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Medicaid spending in Wisconsin
10,281 providers based in Wisconsin were paid $9.81B in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is H2017, psychosocial rehabilitation, billed per 15 minutes, at $1.09B. Milwaukee is the biggest billing hub.
28Total paid$9.81B
33Billing providers10,281
24GClaims259,135,269
On OIG exclusion list6
Box 33 · Billing provider
Who sent the bill in Wisconsin
Cents of every dollar billed by Wisconsin-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.
Box 32 · Location
By city
Milwaukee$2.5BMadison$1.1BGreen Bay$511MWest Allis$271MWausau$229MLa Crosse$228MAppleton$215MEau Claire$205MKenosha$170MWaukesha$165MRacine$165MJanesville$159MWatertown$153MBrookfield$137MSheboygan$124MChippewa Falls$120MMarshfield$119MWauwatosa$118MFond Du Lac$100MGlendale$99MStevens Point$98MBaraboo$92MOshkosh$91MOconomowoc$83MRichland Center$69MManitowoc$63MBeloit$62MNew Berlin$56MShawano$55MPleasant Prairie$53MFitchburg$53MNeenah$53MWisconsin Rapids$51MWest Bend$47MMount Pleasant$46MDe Pere$46MDe Forest$45MIron River$45MPortage$44MSuperior$41MNew Richmond$39MMenomonie$38MAshland$38MJuneau$36MMenomonee Falls$36MMiddleton$35MJefferson$33MRhinelander$33MElkhorn$31MMt Pleasant$30M
Auditor's notes
Billing flags in Wisconsin
Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.
| # | Provider | Flags | Paid |
|---|---|---|---|
| 1 | Dane County Human Services | single-code billing | $18.20M |
| 2 | Milwaukee Center for Independence | single-code billing | $10.11M |
| 3 | Lumicera Health Services, LLC | single-code billing | $9.38M |
| 4 | CRC Wisconsin RD LLC | single-code billing | $8.60M |
| 5 | County of Milwaukee | single-code billing | $8.11M |
| 6 | Care Wisconsin First, INC. | single-code billing | $7.39M |
| 7 | Mooring Programs, INC | single-code billing | $7.28M |
| 8 | County of Rock | single-code billing | $6.57M |
| 9 | Kinnic Falls Alcohol-Drug Abuse Services, INC. | single-code billing | $5.35M |
| 10 | Matt Talbot Recovery Services, INC. | single-code billing | $5.27M |
| 11 | Genesis Behavioral Services, INC. | single-code billing | $4.80M |
| 12 | Nova Counseling Services INC. | single-code billing | $4.75M |
| 13 | Arbor Place, INC. | single-code billing | $4.62M |
| 14 | Fortunate Futures | single-code billing | $4.58M |
| 15 | Bundle of Love Prenatal LLC | single-code billing | $4.57M |
| 16 | Hope Services Wisconsin | single-code billing | $4.42M |
| 17 | A Promise of Hope for Mothers | single-code billing | $4.28M |
| 18 | Iris Health Clinic | single-code billing | $4.27M |
| 19 | Lutheran Social Services of Wisconsin and Upper Michigan, INC. | single-code billing | $3.89M |
| 20 | Baby and Me Prenatal Care Coordination LLC | single-code billing | $3.85M |
| 21 | Odyssey Healthcare Holding Company | single-code billing | $3.80M |
| 22 | LA Crosse County Human Services | single-code billing | $3.35M |
| 23 | Bethany Christian Services | single-code billing | $3.27M |
| 24 | Northwest Journey - Black River Falls | single-code billing | $3.27M |
| 25 | Life in Harmony Music Therapy, LLC | single-code billing | $3.16M |
Ranked
Top 100 providers in Wisconsin
| # | Provider | Type | City | Claims | Paid |
|---|---|---|---|---|---|
| 1 | Exact Sciences Laboratories, LLC | Lab | Madison | 983,414 | $276.55M |
| 2 | Children's Hospital of Wisconsin, INC. | Dental | Milwaukee | 4,551,447 | $262.20M |
| 3 | County of Milwaukee | Agency | Milwaukee | 2,600,523 | $234.14M |
| 4 | Dane County Department of Human Services | Agency | Madison | 1,838,169 | $186.85M |
| 5 | Aurora Health Care Metro, INC. | Physician | Milwaukee | 7,447,014 | $182.03M |
| 6 | Froedtert Memorial Lutheran Hospital, INC. | Clinic | Milwaukee | 5,378,548 | $157.85M |
| 7 | Aurora Medical Group, INC. | Physician | Milwaukee | 5,067,639 | $139.24M |
