Wisconsin
#29 in Medicaid spending (0.9% of national total)
Total Spending
$9.81B
Total Claims
259.1M
Providers
10,281
Avg Cost/Claim
$38
Data Coverage Note: Wisconsin has 71% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 29% of enrollees). Actual total Medicaid spending in Wisconsin is significantly higher than shown.
Enrollment (Latest)
1.3M
Managed Care
71%
ACA Expansion
Not Expanded
FFS $/Enrollee
$1,380
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
EXACT SCIENCES LABORATORIES, LLC Clinical Medical Laboratory | $276.5M |
CHILDREN'S HOSPITAL OF WISCONSIN, INC. Dentist | $262.2M |
COUNTY OF MILWAUKEE Community/Behavioral Health | $234.1M |
DANE COUNTY DEPARTMENT OF HUMAN SERVICES Community/Behavioral Health | $186.9M |
AURORA HEALTH CARE METRO, INC. Internal Medicine | $182.0M |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. Clinic/Center | $157.9M |
AURORA MEDICAL GROUP, INC. Internal Medicine | $139.2M |
ABLELIGHT INC. Intermediate Care Facility, Intellectual Disabilities | $125.1M |
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY General Acute Care Hospital | $120.2M |
A2CL SERVICES, LLC Clinical Medical Laboratory | $98.7M |
ASCENSION SE WISCONSIN HOSPITAL, INC General Acute Care Hospital | $94.3M |
COUNTY OF MILWAUKEE Community/Behavioral Health | $91.8M |
COUNTY OF LA CROSSE Community/Behavioral Health | $85.0M |
WESTERN REGION RECOVERY & WELLNESS CONSORTIA Community/Behavioral Health | $83.0M |
FW CONSULTING DHFS LLC Supports Brokerage | $77.5M |
ERIC LUND Psychologist | $77.3M |
THE MEDICAL COLLEGE OF WISCONSIN, INC. Chiropractor | $74.8M |
GUNDERSEN LUTHERAN MEDICAL CENTER INC Clinic/Center | $74.3M |
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE FACILITY Clinic/Center | $73.8M |
ASCENSION ALL SAINTS HOSPITAL, INC General Acute Care Hospital | $70.2M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $1.09B |
| T1016 | Case management | $387.8M |
| 99214 | Office o/p est mod 30 min | $334.7M |
| 99213 | Office o/p est low 20 min | $303.8M |
| T1015 | Clinic service | $294.2M |
| 81528 | Oncology colorectal scr | $276.9M |
| 99283 | Emergency dept visit low mdm | $222.3M |
| T2046 | Hospice long term care, r&b | $209.9M |
| 99284 | Emergency dept visit mod mdm | $209.2M |
| T1017 | Targeted case management | $176.3M |
| 99199 | Unlisted special svc px/rprt | $166.1M |
| 97153 | Adaptive behavior tx by tech | $165.3M |
| S9484 | Crisis intervention per hour | $159.5M |
| 96361 | Hydrate iv infusion add-on | $150.2M |
| 90999 | Unlisted dialysis procedure | $147.2M |
| H0039 | Asser com tx face-face/15min | $137.6M |
| 90837 | Psytx w pt 60 minutes | $117.6M |
| T1019 | Personal care ser per 15 min | $115.5M |
| T2016 | Habil res waiver per diem | $114.6M |
| H2012 | Behav hlth day treat, per hr | $114.5M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $1.75B | 833 |
| Community/Behavioral Health | $1.47B | 179 |
| General Acute Care Hospital | $963.4M | 110 |
| Dentist | $613.6M | 517 |
| Clinical Medical Laboratory | $515.3M | 75 |
| Internal Medicine | $432.1M | 371 |
| Case Management | $337.6M | 156 |
| Counselor | $217.0M | 699 |
| Local Education Agency (LEA) | $211.3M | 364 |
| Ambulance | $177.2M | 182 |
| Durable Medical Equipment & Medical Supplies | $172.5M | 492 |
| Home Health | $162.4M | 78 |
| Hospice Care, Community Based | $154.5M | 52 |
| Chiropractor | $152.8M | 1,079 |
| Family Medicine | $144.6M | 373 |
| Psychologist | $141.8M | 115 |
| Behavior Analyst | $139.9M | 109 |
| Intermediate Care Facility, Intellectual Disabilities | $126.2M | 3 |
| Public Health or Welfare | $102.4M | 67 |
| Supports Brokerage | $89.5M | 3 |