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THEDACARE MEDICAL CENTER - SHAWANO, INC.

General Acute Care Hospital, Critical Access·SHAWANO, WI·NPI: 1548260839Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$32.8M

$32,774,252

Total Claims

668K

Beneficiaries

520K

1.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+12%
2019
$3.7M
-2%
2020
$3.7M
+23%
2021
$4.5M
+20%
2022
$5.4M
+24%
2023
$6.7M
-17%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$5.9M

42K claims · 18.1%

Your Cost: $139.58/claim|Median: $42.48
3.3× median
99284Top 25%

Emergency dept visit, high complexity

$4.2M

26K claims · 12.9%

Your Cost: $164.49/claim|Median: $69.51
2.4× median
96361Top 5%

IV infusion, hydration, each additional hour

$3.2M

7,786 claims · 9.9%

Your Cost: $416.53/claim|Median: $38.92
10.7× median
99282Top 25%

Emergency dept visit, low complexity

$3.2M

22K claims · 9.8%

Your Cost: $146.37/claim|Median: $37.72
3.9× median
96365Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.9M

7,976 claims · 5.7%

Your Cost: $234.59/claim|Median: $54.77
4.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.5M

4,833 claims · 4.5%

Your Cost: $304.68/claim|Median: $65.76
4.6× median
70450Top 5%

CT head/brain without contrast

$1.4M

4,881 claims · 4.2%

Your Cost: $281.23/claim|Median: $45.53
6.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.0M

5,536 claims · 3.1%

Your Cost: $181.70/claim|Median: $85.65
2.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$695K

4,439 claims · 2.1%

Your Cost: $156.67/claim|Median: $52.03
3.0× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$512K

1,895 claims · 1.6%

Your Cost: $270.37/claim|Median: $40.12
6.7× median
96360Top 5%

IV infusion, hydration, initial, 31 minutes to 1 hour

$495K

1,944 claims · 1.5%

Your Cost: $254.79/claim|Median: $61.57
4.1× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$470K

4,310 claims · 1.4%

Your Cost: $109.11/claim|Median: $10.88
10.0× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$464K

328 claims · 1.4%

Your Cost: $1,413.52/claim|Median: $763.43
1.9× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$415K

1,771 claims · 1.3%

Your Cost: $234.59/claim|Median: $36.13
6.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$380K

1,455 claims · 1.2%

Your Cost: $260.94/claim|Median: $60.19
4.3× median
71275Top 10%

CT angiography, chest, with contrast

$374K

1,197 claims · 1.1%

Your Cost: $312.55/claim|Median: $92.96
3.4× median
80048Top 25%

Basic metabolic panel

$363K

42K claims · 1.1%

Your Cost: $8.67/claim|Median: $5.78
1.5× median
99211Top 5%

Office/outpatient visit, minimal complexity

$354K

2,259 claims · 1.1%

Your Cost: $156.72/claim|Median: $12.93
12.1× median
97110Normal range

Therapeutic exercises, each 15 min

$283K

12K claims · 0.9%

Your Cost: $24.57/claim|Median: $24.49
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$279K

6,288 claims · 0.9%

Your Cost: $44.41/claim|Median: $39.70
1.1× median
71260Top 5%

CT chest with contrast

$246K

885 claims · 0.7%

Your Cost: $277.61/claim|Median: $48.36
5.7× median
72125Top 25%

CT cervical spine without contrast

$231K

2,091 claims · 0.7%

Your Cost: $110.41/claim|Median: $32.30
3.4× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$212K

2,208 claims · 0.6%

Your Cost: $95.85/claim|Median: $65.45
1.5× median
43239Top 5%

Upper GI endoscopy with biopsy

$210K

253 claims · 0.6%

Your Cost: $829.78/claim|Median: $151.68
5.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$205K

38K claims · 0.6%

Your Cost: $5.47/claim|Median: $4.71
1.2× median
96367Top 5%

$189K

994 claims · 0.6%

Your Cost: $189.85/claim|Median: $29.27
6.5× median
99291Top 10%

Critical care, first 30-74 minutes

$149K

640 claims · 0.5%

Your Cost: $233.13/claim|Median: $101.24
2.3× median
97530Normal range

Therapeutic activities, each 15 min

$147K

5,128 claims · 0.4%

Your Cost: $28.66/claim|Median: $33.11
0.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$146K

367 claims · 0.4%

Your Cost: $397.39/claim|Median: $54.68
7.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$141K

6,670 claims · 0.4%

Your Cost: $21.20/claim|Median: $16.79
1.3× median
12001Top 10%

$140K

535 claims · 0.4%

Your Cost: $261.53/claim|Median: $64.99
4.0× median
G0378Normal range

Hospital observation service, per hour

$137K

3,911 claims · 0.4%

Your Cost: $35.08/claim|Median: $99.39
0.4× median
71046Top 25%

Chest X-ray, 2 views

$133K

5,790 claims · 0.4%

Your Cost: $22.99/claim|Median: $8.92
2.6× median
76705Top 5%

Ultrasound, abdominal, limited

$131K

993 claims · 0.4%

Your Cost: $131.78/claim|Median: $23.81
5.5× median
80076Normal range

Hepatic function panel

$123K

22K claims · 0.4%

Your Cost: $5.62/claim|Median: $4.59
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$105K

1,674 claims · 0.3%

Your Cost: $62.43/claim|Median: $39.33
1.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$96K

7,566 claims · 0.3%

Your Cost: $12.71/claim|Median: $9.87
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$88K

1,837 claims · 0.3%

Your Cost: $47.93/claim|Median: $37.56
1.3× median
81025Top 5%

Urine pregnancy test

$87K

6,257 claims · 0.3%

Your Cost: $13.93/claim|Median: $4.81
2.9× median
80306Normal range

$85K

5,969 claims · 0.3%

Your Cost: $14.28/claim|Median: $10.29
1.4× median
84484Normal range

Troponin, quantitative

$76K

12K claims · 0.2%

Your Cost: $6.46/claim|Median: $4.84
1.3× median
76856Top 5%

Ultrasound, pelvic, complete

$75K

370 claims · 0.2%

Your Cost: $202.93/claim|Median: $47.58
4.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$74K

989 claims · 0.2%

Your Cost: $74.47/claim|Median: $65.64
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$69K

2,101 claims · 0.2%

Your Cost: $32.83/claim|Median: $28.46
1.2× median
87804Normal range

Influenza virus detection, rapid test

$67K

4,379 claims · 0.2%

Your Cost: $15.29/claim|Median: $12.59
1.2× median
99215Top 5%

Office/outpatient visit, high complexity

$67K

320 claims · 0.2%

Your Cost: $208.10/claim|Median: $74.09
2.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$62K

2,394 claims · 0.2%

Your Cost: $25.78/claim|Median: $20.04
1.3× median
73564Top 25%

$55K

1,940 claims · 0.2%

Your Cost: $28.59/claim|Median: $15.00
1.9× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$51K

1,978 claims · 0.2%

Your Cost: $25.87/claim|Median: $13.55
1.9× median
80061Normal range

Lipid panel

$51K

4,603 claims · 0.2%

Your Cost: $11.06/claim|Median: $8.41
1.3× median

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