $16K
12001 <1% 136 $15K
88304 <1% 1,115 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 300 $14K
83735 <1% 3,308 $13K
80061 Lipid panel <1% 854 $13K
93922 <1% 500 $13K
82077 <1% 1,313 $12K
87510 <1% 812 $12K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 418 $11K
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 <1% 231 $11K
94060 <1% 336 $11K
86140 <1% 2,099 $11K
80053 Comprehensive metabolic panel <1% 706 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 191 $11K
85651 <1% 965 $11K
93226 <1% 516 $11K
87480 <1% 631 $11K
93225 <1% 480 $10K
87186 <1% 1,960 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,634 $10K
87040 <1% 1,788 $10K
82962 <1% 2,071 $9K
97161 <1% 202 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,462 $8K
87088 <1% 1,736 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 500 $8K
87340 <1% 973 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13,257 $8K
82330 <1% 530 $8K
93458 <1% 14 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 108 $7K
86780 <1% 710 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 16 $6K
86803 <1% 524 $6K
82805 <1% 286 $6K
80143 <1% 539 $6K
88341 <1% 691 $6K
97803 <1% 364 $6K
76830 Ultrasound, transvaginal <1% 170 $6K
74018 <1% 1,077 $5K
87150 <1% 169 $5K
86901 <1% 2,348 $5K
82950 <1% 630 $5K
71045 Radiologic examination, chest; single view <1% 7,510 $5K
87081 <1% 879 $5K
87507 <1% 18 $5K
80179 <1% 459 $5K
87210 <1% 576 $4K
85730 <1% 947 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 14 $4K
85379 <1% 357 $4K
94729 <1% 484 $4K
93325 <1% 201 $4K
93308 <1% 27 $4K
87653 <1% 88 $4K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 12 $3K
12011 <1% 42 $3K
84132 <1% 658 $3K
88360 <1% 105 $3K
84703 <1% 436 $3K
87807 <1% 182 $3K
94726 <1% 260 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 13,108 $3K
86703 <1% 153 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 33 $3K
88112 <1% 180 $2K
86762 <1% 182 $2K
70498 <1% 26 $2K
97802 <1% 159 $2K
85014 <1% 1,198 $2K
43248 <1% 12 $2K
82803 <1% 227 $2K
85652 <1% 732 $2K
90715 <1% 346 $2K
97166 <1% 140 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 13 $2K
93970 <1% 53 $2K
93321 <1% 14 $2K
36415 Collection of venous blood by venipuncture <1% 15,713 $2K
72100 <1% 278 $2K
76937 <1% 512 $1K
96367 <1% 29 $1K
29125 <1% 29 $1K
84460 <1% 352 $1K
70496 <1% 13 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 65 $1K
70551 Magnetic resonance imaging, brain; without contrast material <1% 26 $1K
87660 <1% 88 $1K
84295 <1% 317 $1K
73140 <1% 14 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,177 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 31 $1K
73630 <1% 618 $1K
73610 <1% 582 $948.73
87486 <1% 16 $854.77
36592 <1% 829 $780.56
84145 <1% 66 $776.97
96376 <1% 4,200 $776.09
99152 <1% 2,667 $760.98
74019 <1% 413 $691.56
97535 Self-care/home management training, each 15 minutes <1% 282 $667.55
88738 <1% 29 $604.36
76536 <1% 15 $588.68
73564 <1% 420 $585.02
73030 <1% 262 $558.30
77001 <1% 17 $539.04
87581 <1% 16 $516.77
82550 <1% 103 $415.83
82435 <1% 222 $407.92
87625 <1% 14 $401.18
86787 <1% 58 $366.29
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 438 $323.46
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 8,880 $321.22
85018 <1% 215 $308.30
85049 <1% 14 $304.46
82570 <1% 79 $293.98
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 7,930 $281.81
84481 <1% 29 $281.73
84100 <1% 87 $277.52
J2704 Injection, propofol, 10 mg <1% 10,155 $275.99
J0690 Injection, cefazolin sodium, 500 mg <1% 3,789 $239.66
87205 <1% 107 $221.15
80055 <1% 37 $209.33
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 272 $206.78
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% 189 $200.00
C1769 Guide wire <1% 2,936 $195.07
82728 <1% 26 $186.68
J3010 Injection, fentanyl citrate, 0.1 mg <1% 14,465 $185.91
84450 <1% 58 $184.52
93926 <1% 14 $182.03
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,347 $178.44
82140 <1% 14 $124.80
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13,207 $124.35
73130 <1% 109 $95.90
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 41 $88.85
J2785 Injection, regadenoson, 0.1 mg <1% 278 $87.01
88312 <1% 14 $84.09
99153 Mod sedat endo service >5yrs <1% 1,553 $80.27
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,419 $69.78
87075 <1% 15 $69.47
87147 <1% 15 $48.22
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 527 $46.99
J2060 Injection, lorazepam, 2 mg <1% 2,271 $45.30
87077 <1% 16 $43.20
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 90 $40.10
76801 <1% 18 $34.21
84156 <1% 14 $29.08
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,753 $27.69
73502 <1% 67 $22.85
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 1,154 $20.33
73560 <1% 12 $19.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,406 $19.75
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 744 $17.80
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,156 $17.36
J1644 Injection, heparin sodium, per 1000 units <1% 2,739 $17.27
C1776 Joint device (implantable) <1% 58 $16.74
C1760 Closure device, vascular (implantable/insertable) <1% 40 $16.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,436 $14.37
J7050 Infusion, normal saline solution, 250 cc <1% 7,397 $14.21
J0780 Injection, prochlorperazine, up to 10 mg <1% 923 $13.06
J3475 Injection, magnesium sulfate, per 500 mg <1% 674 $11.77
J1170 Injection, hydromorphone, up to 4 mg <1% 3,854 $11.63
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,115 $10.71
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 348 $10.53
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 828 $9.69
72170 <1% 15 $9.40
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 201 $8.34
J3490 Unclassified drugs <1% 2,200 $7.97
J1790 Injection, droperidol, up to 5 mg <1% 731 $6.13
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,355 $3.73
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,037 $3.31
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 416 $2.36
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 42 $1.54
J0360 Injection, hydralazine hcl, up to 20 mg <1% 16 $1.45
J3360 Injection, diazepam, up to 5 mg <1% 117 $1.06
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 276 $0.58
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 243 $0.44
J1596 Injection, glycopyrrolate, 0.1 mg <1% 96 $0.42
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 43 $0.20
A9270 Non-covered item or service <1% 1,815 $0.01
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 385 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 57 $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 0% 84 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 718 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 25 $0.00
J7030 Infusion, normal saline solution , 1000 cc 0% 127 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 0% 2,206 $0.00
Q9956 Injection, octafluoropropane microspheres, per ml 0% 15 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 191 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 61 $0.00
73110 0% 51 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 102 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 30 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 56 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 86 $0.00
C1758 Catheter, ureteral 0% 35 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 35 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 143 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 510 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 379 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 19 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 25 $0.00
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg 0% 55 $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 0% 148 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 0% 67 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 21 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 18 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 18 $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 officialFLETT, WILLIAM (CFO)
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