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Aurora Health Care Metro, Inc.

Internal Medicine, Hematology & Oncology·Milwaukee, WI·NPI: 1861447179Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$182.0M

$182,029,810

Total Claims

7.4M

Beneficiaries

5.5M

1.3 claims/patient

Avg Cost/Claim

$24

#523 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Aurora Health Care Metro, Inc. is a Internal Medicine, Hematology & Oncology provider based in Milwaukee, WI. From the 2018–2024 period, this provider received $182.0M in Medicaid payments across 7.4M claims.

Why This Matters

This provider received $182.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,753 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 2% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$24.6M
+1%
2019
$24.8M
-7%
2020
$23.1M
+24%
2021
$28.7M
-6%
2022
$27.1M
+9%
2023
$29.6M
-18%
2024
$24.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 8% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$13.9M

185K claims · 7.6%

Your Cost: $75.13/claim|Median: $42.48
1.8× median
99284Normal range

Emergency dept visit, high complexity

$12.1M

172K claims · 6.6%

Your Cost: $70.13/claim|Median: $69.51
1.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$11.5M

84K claims · 6.3%

Your Cost: $137.85/claim|Median: $38.92
3.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$8.6M

122K claims · 4.7%

Your Cost: $70.29/claim|Median: $85.65
0.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$7.9M

128K claims · 4.3%

Your Cost: $61.96/claim|Median: $12.93
4.8× median
80053Top 25%

Comprehensive metabolic panel

$5.4M

302K claims · 3.0%

Your Cost: $17.82/claim|Median: $7.24
2.5× median
97110Normal range

Therapeutic exercises, each 15 min

$5.0M

154K claims · 2.8%

Your Cost: $32.48/claim|Median: $24.49
1.3× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$4.3M

4K claims · 2.4%

Your Cost: $1,124.83/claim|Median: $5,391.55
0.2× median
70450Top 25%

CT head/brain without contrast

$3.6M

46K claims · 2.0%

Your Cost: $77.39/claim|Median: $45.53
1.7× median
99282Normal range

Emergency dept visit, low complexity

$3.2M

43K claims · 1.8%

Your Cost: $75.30/claim|Median: $37.72
2.0× median
74177Normal range

CT abdomen and pelvis with contrast

$2.7M

33K claims · 1.5%

Your Cost: $81.71/claim|Median: $65.76
1.2× median
96360Normal range

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

$2.4M

26K claims · 1.3%

Your Cost: $92.40/claim|Median: $61.57
1.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$2.3M

28K claims · 1.2%

Your Cost: $81.29/claim|Median: $63.08
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2.2M

376K claims · 1.2%

Your Cost: $5.97/claim|Median: $4.71
1.3× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$2.2M

54K claims · 1.2%

Your Cost: $41.37/claim|Median: $10.88
3.8× median
96365Normal range

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

$2.2M

33K claims · 1.2%

Your Cost: $65.94/claim|Median: $54.77
1.2× median
96366Normal range

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

$2.0M

21K claims · 1.1%

Your Cost: $91.53/claim|Median: $40.12
2.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.9M

36K claims · 1.0%

Your Cost: $52.59/claim|Median: $35.43
1.5× median
80048Top 10%

Basic metabolic panel

$1.9M

91K claims · 1.0%

Your Cost: $20.39/claim|Median: $5.78
3.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.8M

84K claims · 1.0%

Your Cost: $21.85/claim|Median: $16.79
1.3× median
84484Top 25%

Troponin, quantitative

$1.5M

131K claims · 0.8%

Your Cost: $11.34/claim|Median: $4.84
2.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

14K claims · 0.8%

Your Cost: $101.09/claim|Median: $54.68
1.9× median
80047Top 10%

$1.3M

47K claims · 0.7%

Your Cost: $27.86/claim|Median: $6.12
4.5× median
71275Normal range

CT angiography, chest, with contrast

$1.3M

15K claims · 0.7%

Your Cost: $87.47/claim|Median: $92.96
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.2M

32K claims · 0.7%

Your Cost: $37.75/claim|Median: $91.47
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$1.2M

58K claims · 0.7%

Your Cost: $20.94/claim|Median: $33.11
0.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.2M

27K claims · 0.7%

Your Cost: $45.28/claim|Median: $75.28
0.6× median
74176Normal range

CT abdomen and pelvis without contrast

$1.1M

15K claims · 0.6%

Your Cost: $75.57/claim|Median: $60.19
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$1.1M

6K claims · 0.6%

Your Cost: $196.11/claim|Median: $151.68
1.3× median
83880Top 25%

$1.1M

38K claims · 0.6%

Your Cost: $28.68/claim|Median: $11.81
2.4× median

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