Medicaid Provider Spending

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

AURORA HEALTH CARE CENTRAL, INC.

NPI: 1922053107 · SHEBOYGAN, WI 53081 · Clinic/Center · NPI assigned 05/24/2006

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

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$12.39M
Total Medicaid Paid
593,862
Total Claims
444,879
Beneficiaries
239
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WAUWATOSA WI $9.78M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
ADVOCATE HEALTH AND HOSPITALS CORPORATION PARK RIDGE IL $3.89M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68,210 $1.51M
2019 71,668 $1.56M
2020 68,858 $1.39M
2021 98,980 $2.07M
2022 97,962 $1.87M
2023 107,720 $2.11M
2024 80,464 $1.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 12,394 9,287 $1.63M
99283 Emergency department visit for the evaluation and management, moderate severity 22,642 19,687 $1.38M
99284 Emergency department visit for the evaluation and management, high severity 17,651 15,171 $966K
H2012 Behavioral health day treatment, per hour 19,454 1,237 $766K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 11,475 9,829 $664K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,594 5,024 $421K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,018 4,475 $382K
70450 Computed tomography, head or brain; without contrast material 5,170 4,547 $367K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,140 3,201 $361K
80053 Comprehensive metabolic panel 26,156 19,477 $360K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,885 4,383 $308K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,288 2,744 $265K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,474 1,387 $263K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,608 3,863 $243K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,470 4,849 $203K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,835 24,377 $199K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,420 3,243 $168K
71275 Computed tomographic angiography, chest, with contrast material 1,998 1,763 $167K
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 1,744 1,553 $138K
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 2,937 2,062 $135K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,611 2,412 $130K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,313 775 $127K
84484 11,411 9,306 $119K
83880 3,693 3,236 $115K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,775 2,220 $112K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,250 1,983 $88K
80048 Basic metabolic panel (calcium, ionized) 6,403 5,160 $83K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,618 1,715 $82K
90853 Group psychotherapy (other than of a multiple-family group) 451 80 $79K
83735 14,772 11,314 $77K
82077 3,485 2,861 $73K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,625 1,996 $71K
74176 Computed tomography, abdomen and pelvis; without contrast material 956 863 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 588 556 $64K
84702 3,914 3,447 $61K
84145 3,268 2,847 $60K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,722 1,579 $58K
72125 Computed tomography, cervical spine; without contrast material 2,167 1,923 $57K
83690 9,786 8,262 $56K
80305 4,619 2,123 $55K
81025 5,919 5,208 $55K
87086 Culture, bacterial; quantitative colony count, urine 4,828 4,235 $52K
97161 1,345 1,242 $51K
82962 5,974 3,635 $51K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,035 967 $50K
88720 712 564 $40K
G0378 Hospital observation service, per hour 2,565 2,244 $40K
80047 2,096 1,914 $40K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,232 1,119 $38K
83605 4,090 3,415 $37K
85730 7,474 6,463 $36K
84443 Thyroid stimulating hormone (TSH) 2,833 2,518 $35K
85610 9,411 7,867 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,055 933 $33K
0240U 1,256 1,140 $33K
87040 2,885 2,361 $33K
96415 471 350 $29K
81001 8,003 7,044 $29K
99281 Emergency department visit for the evaluation and management, self-limited or minor 357 303 $24K
97597 556 439 $24K
71260 Computed tomography, thorax, diagnostic; with contrast material 282 252 $21K
80143 1,773 1,486 $21K
81003 4,723 4,127 $21K
80179 1,757 1,465 $20K
80076 2,504 2,245 $19K
85379 2,204 1,992 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 453 415 $17K
45380 Colonoscopy, flexible; with biopsy, single or multiple 98 91 $16K
97162 583 518 $16K
76830 Ultrasound, transvaginal 581 514 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 454 416 $16K
93975 364 331 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 346 312 $15K
99215 Prolong outpt/office vis 516 410 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,025 8,638 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 529 243 $13K
82075 1,242 594 $13K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 83 75 $13K
70498 114 93 $11K
85027 2,206 1,647 $11K
87081 342 319 $11K
96367 192 145 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,624 1,364 $10K
87077 649 591 $10K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 46 38 $10K
70486 282 256 $10K
82550 1,745 1,457 $9K
93971 485 444 $8K
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 430 363 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 355 318 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 214 188 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 142 136 $8K
86850 441 394 $8K
43248 41 36 $8K
97165 201 189 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 424 399 $7K
87186 892 814 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 139 124 $7K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 65 63 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $6K
12001 59 53 $6K
86900 847 745 $6K
70496 57 50 $6K
82803 297 277 $6K
