Medicaid Provider Spending

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

WATERTOWN MEDICAL CENTER LLC

NPI: 1992776041 · WATERTOWN, WI 53098 · Clinical Medical Laboratory · NPI assigned 01/27/2006

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

Authorized official TRAYLOR, JOHNETTA controls 20+ related entities in our dataset. Read more

$6.31M
Total Medicaid Paid
348,204
Total Claims
260,939
Beneficiaries
181
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAYLOR, JOHNETTA (AO)
Parent OrganizationLIFEPOINT HEALTH INC
NPI Enumeration Date01/27/2006

Related Entities

Other providers sharing the same authorized official: TRAYLOR, JOHNETTA

ProviderCityStateTotal Paid
LOGAN GENERAL HOSPITAL LLC LOGAN WV $43.43M
PHC-CLEVELAND LLC CLEVELAND MS $23.43M
HARTSVILLE, LLC HARTSVILLE SC $18.42M
LOGAN MEMORIAL HOSPITAL LLC RUSSELLVILLE KY $14.29M
SOUTHWESTERN MEDICAL CENTER, LLC LAWTON OK $9.40M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $6.80M
AMG - LIVINGSTON, LLC LIVINGSTON TN $5.52M
LOGAN GENERAL HOSPITAL LLC LOGAN WV $4.91M
ST. JOSEPH HOSPITAL LLC LEWISTON ID $4.67M
RIVERTON MEMORIAL HOSPITAL LLC RIVERTON WY $4.65M
LIVINGSTON REGIONAL HOSPITAL LLC LIVINGSTON TN $4.33M
HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC $4.16M
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP MEXIA TX $2.19M
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP PALESTINE TX $1.27M
TEXAS SPECIALTY PHYSICIANS PALESTINE TX $1.26M
ST JOSEPH HOSPITAL LLC LEWISTON ID $1.10M
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $244K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $175K
AMG-LIVINGSTON LLC LIVINGSTON TN $165K
WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN WI $149K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,966 $979K
2019 49,112 $854K
2020 48,329 $866K
2021 53,396 $953K
2022 52,233 $879K
2023 60,170 $1.04M
2024 41,998 $740K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,747 12,319 $842K
99284 Emergency department visit for the evaluation and management, high severity 11,068 8,668 $486K
96361 Intravenous infusion, hydration; each additional hour 4,506 3,217 $477K
80053 Comprehensive metabolic panel 16,297 12,449 $346K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,357 3,752 $268K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,731 3,294 $239K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,941 4,105 $193K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,553 1,332 $158K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,195 3,690 $149K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,237 1,850 $143K
81001 11,115 8,848 $139K
80048 Basic metabolic panel (calcium, ionized) 4,968 3,794 $138K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,673 3,005 $134K
70450 Computed tomography, head or brain; without contrast material 2,390 1,953 $127K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,350 12,653 $125K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,649 13,677 $121K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,441 2,174 $105K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,079 1,800 $104K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,509 878 $97K
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 1,263 1,126 $92K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,470 2,731 $88K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,279 1,048 $88K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,497 2,229 $82K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,466 2,198 $79K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,780 1,427 $71K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,686 1,345 $68K
87081 2,697 2,334 $68K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,053 921 $62K
86710 3,154 2,702 $60K
84443 Thyroid stimulating hormone (TSH) 4,052 3,472 $60K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,434 1,278 $57K
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 995 819 $52K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,703 2,317 $46K
80061 Lipid panel 3,461 3,032 $44K
87086 Culture, bacterial; quantitative colony count, urine 5,124 4,145 $43K
84484 5,233 3,669 $43K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,133 1,033 $37K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 466 391 $36K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,409 1,250 $36K
81025 3,759 3,100 $36K
83036 Hemoglobin; glycosylated (A1C) 2,754 2,424 $34K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,144 1,001 $34K
85027 4,225 3,385 $32K
74176 Computed tomography, abdomen and pelvis; without contrast material 560 457 $30K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 825 751 $29K
84145 1,700 1,279 $23K
83690 4,864 3,829 $23K
82962 3,000 1,683 $22K
G0378 Hospital observation service, per hour 1,018 530 $21K
76801 314 254 $19K
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 1,607 1,435 $18K
83880 885 675 $17K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 411 356 $16K