| 8 | Ablelight INC. | Nursing facility | Watertown | 388,998 | $125.12M |
| 9 | University of Wisconsin Hospitals and Clinics Authority | Hospital | Madison | 4,116,346 | $120.16M |
| 10 | A2cl Services, LLC | Lab | West Allis | 5,951,837 | $98.74M |
| 11 | Ascension Se Wisconsin Hospital, INC | Hospital | Milwaukee | 3,382,182 | $94.32M |
| 12 | County of Milwaukee | Agency | Milwaukee | 1,447,943 | $91.80M |
| 13 | County of LA Crosse | Agency | La Crosse | 992,392 | $85.01M |
| 14 | Western Region Recovery & Wellness Consortia | Agency | Chippewa Falls | 751,830 | $83.02M |
| 15 | FW Consulting DHFS LLC | Agency | Madison | 899,144 | $77.49M |
| 16 | Lund, Eric | Behavioral | Green Bay | 1,066,497 | $77.33M |
| 17 | The Medical College of Wisconsin, INC. | Milwaukee | 2,144,723 | $74.80M | |
| 18 | Gundersen Lutheran Medical Center INC | Clinic | La Crosse | 2,985,350 | $74.27M |
| 19 | Human Services Board Serving North Central Heatlh Care Facility | Clinic | Wausau | 719,064 | $73.82M |
| 20 | Ascension All Saints Hospital, INC | Hospital | Racine | 3,013,233 | $70.18M |
| 21 | Quality Addiction Management INC | Clinic | Green Bay | 4,038,261 | $66.78M |
| 22 | Columbia ST. Mary's Hospital Milwaukee, INC. | Hospital | Milwaukee | 3,044,285 | $64.53M |
| 23 | Kenosha County Department of Human Services | Agency | Kenosha | 719,787 | $63.11M |
| 24 | Community Care Health Plan, INC | Agency | Brookfield | 901,626 | $63.06M |
| 25 | Milwaukee County Department on Aging Care Management Organization | Managed care | Milwaukee | 190,375 | $59.93M |
| 26 | County of Sauk | Agency | Baraboo | 481,433 | $59.58M |
| 27 | Rogers Memorial Hospital Incorporated | Clinic | Oconomowoc | 564,074 | $54.29M |
| 28 | Access Community Health Centers, INC. | Clinic | Madison | 555,329 | $51.89M |
| 29 | County of Milwaukee | Agency | Milwaukee | 1,688,139 | $50.09M |
| 30 | Bell Ambulance, INC. | Transport | Milwaukee | 640,669 | $47.34M |
| 31 | County of Outagamie | Agency | Appleton | 708,188 | $45.35M |
| 32 | MCHS Hospitals INC | Hospital | Marshfield | 1,615,608 | $45.31M |
| 33 | The Lakes Community Health Center, INC | Clinic | Iron River | 594,570 | $44.51M |
| 34 | Ascension Medical Group-Southeast Wisconsin INC | Physician | Glendale | 1,473,697 | $44.47M |
| 35 | Fiscal Assistance of Dane County, INC. | Agency | De Forest | 559,898 | $43.19M |
| 36 | Lori Knapp Richland, INC. | Residential | Richland Center | 297,029 | $43.05M |
| 37 | Partnership Community Health Center, INC | Clinic | Appleton | 597,581 | $41.66M |
| 38 | Dane County Human Services | Agency | Madison | 527,472 | $37.13M |
| 39 | Ascension ST Francis Hospital, INC | Clinic | Milwaukee | 1,212,088 | $35.87M |
| 40 | Emergency Medicine Specialists, S.C. | Physician | Milwaukee | 1,188,492 | $35.13M |
| 41 | Agrace Hospicecare, Incorporated | Nursing facility | Fitchburg | 210,327 | $35.13M |
| 42 | Froedtert South, INC. | Clinic | Pleasant Prairie | 1,501,625 | $33.07M |
| 43 | Eau Claire County Dept. of Human Services | Agency | Eau Claire | 298,537 | $32.97M |
| 44 | Thedacare Medical Center - Shawano, INC. | Hospital | Shawano | 667,792 | $32.77M |
| 45 | Dodge County | Agency | Juneau | 320,149 | $30.47M |
| 46 | Bellin Memorial Hospital INC. | Hospital | Green Bay | 1,540,476 | $29.28M |
| 47 | Aurora Advanced Healthcare, INC. | Physician | Milwaukee | 1,141,449 | $28.21M |
| 48 | Aurora Psychiatric Hospital, INC. | Clinic | Wauwatosa | 190,039 | $28.09M |
| 49 | Brown County Oral Health Partnership, INC. | Agency | Green Bay | 738,378 | $26.54M |
| 50 | County of Rock | Agency | Janesville | 270,121 | $26.50M |
| 51 | Home Care Medical, INC | Supplier | New Berlin | 775,473 | $26.40M |
| 52 | Dean Health Systems, INC | Physician | Madison | 857,942 | $26.19M |
| 53 | Mercy Health System Corporation | Janesville | 1,348,429 | $25.46M | |
