Wisconsin Medicaid Spending
Wisconsin's Medicaid program paid $1.68B across 9 providers from 2018–2024. 9 providers in Wisconsin are flagged on our risk watchlist. The top procedure code is H2017 (Psychosocial rehabilitation services, per 15 min) at $368.5M.
Total Spending
$1.68B
Total Claims
32.4M
Top Providers
9
Beneficiaries
22.4M
Flagged Providers
9
on risk watchlist
Avg Per Provider
$187.1M
across 9 providers
Yearly Spending Trend
Top Providers in Wisconsin
Exact Sciences Laboratories LLC
Clinical Medical Laboratory · Madison
$276.5M
983K claims
Children's Hospital of Wisconsin, Inc.
Dentist, Pediatric Dentistry · Milwaukee
$262.2M
4.6M claims
County of Milwaukee
Community/Behavioral Health · Milwaukee
$234.1M
2.6M claims
Dane County Department of Human Services
Community/Behavioral Health · Madison
$186.9M
1.8M claims
Aurora Health Care Metro, Inc.
Internal Medicine, Hematology & Oncology · Milwaukee
$182.0M
7.4M claims
Froedtert Memorial Lutheran Hospital, Inc.
Clinic/Center, Radiology · Milwaukee
$157.9M
5.4M claims
Aurora Medical Group, Inc.
Internal Medicine · Milwaukee
$139.2M
5.1M claims
Ablelight Inc.
Intermediate Care Facility, Intellectual Disabilit · Watertown
$125.1M
389K claims
University of Wisconsin Hospitals and Clinics Authority
General Acute Care Hospital · Madison
$120.2M
4.1M claims
Flagged Providers in Wisconsin
Exact Sciences Laboratories LLC
$276.5M
2 flags
Milwaukee County Department on Aging Care Management Organization
$59.9M
2 flags
Children's Hospital of Wisconsin, Inc.
$262.2M
1 flag
Western Region Recovery & Wellness Consortia
$83.0M
1 flag
Kenosha County Department of Human Services
$63.1M
1 flag
Community Care Health Plan, INC
$63.1M
1 flag
County of Sauk
$59.6M
1 flag
Lakeland Care INC
$24.7M
1 flag
Children's Specialty Group, Inc.
$10.4M
1 flag
Spending by Top Procedures
Top Procedures in Wisconsin
| Code | Total Paid |
|---|---|
| H2017 Psychosocial rehabilitation services, per 15 min | $368.5M |
| 81528 Oncology, colorectal screening, quantitative analysis of stool DNA | $276.2M |
| T2016 Habilitation, residential, waiver; per diem | $82.7M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $75.2M |
| 99199 Unlisted special service, procedure, or report | $52.5M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $50.5M |
| 99283 Emergency dept visit, moderate complexity | $41.0M |
| 99284 Emergency dept visit, high complexity | $32.8M |
| 99211 Office/outpatient visit, minimal complexity | $30.8M |
| 96361 IV infusion, hydration, each additional hour | $25.9M |
| 99212 Office/outpatient visit, low complexity | $24.9M |
| 80053 Comprehensive metabolic panel | $18.2M |
| S5140 Foster care, adult; per diem | $14.9M |
| 99282 Emergency dept visit, low complexity | $14.4M |
| 99285 Emergency dept visit, high/urgent complexity | $14.1M |