Medicaid Provider Spending

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

AURORA HEALTH CARE SOUTHERN LAKES, INC.

NPI: 1972628006 · ELKHORN, WI 53121 · General Acute Care Hospital · NPI assigned 03/20/2007

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

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

$7.12M
Total Medicaid Paid
287,876
Total Claims
218,079
Beneficiaries
154
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date03/20/2007

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
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
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 36,950 $947K
2019 35,154 $925K
2020 32,586 $849K
2021 44,985 $1.04M
2022 46,492 $1.07M
2023 52,530 $1.25M
2024 39,179 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 26,364 8,434 $891K
99283 Emergency department visit for the evaluation and management, moderate severity 12,351 11,143 $772K
96361 Intravenous infusion, hydration; each additional hour 4,687 4,014 $670K
99284 Emergency department visit for the evaluation and management, high severity 10,873 9,654 $598K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,032 6,182 $389K
80053 Comprehensive metabolic panel 14,066 11,480 $296K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,370 4,836 $284K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,527 3,229 $230K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,708 2,495 $207K
70450 Computed tomography, head or brain; without contrast material 2,863 2,611 $193K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,428 4,303 $183K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,721 1,482 $174K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,080 2,678 $171K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,387 12,834 $106K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,630 2,440 $105K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,525 1,020 $90K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,164 1,949 $90K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 900 836 $89K
97161 2,043 1,961 $88K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,567 1,596 $82K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,795 1,145 $79K
74176 Computed tomography, abdomen and pelvis; without contrast material 776 704 $61K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 874 733 $56K
97162 1,607 1,521 $55K
82077 2,013 1,703 $55K
80048 Basic metabolic panel (calcium, ionized) 2,693 2,072 $51K
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 732 669 $51K
84484 4,788 4,090 $51K
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 948 792 $50K
81025 4,373 3,881 $42K
76801 806 685 $41K
87086 Culture, bacterial; quantitative colony count, urine 3,043 2,771 $36K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 144 130 $35K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 866 830 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 754 691 $33K
71275 Computed tomographic angiography, chest, with contrast material 367 339 $32K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 273 255 $30K
83735 5,689 4,397 $28K
83880 873 772 $27K
76830 Ultrasound, transvaginal 701 650 $26K
83690 4,234 3,604 $25K
83605 2,793 2,421 $25K
84145 1,195 1,077 $22K
81001 5,284 4,752 $21K
82962 2,616 1,478 $20K
G0378 Hospital observation service, per hour 1,064 921 $18K
93356 190 177 $18K
99281 Emergency department visit for the evaluation and management, self-limited or minor 233 212 $17K
81003 2,893 2,603 $17K
80143 1,319 1,143 $16K
80179 1,304 1,137 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 392 367 $16K
97035 1,292 556 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 57 52 $16K
93975 427 391 $15K
84443 Thyroid stimulating hormone (TSH) 1,133 1,032 $14K
76705 Ultrasound, abdominal, real time with image documentation; limited 409 393 $13K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 188 171 $13K
71260 Computed tomography, thorax, diagnostic; with contrast material 208 197 $12K
87040 1,017 853 $12K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,019 4,073 $12K
72125 Computed tomography, cervical spine; without contrast material 447 411 $12K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 222 104 $11K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 166 146 $11K
85379 1,408 1,290 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 31 30 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 107 64 $10K
97535 Self-care/home management training, each 15 minutes 804 558 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 89 82 $9K
85610 2,559 2,213 $8K
71046 Radiologic examination, chest; 2 views 1,730 1,641 $8K
87081 222 205 $7K
85730 1,389 1,260 $6K
71250 193 173 $5K
87077 357 328 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,797 6,721 $4K
86850 256 230 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 38 37 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 260 243 $4K
86900 418 374 $4K
87186 395 363 $3K
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 66 64 $3K
71045 Radiologic examination, chest; single view 4,527 4,069 $2K
97116 173 82 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 216 183 $2K
0240U 65 62 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,643 1,619 $2K
93971 30 28 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 325 250 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 38 38 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 38 38 $1K
82565 90 85 $1K
84112 15 12 $1K
97597 38 25 $1K
97165 30 30 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 21 19 $1K
86901 418 374 $1K
J2469 Injection, palonosetron hcl, 25 mcg 103 84 $919.96
85027 103 93 $909.17
84702 28 25 $829.44
96375 Therapeutic injection; each additional sequential IV push 4,014 3,292 $670.88
93017 14 13 $471.39
0399T 16 13 $441.57
73630 107 98 $423.44
82550 82 68 $416.30
87088 54 48 $364.52
86140 100 78 $344.28
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 12 $307.86
94060 13 12 $296.60
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 85 70 $231.61
J1885 Injection, ketorolac tromethamine, per 15 mg 3,878 3,159 $177.38
87807 17 13 $151.80
85652 62 52 $132.02
87210 14 14 $72.60
73030 27 24 $63.21
73610 44 41 $56.15
73562 13 13 $47.99
73130 15 14 $37.74
J7030 Infusion, normal saline solution , 1000 cc 8,448 6,462 $17.43
88305 Level IV - Surgical pathology, gross and microscopic examination 495 458 $17.27
74018 15 12 $16.00
96376 750 537 $14.36
J1170 Injection, hydromorphone, up to 4 mg 1,770 1,204 $6.51
J0780 Injection, prochlorperazine, up to 10 mg 29 26 $4.32
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,798 3,779 $3.07
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,006 4,288 $2.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,118 949 $2.78
J2765 Injection, metoclopramide hcl, up to 10 mg 396 337 $2.69
36415 Collection of venous blood by venipuncture 1,583 1,088 $2.64
J2060 Injection, lorazepam, 2 mg 553 409 $0.74
J2704 Injection, propofol, 10 mg 3,272 2,433 $0.00
J1790 Injection, droperidol, up to 5 mg 288 244 $0.00
A9585 Injection, gadobutrol, 0.1 ml 1,052 946 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,330 2,074 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,939 1,723 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 1,421 1,130 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 513 334 $0.00
J0690 Injection, cefazolin sodium, 500 mg 877 715 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 40 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 148 99 $0.00
80320 51 42 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 13 12 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 93 84 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 4,780 3,947 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,089 940 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 314 256 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 163 146 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,098 806 $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 241 210 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 27 25 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 25 12 $0.00
94726 13 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 22 12 $0.00
94729 13 12 $0.00