| 54 | Meriter Hospital, INC. | Physician | Madison | 1,097,351 | $25.44M |
| 55 | Baycare Aurora, LLC | Physician | Green Bay | 1,116,838 | $25.37M |
| 56 | ST Croix Hospice LLC | Agency | Eau Claire | 10,188 | $25.23M |
| 57 | Procare Medical Group SC | Clinic | Milwaukee | 851,937 | $25.17M |
| 58 | Lakeland Care INC | Managed care | Fond Du Lac | 96,733 | $24.69M |
| 59 | LA Clinica De Los Campesinos, INC | Physician | Stevens Point | 300,220 | $24.35M |
| 60 | ST Croix County | Agency | New Richmond | 260,538 | $23.86M |
| 61 | West Allis Memorial Hospital, INC. | Hospital | West Allis | 1,085,218 | $23.29M |
| 62 | County of Rock | Agency | Janesville | 291,092 | $23.12M |
| 63 | Wisconsin Diagnostic Laboratories LLC | Lab | Milwaukee | 1,381,402 | $22.72M |
| 64 | Beloit Health System INC | Hospital | Beloit | 1,394,696 | $22.72M |
| 65 | Memorial Medical Center INC | Hospital | Ashland | 482,718 | $22.57M |
| 66 | Washington County Mental Health Center | Agency | West Bend | 239,085 | $22.01M |
| 67 | Planned Parenthood of Wisconsin | Supplier | Milwaukee | 415,863 | $21.98M |
| 68 | Prohealth Waukesha Memorial Hospital, INC. | Hospital | Waukesha | 1,287,422 | $21.39M |
| 69 | Visiting Nurse Association of Wisconsin, INC. | Supplier | West Allis | 359,195 | $21.33M |
| 70 | County of Brown | Agency | Green Bay | 278,236 | $21.15M |
| 71 | Columbia County HHSD | Agency | Portage | 230,351 | $20.58M |
| 72 | Family Health Center of Marshfield INC | Clinic | Marshfield | 843,790 | $20.31M |
| 73 | Vista Care South Dakota, LLC | Agency | Sheboygan | 16,358 | $20.01M |
| 74 | County of Portage | Clinic | Stevens Point | 241,032 | $19.94M |
| 75 | Aurora Health Care Southern Lakes, INC. | Physician | Kenosha | 856,891 | $19.94M |
| 76 | Ascension Ne Wisconsin, INC | Hospital | Appleton | 1,050,789 | $19.89M |
| 77 | Bellin Memorial Hospital INC | Behavioral | Green Bay | 938,793 | $19.80M |
| 78 | Marshfield Clinic INC | Physician | Marshfield | 920,545 | $19.61M |
| 79 | Langlade Hospital - Hotel Dieu of ST. Joseph of Antigo Wisconsin | Clinic | Antigo | 424,014 | $19.58M |
| 80 | ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis | Hospital | Green Bay | 822,965 | $19.54M |
| 81 | Sheboygan County Health & Human Services | Agency | Sheboygan | 256,952 | $19.32M |
| 82 | Childrens Hospital of Wisconsin, INC. | Physician | Milwaukee | 44,472 | $18.98M |
| 83 | Manitowoc Co Human Services Dept | Agency | Manitowoc | 152,044 | $18.86M |
| 84 | Caravel Autism Health, LLC | Behavioral | Green Bay | 205,092 | $18.44M |
| 85 | Thedacare Regional Medical Center-Neenah, INC. | Hospital | Neenah | 1,063,706 | $18.23M |
| 86 | Dane County Human Services | Agency | Madison | 503,788 | $18.20M |
| 87 | Waukesha County | Clinic | Waukesha | 290,791 | $18.09M |
| 88 | Jefferson County | Agency | Jefferson | 191,214 | $18.05M |
| 89 | Dane County Department of Human Services | Agency | Madison | 160,987 | $18.00M |
| 90 | Familia Dental Racine LLC | Dental | Racine | 468,199 | $17.95M |
| 91 | Lutheran Social Services of Wisconsin and Upper Michigan, INC. | Agency | West Allis | 280,326 | $17.95M |
| 92 | Children's Hospital and Health System, INC. | Clinic | Milwaukee | 411,883 | $17.92M |
| 93 | Agnesian Healthcare, INC | Clinic | Fond Du Lac | 912,311 | $17.74M |
| 94 | First Impressions SC | Dental | Wausau | 387,863 | $17.32M |
| 95 | Cleanslate Medical Group of Wisconsin, SC | Physician | Glendale | 514,639 | $17.13M |
| 96 | Mcfi Fiscal Agent | Clinic | Milwaukee | 218,083 | $16.95M |
| 97 | Mayo Clinic Health System-Northwest Wisconsin Region, INC. | Supplier | Eau Claire | 1,098,373 | $16.81M |
| 98 | Racine County CCS | Agency | Racine | 163,229 | $16.74M |
| 99 | Aurora Medical Center of Oshkosh, INC | Physician | Oshkosh | 732,392 | $16.47M |
| 100 | Aspirus Wausau Hospital, INC | Hospital | Wausau | 966,729 | $16.31M |