90715 234 209 $5K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 16 12 $5K
86140 1,222 1,026 $5K
97035 416 158 $5K
96375 Therapeutic injection; each additional sequential IV push 11,024 8,247 $4K
41899 Unlisted procedure, dentoalveolar structures 13 12 $4K
71045 Radiologic examination, chest; single view 9,752 8,548 $4K
82728 384 333 $4K
97535 Self-care/home management training, each 15 minutes 309 198 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,026 3,565 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 73 56 $3K
71046 Radiologic examination, chest; 2 views 1,356 1,253 $3K
97166 116 100 $3K
62323 16 13 $3K
87807 165 157 $2K
94060 70 66 $2K
95811 12 12 $2K
84703 291 271 $2K
73630 516 468 $2K
87210 145 137 $2K
86901 824 733 $2K
93356 14 12 $2K
94729 86 82 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 13 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,335 12,700 $2K
83036 Hemoglobin; glycosylated (A1C) 221 191 $2K
71250 54 53 $1K
97116 129 73 $1K
76536 41 39 $1K
12011 13 12 $1K
87088 193 176 $1K
83615 211 174 $892.93
87070 15 15 $842.01
85652 424 358 $774.27
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 15 14 $753.43
88305 Level IV - Surgical pathology, gross and microscopic examination 3,100 2,879 $647.81
J7030 Infusion, normal saline solution , 1000 cc 16,065 11,415 $580.60
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,142 10,873 $541.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 415 346 $430.48
83550 71 63 $410.07
90686 16 16 $371.97
90674 20 18 $371.60
82607 52 44 $352.13
73130 325 286 $333.30
80061 Lipid panel 42 37 $325.14
82565 15 14 $312.14
83540 72 64 $303.84
J7120 Ringers lactate infusion, up to 1000 cc 9,401 7,947 $283.21
73610 569 506 $273.65
94726 56 52 $273.57
36592 19 13 $230.21
J7050 Infusion, normal saline solution, 250 cc 7,613 3,987 $193.64
J1885 Injection, ketorolac tromethamine, per 15 mg 7,709 6,276 $165.91
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,891 2,216 $160.63
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 81 64 $158.07
88307 25 25 $157.81
82010 30 26 $153.28
87205 43 36 $140.83
96376 3,011 2,020 $94.57
82746 25 18 $93.58
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,057 2,460 $86.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,955 5,830 $85.91
84439 12 12 $84.63
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 872 659 $82.80
36415 Collection of venous blood by venipuncture 5,769 4,037 $80.61
74018 160 142 $69.20
73030 251 224 $59.45
73562 513 454 $52.61
J3010 Injection, fentanyl citrate, 0.1 mg 3,679 2,791 $49.85
J2704 Injection, propofol, 10 mg 9,206 6,534 $49.26
82271 15 15 $43.03
80320 348 321 $40.31
J0690 Injection, cefazolin sodium, 500 mg 3,660 2,937 $25.76
J2250 Injection, midazolam hydrochloride, per 1 mg 5,090 4,397 $23.50
85014 13 12 $20.10
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 599 488 $18.51
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,308 7,672 $17.37
J0696 Injection, ceftriaxone sodium, per 250 mg 2,028 1,279 $9.34
J1170 Injection, hydromorphone, up to 4 mg 3,848 2,584 $6.23
J2060 Injection, lorazepam, 2 mg 2,634 1,967 $5.35
J2270 Injection, morphine sulfate, up to 10 mg 4,463 3,371 $2.94
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 4,958 1,668 $2.58
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 886 498 $1.20
Q0243 Injection, casirivimab and imdevimab, 2400 mg 13 12 $0.04
J1644 Injection, heparin sodium, per 1000 units 658 307 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 1,718 1,335 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 2,000 825 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 118 87 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,245 1,006 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 220 202 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 295 239 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 213 199 $0.00
A4212 Non-coring needle or stylet with or without catheter 254 117 $0.00
C9113 Injection, pantoprazole sodium, per vial 72 36 $0.00
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 150 109 $0.00
73110 45 41 $0.00
A4565 Slings 26 26 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 30 27 $0.00
73080 44 36 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 29 16 $0.00
73590 29 26 $0.00
J1171 Injection, hydromorphone, 0.1 mg 31 27 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 84 70 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 21 12 $0.00
J1756 Injection, iron sucrose, 1 mg 57 25 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 12 12 $0.00
72100 13 12 $0.00
C1769 Guide wire 1,283 1,124 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 228 205 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 2,016 1,698 $0.00
J1790 Injection, droperidol, up to 5 mg 421 375 $0.00
J7999 Compounded drug, not otherwise classified 59 53 $0.00
A9585 Injection, gadobutrol, 0.1 ml 947 839 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 191 180 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 220 198 $0.00
J1815 Injection, insulin, per 5 units 776 251 $0.00
88304 113 99 $0.00
76801 16 15 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 51 44 $0.00
A4364 Adhesive, liquid or equal, any type, per oz 127 106 $0.00
J3480 Injection, potassium chloride, per 2 meq 73 42 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 24 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 43 39 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 38 37 $0.00
71101 12 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 12 12 $0.00
88300 13 13 $0.00
36416 48 26 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 79 76 $0.00
36000 25 25 $0.00
73502 40 37 $0.00
74022 12 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 15 12 $0.00
72170 13 12 $0.00