Wisconsin's 10,281 Medicaid providers billed $9.81B between 2018 and 2024. The most-billed code is H2017, accounting for $1.09B in payments. Milwaukee is the largest Medicaid billing hub in the state. 6 providers in WI appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| H2017 | Psychosocial rehabilitation services, per 15 minutes | $1.09B |
| T1016 | Case management, each 15 minutes | $387.78M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $334.71M |
MILWAUKEE ($2.52B) MADISON ($1.09B) GREEN BAY ($510.71M) WEST ALLIS ($271.35M) WAUSAU ($229.48M) LA CROSSE ($228.41M) APPLETON ($215.37M) EAU CLAIRE ($204.60M) KENOSHA ($169.89M) WAUKESHA ($165.20M) RACINE ($164.76M) JANESVILLE ($158.98M) WATERTOWN ($152.88M) BROOKFIELD ($137.08M) SHEBOYGAN ($124.17M) CHIPPEWA FALLS ($120.24M) MARSHFIELD ($119.17M) WAUWATOSA ($118.46M) FOND DU LAC ($99.51M) GLENDALE ($98.82M) STEVENS POINT ($98.41M) BARABOO ($92.11M) OSHKOSH ($91.03M) OCONOMOWOC ($82.65M) RICHLAND CENTER ($68.55M) MANITOWOC ($62.74M) BELOIT ($61.59M) NEW BERLIN ($56.30M) SHAWANO ($55.39M) PLEASANT PRAIRIE ($53.44M) FITCHBURG ($53.12M) NEENAH ($52.75M) WISCONSIN RAPIDS ($50.66M) WEST BEND ($46.54M) MOUNT PLEASANT ($46.04M) DE PERE ($45.80M) DE FOREST ($44.53M) IRON RIVER ($44.51M) PORTAGE ($44.04M) SUPERIOR ($41.05M) NEW RICHMOND ($39.40M) MENOMONIE ($38.01M) ASHLAND ($37.99M) JUNEAU ($36.47M) MENOMONEE FALLS ($36.10M) MIDDLETON ($34.56M) JEFFERSON ($33.27M) RHINELANDER ($33.13M) ELKHORN ($30.64M) MT PLEASANT ($30.45M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | DANE COUNTY HUMAN SERVICES | $18.20M | single-code billing |
| 2 | MILWAUKEE CENTER FOR INDEPENDENCE | $10.11M | single-code billing |
| 3 | LUMICERA HEALTH SERVICES, LLC | $9.38M | single-code billing |
| 4 | CRC WISCONSIN RD LLC | $8.60M | single-code billing |
| 5 | COUNTY OF MILWAUKEE | $8.11M | single-code billing |
| 6 | CARE WISCONSIN FIRST, INC. | $7.39M | single-code billing |
| 7 | MOORING PROGRAMS, INC | $7.28M | single-code billing |
| 8 | COUNTY OF ROCK | $6.57M | single-code billing |
| 9 | KINNIC FALLS ALCOHOL-DRUG ABUSE SERVICES, INC. | $5.35M | single-code billing |
| 10 | MATT TALBOT RECOVERY SERVICES, INC. | $5.27M | single-code billing |
| 11 | GENESIS BEHAVIORAL SERVICES, INC. | $4.80M | single-code billing |
| 12 | NOVA COUNSELING SERVICES INC. | $4.75M | single-code billing |
| 13 | ARBOR PLACE, INC. | $4.62M | single-code billing |
| 14 | FORTUNATE FUTURES | $4.58M | single-code billing |
| 15 | BUNDLE OF LOVE PRENATAL LLC | $4.57M | single-code billing |
| 16 | HOPE SERVICES WISCONSIN | $4.42M | single-code billing |
| 17 | A PROMISE OF HOPE FOR MOTHERS | $4.28M | single-code billing |
| 18 | IRIS HEALTH CLINIC | $4.27M | single-code billing |
| 19 | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. | $3.89M | single-code billing |
| 20 | BABY AND ME PRENATAL CARE COORDINATION LLC | $3.85M | single-code billing |
| 21 | ODYSSEY HEALTHCARE HOLDING COMPANY | $3.80M | single-code billing |
| 22 | LA CROSSE COUNTY HUMAN SERVICES | $3.35M | single-code billing |
| 23 | BETHANY CHRISTIAN SERVICES | $3.27M | single-code billing |
| 24 | NORTHWEST JOURNEY - BLACK RIVER FALLS | $3.27M | single-code billing |
| 25 | LIFE IN HARMONY MUSIC THERAPY, LLC | $3.16M | single-code billing |