Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Froedtert Memorial Lutheran Hospital, Inc.

Clinic/Center, Radiology·Milwaukee, WI·NPI: 1255334173Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$157.9M

$157,851,736

Total Claims

5.4M

Beneficiaries

4.1M

1.3 claims/patient

Avg Cost/Claim

$29

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

🔍 Analysis

Provider Overview

Froedtert Memorial Lutheran Hospital, Inc. is a Clinic/Center, Radiology provider based in Milwaukee, WI. From the 2018–2024 period, this provider received $157.9M in Medicaid payments across 5.4M claims.

Why This Matters

This provider received $157.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,731 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 10% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.5M
-2%
2019
$23.1M
-11%
2020
$20.5M
+12%
2021
$23.0M
-4%
2022
$22.1M
+11%
2023
$24.5M
-14%
2024
$21.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 11% of total spending.

99211Top 10%

Office/outpatient visit, minimal complexity

$17.4M

244K claims · 11.0%

Your Cost: $71.04/claim|Median: $12.93
5.5× median
99212Top 10%

Office/outpatient visit, low complexity

$8.2M

122K claims · 5.2%

Your Cost: $67.18/claim|Median: $25.06
2.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$7.4M

54K claims · 4.7%

Your Cost: $136.82/claim|Median: $38.92
3.5× median
99284Normal range

Emergency dept visit, high complexity

$5.7M

95K claims · 3.6%

Your Cost: $60.23/claim|Median: $69.51
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.0M

76K claims · 3.2%

Your Cost: $66.36/claim|Median: $42.48
1.6× median
80048Top 10%

Basic metabolic panel

$4.8M

168K claims · 3.0%

Your Cost: $28.58/claim|Median: $5.78
4.9× median
80053Top 10%

Comprehensive metabolic panel

$4.2M

114K claims · 2.7%

Your Cost: $36.82/claim|Median: $7.24
5.1× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.4M

2K claims · 2.2%

Your Cost: $1,509.21/claim|Median: $5,391.55
0.3× median
P9016Top 5%

$3.4M

5K claims · 2.2%

Your Cost: $699.09/claim|Median: $122.26
5.7× median
96365Normal range

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

$3.3M

40K claims · 2.1%

Your Cost: $83.13/claim|Median: $54.77
1.5× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$2.9M

60K claims · 1.8%

Your Cost: $48.07/claim|Median: $38.23
1.3× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$2.1M

13K claims · 1.3%

Your Cost: $169.11/claim|Median: $260.56
0.7× median
96366Normal range

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

$2.0M

19K claims · 1.3%

Your Cost: $107.48/claim|Median: $40.12
2.7× median
70450Top 25%

CT head/brain without contrast

$2.0M

25K claims · 1.3%

Your Cost: $82.70/claim|Median: $45.53
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$1.9M

24K claims · 1.2%

Your Cost: $78.11/claim|Median: $65.76
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.8M

28K claims · 1.2%

Your Cost: $64.95/claim|Median: $75.28
0.9× median
99213Top 10%

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

$1.8M

25K claims · 1.1%

Your Cost: $71.31/claim|Median: $37.81
1.9× median
99282Normal range

Emergency dept visit, low complexity

$1.7M

23K claims · 1.1%

Your Cost: $73.79/claim|Median: $37.72
2.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.6M

15K claims · 1.0%

Your Cost: $106.33/claim|Median: $470.36
0.2× median
J1569Normal range

$1.6M

3K claims · 1.0%

Your Cost: $467.93/claim|Median: $1,387.65
0.3× median
97110Normal range

Therapeutic exercises, each 15 min

$1.4M

60K claims · 0.9%

Your Cost: $23.78/claim|Median: $24.49
1.0× median
96360Normal range

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

$1.3M

17K claims · 0.8%

Your Cost: $78.96/claim|Median: $61.57
1.3× median
Q3014Top 5%

Telehealth originating site facility fee

$1.3M

32K claims · 0.8%

Your Cost: $40.22/claim|Median: $15.37
2.6× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.3M

3K claims · 0.8%

Your Cost: $403.54/claim|Median: $1,587.53
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.2M

209K claims · 0.8%

Your Cost: $5.93/claim|Median: $4.71
1.3× median
96415Top 25%

Chemotherapy infusion, each additional hour

$1.2M

10K claims · 0.8%

Your Cost: $117.08/claim|Median: $43.68
2.7× median
J2505Normal range

$1.1M

2K claims · 0.7%

Your Cost: $696.55/claim|Median: $1,842.27
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$986K

9K claims · 0.6%

Your Cost: $109.60/claim|Median: $133.68
0.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$941K

26K claims · 0.6%

Your Cost: $35.65/claim|Median: $24.95
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$895K

5K claims · 0.6%

Your Cost: $198.72/claim|Median: $151.68
1.3× median

Other Top Providers in Wisconsin

View all →

Exact Sciences Laboratories LLC

Clinical Medical Laboratory

$276.5M

Children's Hospital of Wisconsin, Inc.

Dentist, Pediatric Dentistry

$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, Hematology & Oncology

$182.0M

← All providersAll providers in Wisconsin →How we detect fraud →