83735 4,088 2,952 $16K
85610 3,483 2,476 $15K
83605 2,369 1,791 $14K
87480 617 566 $13K
80305 1,131 986 $12K
71046 Radiologic examination, chest; 2 views 1,379 1,144 $12K
85380 1,591 1,294 $11K
77067 Screening mammography, bilateral, including computer-aided detection 625 552 $11K
87660 617 566 $10K
87807 279 255 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 161 126 $9K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 139 110 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling 438 353 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 241 225 $8K
97162 326 237 $8K
97161 789 578 $7K
76830 Ultrasound, transvaginal 249 223 $7K
84703 844 717 $7K
87510 617 566 $7K
80179 423 355 $7K
77063 Screening digital breast tomosynthesis, bilateral 496 433 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,235 6,082 $6K
74018 806 645 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 82 70 $6K
86803 441 390 $6K
86703 445 395 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 957 758 $6K
86850 1,059 886 $6K
86140 1,413 1,076 $6K
86780 603 539 $5K
87186 823 674 $5K
82553 1,168 946 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 124 103 $5K
80143 477 403 $5K
71045 Radiologic examination, chest; single view 6,774 5,316 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 152 60 $4K
84439 453 388 $4K
86900 1,220 922 $4K
87340 423 374 $4K
71275 Computed tomographic angiography, chest, with contrast material 45 39 $4K
86901 1,333 1,028 $3K
72125 Computed tomography, cervical spine; without contrast material 133 115 $3K
87653 66 52 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,951 5,313 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,427 2,539 $3K
80050 General health panel 297 255 $3K
73630 582 485 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 75 65 $2K
82950 61 54 $2K
12001 13 12 $2K
86592 221 191 $2K
96375 Therapeutic injection; each additional sequential IV push 4,412 3,339 $2K
87077 277 238 $1K
82803 76 51 $1K
85652 581 451 $1K
73610 500 424 $1K
90837 Psychotherapy, 53 minutes with patient 629 387 $1K
72100 125 100 $1K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 684 620 $1K
36415 Collection of venous blood by venipuncture 19,759 13,697 $1K
82043 109 97 $966.73
82565 120 91 $943.75
99281 Emergency department visit for the evaluation and management, self-limited or minor 16 13 $943.73
87075 48 39 $889.05
87040 109 77 $886.93
85730 263 224 $830.39
84702 66 52 $814.21
82150 185 159 $794.90
85007 171 134 $759.38
73030 187 157 $697.13
86762 38 36 $519.76
82550 78 61 $517.10
82607 61 50 $504.43
82947 161 122 $495.37
J2704 Injection, propofol, 10 mg 1,373 1,165 $402.00
73110 66 48 $392.15
80320 614 509 $371.94
82728 13 12 $365.69
82330 40 26 $274.62
94761 4,257 3,445 $214.61
73562 75 69 $212.73
G0475 Hiv antigen/antibody, combination assay, screening 387 346 $209.77
0352U 289 254 $173.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,391 1,954 $158.07
83550 25 24 $157.71
84132 108 80 $153.16
73130 100 76 $145.41
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 25 $134.31
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,753 2,421 $99.48
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $86.03
36000 76 70 $76.23
73502 33 27 $67.00
J7030 Infusion, normal saline solution , 1000 cc 2,424 2,069 $65.13
84295 21 15 $34.89
73090 20 13 $33.76
0353U 146 122 $21.36
96376 649 467 $13.90
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,745 3,058 $8.81
94760 1,890 1,586 $7.07
J1885 Injection, ketorolac tromethamine, per 15 mg 3,331 2,785 $5.76
J3010 Injection, fentanyl citrate, 0.1 mg 2,546 2,154 $4.03
90686 69 56 $2.50
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 70 54 $0.64
A9270 Non-covered item or service 1,397 1,062 $0.39
J7120 Ringers lactate infusion, up to 1000 cc 992 840 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 153 123 $0.00
92134 68 54 $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 30 24 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 145 123 $0.00
S0028 Injection, famotidine, 20 mg 72 67 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 96 70 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 13 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $0.00
94664 13 12 $0.00
J2060 Injection, lorazepam, 2 mg 64 50 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 1,283 1,108 $0.00
J1170 Injection, hydromorphone, up to 4 mg 1,398 1,100 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 13 13 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,603 1,393 $0.00
G0008 Administration of influenza virus vaccine 112 99 $0.00
J0690 Injection, cefazolin sodium, 500 mg 79 67 $0.00
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 238 200 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 61 60 $0.00
J3490 Unclassified drugs 34 27 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 32 27 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 51 29 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 32 27 $0.00
90674 15 15 $0.00