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PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC.

General Acute Care Hospital·WAUKESHA, WI·NPI: 1629056890Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.4M

$21,390,375

Total Claims

1.3M

Beneficiaries

961K

1.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-7%
2019
$3.1M
-7%
2020
$2.9M
+8%
2021
$3.1M
-4%
2022
$3.0M
+4%
2023
$3.1M
-15%
2024
$2.6M

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 10% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$2.1M

37K claims · 10.0%

Your Cost: $57.51/claim|Median: $42.48
1.4× median
99284Normal range

Emergency dept visit, high complexity

$1.3M

29K claims · 6.2%

Your Cost: $46.69/claim|Median: $69.51
0.7× median
80053Top 25%

Comprehensive metabolic panel

$997K

69K claims · 4.7%

Your Cost: $14.39/claim|Median: $7.24
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$972K

15K claims · 4.5%

Your Cost: $67.04/claim|Median: $63.08
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$953K

8,822 claims · 4.5%

Your Cost: $108.07/claim|Median: $38.92
2.8× median
97530Normal range

Therapeutic activities, each 15 min

$651K

27K claims · 3.0%

Your Cost: $24.54/claim|Median: $33.11
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$499K

11K claims · 2.3%

Your Cost: $46.57/claim|Median: $37.81
1.2× median
96365Normal range

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

$486K

8,769 claims · 2.3%

Your Cost: $55.39/claim|Median: $54.77
1.0× median
70450Normal range

CT head/brain without contrast

$432K

7,435 claims · 2.0%

Your Cost: $58.11/claim|Median: $45.53
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$425K

23K claims · 2.0%

Your Cost: $18.36/claim|Median: $16.79
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$398K

7,717 claims · 1.9%

Your Cost: $51.59/claim|Median: $35.43
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$391K

70K claims · 1.8%

Your Cost: $5.57/claim|Median: $4.71
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$385K

14K claims · 1.8%

Your Cost: $27.60/claim|Median: $24.95
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$368K

6,028 claims · 1.7%

Your Cost: $61.04/claim|Median: $53.41
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$359K

6,027 claims · 1.7%

Your Cost: $59.54/claim|Median: $65.76
0.9× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$349K

14K claims · 1.6%

Your Cost: $24.84/claim|Median: $20.04
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$347K

14K claims · 1.6%

Your Cost: $24.94/claim|Median: $23.39
1.1× median
G0378Normal range

Hospital observation service, per hour

$345K

6,771 claims · 1.6%

Your Cost: $50.99/claim|Median: $99.39
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$338K

7,250 claims · 1.6%

Your Cost: $46.58/claim|Median: $25.06
1.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$313K

6,285 claims · 1.5%

Your Cost: $49.82/claim|Median: $12.93
3.9× median
80050Normal range

General health panel

$305K

12K claims · 1.4%

Your Cost: $25.54/claim|Median: $25.59
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$297K

9,020 claims · 1.4%

Your Cost: $32.98/claim|Median: $85.65
0.4× median
96360Normal range

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

$243K

3,786 claims · 1.1%

Your Cost: $64.12/claim|Median: $61.57
1.0× median
80061Normal range

Lipid panel

$227K

23K claims · 1.1%

Your Cost: $10.01/claim|Median: $8.41
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$212K

9,754 claims · 1.0%

Your Cost: $21.70/claim|Median: $24.49
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$211K

4,175 claims · 1.0%

Your Cost: $50.54/claim|Median: $58.55
0.9× median
99282Normal range

Emergency dept visit, low complexity

$198K

3,567 claims · 0.9%

Your Cost: $55.50/claim|Median: $37.72
1.5× median
96366Normal range

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

$194K

2,481 claims · 0.9%

Your Cost: $78.26/claim|Median: $40.12
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$186K

2,365 claims · 0.9%

Your Cost: $78.72/claim|Median: $54.68
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$183K

15K claims · 0.9%

Your Cost: $12.02/claim|Median: $9.87
1.2× median
80048Top 25%

Basic metabolic panel

$180K

18K claims · 0.8%

Your Cost: $9.88/claim|Median: $5.78
1.7× median
82306Normal range

Vitamin D, 25 hydroxy

$180K

8,605 claims · 0.8%

Your Cost: $20.88/claim|Median: $18.18
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$179K

5,053 claims · 0.8%

Your Cost: $35.45/claim|Median: $49.45
0.7× median
59025Top 25%

Fetal non-stress test

$174K

2,537 claims · 0.8%

Your Cost: $68.76/claim|Median: $26.45
2.6× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$174K

8,915 claims · 0.8%

Your Cost: $19.49/claim|Median: $19.06
1.0× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$156K

5,959 claims · 0.7%

Your Cost: $26.25/claim|Median: $25.57
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$148K

4,893 claims · 0.7%

Your Cost: $30.20/claim|Median: $91.47
0.3× median
84702Top 25%

$141K

8,330 claims · 0.7%

Your Cost: $16.88/claim|Median: $8.25
2.0× median
74176Normal range

CT abdomen and pelvis without contrast

$140K

2,440 claims · 0.7%

Your Cost: $57.21/claim|Median: $60.19
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$138K

4,197 claims · 0.6%

Your Cost: $32.80/claim|Median: $10.88
3.0× median
87086Normal range

Urine culture, colony count, with identification

$138K

18K claims · 0.6%

Your Cost: $7.52/claim|Median: $5.31
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$137K

893 claims · 0.6%

Your Cost: $152.96/claim|Median: $151.68
1.0× median
87070Top 25%

Bacterial culture, any source except blood or urine

$129K

12K claims · 0.6%

Your Cost: $10.84/claim|Median: $5.89
1.8× median
97162Normal range

PT evaluation, moderate complexity

$125K

4,344 claims · 0.6%

Your Cost: $28.78/claim|Median: $46.10
0.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$124K

4,447 claims · 0.6%

Your Cost: $27.96/claim|Median: $75.28
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$124K

16K claims · 0.6%

Your Cost: $7.88/claim|Median: $5.50
1.4× median
71275Normal range

CT angiography, chest, with contrast

$121K

1,809 claims · 0.6%

Your Cost: $66.63/claim|Median: $92.96
0.7× median
84484Normal range

Troponin, quantitative

$114K

15K claims · 0.5%

Your Cost: $7.74/claim|Median: $4.84
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$103K

2,950 claims · 0.5%

Your Cost: $34.93/claim|Median: $39.70
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$101K

10K claims · 0.5%

Your Cost: $9.84/claim|Median: $35.80
0.3× median

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$262.2M

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$234.1M

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$186.9M

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$182.0M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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