Medicaid Provider Spending

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

ASCENSION NE WISCONSIN, INC

NPI: 1912527193 · OSHKOSH, WI 54904 · General Acute Care Hospital · NPI assigned 04/17/2020

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

Authorized official MCCULLOUGH, MICHAEL controls 20+ related entities in our dataset. Read more

$4.31M
Total Medicaid Paid
243,509
Total Claims
186,599
Beneficiaries
183
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, MICHAEL (CFO)
Parent OrganizationASCENSION NE WISCONSIN, INC
NPI Enumeration Date04/17/2020

Related Entities

Other providers sharing the same authorized official: MCCULLOUGH, MICHAEL

ProviderCityStateTotal Paid
ASCENSION SE WISCONSIN HOSPITAL, INC MILWAUKEE WI $94.32M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. MILWAUKEE WI $64.53M
ASCENSION ST FRANCIS HOSPITAL, INC MILWAUKEE WI $35.87M
ASCENSION NE WISCONSIN, INC APPLETON WI $19.89M
A.F.C. TRANSPORTATION, INC FLAGSTAFF AZ $10.12M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $9.82M
ASCENSION WISCONSIN LABORATORIES, INC MILWAUKEE WI $5.81M
ASCENSION VIA CHRISTI HOSPITALS WICHITA INC. WICHITA KS $4.09M
ASCENSION CALUMET HOSPITAL, INC CHILTON WI $3.78M
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE INC MILWAUKEE WI $769K
SACRED HEART REHABILITATION INSTITUTE, INC. MEQUON WI $603K
MERCY MEDICAL CENTER OF OSHKOSH, INC. OSHKOSH WI $486K
ASCENSION NE WISCONSIN, INC APPLETON WI $343K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC GLENDALE WI $158K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MILWAUKEE WI $140K
ASCENSION NE WISCONSIN, INC MENASHA WI $63K
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC MEQUON WI $26K
ASCENSION SE WISCONSIN HOSPITAL, INC WAUWATOSA WI $9K
SACRED HEART REHABILITATION INSTITUTE, INC MILWAUKEE WI $6K
ASCENSION WISCONSIN SURGERY CENTER-MOUNT PLEASANT LLC MOUNT PLEASANT WI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 31,827 $488K
2021 63,488 $1.02M
2022 63,611 $1.10M
2023 50,405 $911K
2024 34,178 $796K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,766 6,634 $482K
96361 Intravenous infusion, hydration; each additional hour 4,264 2,904 $459K
99284 Emergency department visit for the evaluation and management, high severity 6,909 5,731 $365K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,664 5,236 $334K
80053 Comprehensive metabolic panel 13,372 10,422 $212K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,136 1,750 $147K
90834 Psychotherapy, 45 minutes with patient 3,305 1,695 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,065 1,810 $134K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,650 1,460 $101K
70450 Computed tomography, head or brain; without contrast material 1,684 1,411 $101K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,326 1,040 $94K
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 1,245 942 $84K
84443 Thyroid stimulating hormone (TSH) 5,252 4,301 $74K
80048 Basic metabolic panel (calcium, ionized) 5,988 4,730 $72K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,670 1,373 $69K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 716 603 $65K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 964 604 $59K
80061 Lipid panel 4,661 4,105 $49K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,632 1,407 $48K
G0378 Hospital observation service, per hour 1,697 1,108 $48K
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 939 691 $46K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,872 6,242 $43K
87634 773 661 $41K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,290 1,017 $41K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,563 1,356 $40K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 211 193 $40K
G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count 4,461 3,339 $37K
80306 2,623 1,913 $37K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,671 1,446 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 459 369 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,009 639 $27K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,089 987 $25K
84484 2,885 2,119 $25K
99281 Emergency department visit for the evaluation and management, self-limited or minor 335 298 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 334 306 $22K
90791 Psychiatric diagnostic evaluation 396 290 $22K
81001 6,024 4,690 $22K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,065 853 $20K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 601 487 $20K
87086 Culture, bacterial; quantitative colony count, urine 2,540 2,072 $19K
0240U 470 376 $15K
83036 Hemoglobin; glycosylated (A1C) 2,150 1,894 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material 237 189 $15K
71046 Radiologic examination, chest; 2 views 1,012 882 $14K
83690 2,864 2,250 $14K
86803 1,192 990 $14K
81025 1,567 1,212 $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 1,000 782 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 968 832 $13K
85027 3,102 2,346 $12K
85610 3,296 2,392 $12K
82728 957 826 $11K
84703 1,725 1,369 $11K
84439 1,237 1,000 $11K
83735 2,314 1,683 $10K
H0022 Alcohol and/or drug intervention service (planned facilitation) 549 303 $10K
82947 1,097 646 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 549 436 $10K
71275 Computed tomographic angiography, chest, with contrast material 124 99 $10K
99001 1,597 1,323 $10K
77067 Screening mammography, bilateral, including computer-aided detection 548 485 $9K
77063 Screening digital breast tomosynthesis, bilateral 536 473 $8K
80143 722 561 $8K
83880 423 356 $8K
86780 850 686 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,698 4,479 $8K
82962 929 566 $8K
82607 645 561 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 112 105 $7K
G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) 1,218 781 $7K
80179 688 539 $7K
72125 Computed tomography, cervical spine; without contrast material 358 304 $7K
H0005 Alcohol and/or drug services; group counseling by a clinician 1,041 292 $7K
74018 402 320 $6K
87070 949 817 $6K
82077 781 562 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited 205 165 $6K
90832 Psychotherapy, 30 minutes with patient 247 128 $6K
86140 1,474 1,134 $6K
87340 793 631 $6K
83605 760 591 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 505 176 $6K
80076 643 540 $6K
87081 578 505 $6K
84702 330 208 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 77 70 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 375 309 $5K
87653 164 150 $5K
85379 725 604 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 63 53 $5K
85007 1,224 931 $5K
87077 485 413 $5K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 127 105 $4K
82565 599 494 $4K
87186 680 573 $4K
87210 747 642 $4K
84153 290 259 $4K
84481 344 295 $4K
86850 945 660 $4K
84450 599 523 $4K
83550 597 526 $4K
83655 305 273 $3K
83540 778 679 $3K
82043 714 654 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,010 851 $3K
82950 259 218 $3K
86762 279 206 $3K
87205 938 807 $3K
86900 942 654 $3K
84460 816 718 $3K
85730 880 688 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 55 49 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,244 4,042 $2K
94729 139 105 $2K
71045 Radiologic examination, chest; single view 3,638 2,953 $2K
86901 939 654 $2K
73564 160 126 $2K
86787 304 227 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 279 124 $2K
73030 128 112 $2K
83970 66 51 $2K
97162 37 29 $1K
82465 142 118 $1K
85652 772 582 $1K
99215 Prolong outpt/office vis 20 17 $1K
94726 139 105 $1K
81003 433 390 $1K
85018 372 313 $1K
93975 21 14 $1K
36415 Collection of venous blood by venipuncture 15,470 11,458 $1K
84466 106 85 $948.59
96375 Therapeutic injection; each additional sequential IV push 3,515 2,635 $911.64
94060 30 25 $906.63
97530 Therapeutic activities, direct patient contact, each 15 minutes 460 193 $896.92
82550 207 168 $886.32
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $800.69
G0463 Hospital outpatient clinic visit for assessment and management of a patient 254 148 $665.18
93017 12 12 $641.80
97597 21 14 $491.92
83718 64 54 $457.53
84100 119 79 $449.55
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 19 15 $445.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,141 1,542 $413.08
96376 1,037 645 $400.61
93226 19 14 $398.39
73610 95 88 $353.63
84145 23 12 $348.19
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,673 1,298 $341.99
86038 32 27 $318.21
73502 12 12 $299.36
82746 15 14 $192.04
87147 53 41 $172.48
73110 33 30 $171.46
J1885 Injection, ketorolac tromethamine, per 15 mg 4,215 3,050 $170.19
90715 29 24 $169.50
J0690 Injection, cefazolin sodium, 500 mg 1,162 717 $125.81
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 15 14 $116.38
94200 31 12 $109.86
84550 26 24 $102.17
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 49 $96.96
82040 28 25 $91.08
J3010 Injection, fentanyl citrate, 0.1 mg 2,401 1,545 $84.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,708 1,720 $79.55
73630 94 78 $78.20
82247 23 12 $75.26
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16 12 $57.44
82570 14 13 $56.13
J2250 Injection, midazolam hydrochloride, per 1 mg 1,582 1,080 $44.24
J1170 Injection, hydromorphone, up to 4 mg 1,426 937 $44.18
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,522 3,212 $40.44
84156 13 12 $39.51
J2060 Injection, lorazepam, 2 mg 215 160 $38.47
73130 29 26 $20.13
A9270 Non-covered item or service 4,402 3,143 $14.19
J2765 Injection, metoclopramide hcl, up to 10 mg 385 287 $4.62
J2270 Injection, morphine sulfate, up to 10 mg 880 618 $3.00
J2704 Injection, propofol, 10 mg 1,301 1,012 $0.00
A9585 Injection, gadobutrol, 0.1 ml 45 41 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 212 134 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 706 560 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 38 29 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 65 12 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 34 24 $0.00