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University of Wisconsin Hospitals and Clinics Authority

General Acute Care Hospital·Madison, WI·NPI: 1922043744Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $120.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$120.2M

$120,162,756

Total Claims

4.1M

Beneficiaries

3.3M

1.3 claims/patient

Avg Cost/Claim

$29

#995 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

University of Wisconsin Hospitals and Clinics Authority is a General Acute Care Hospital provider based in Madison, WI. From the 2018–2024 period, this provider received $120.2M in Medicaid payments across 4.1M claims.

Why This Matters

This provider received $120.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,020 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 57% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.5M
+13%
2019
$15.2M
-13%
2020
$13.2M
+27%
2021
$16.8M
+1%
2022
$16.9M
+39%
2023
$23.5M
-10%
2024
$21.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 25%

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

$18.1M

273K claims · 15.1%

Your Cost: $66.28/claim|Median: $37.81
1.8× median
99214Top 25%

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

$7.3M

85K claims · 6.1%

Your Cost: $86.12/claim|Median: $53.41
1.6× median
T2023Top 25%

Community transition, waiver; per service

$6.8M

16K claims · 5.7%

Your Cost: $417.23/claim|Median: $300.13
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$4.9M

42K claims · 4.1%

Your Cost: $116.32/claim|Median: $38.92
3.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.7M

46K claims · 2.3%

Your Cost: $59.14/claim|Median: $42.48
1.4× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$2.7M

43K claims · 2.2%

Your Cost: $63.41/claim|Median: $39.70
1.6× median
99284Normal range

Emergency dept visit, high complexity

$2.6M

46K claims · 2.2%

Your Cost: $56.96/claim|Median: $69.51
0.8× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$2.5M

2K claims · 2.1%

Your Cost: $1,455.64/claim|Median: $1,650.68
0.9× median
80053Top 10%

Comprehensive metabolic panel

$2.5M

80K claims · 2.1%

Your Cost: $31.22/claim|Median: $7.24
4.3× median
96365Normal range

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

$2.5M

34K claims · 2.0%

Your Cost: $71.73/claim|Median: $54.77
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.8M

34K claims · 1.5%

Your Cost: $52.46/claim|Median: $85.65
0.6× median
Q3014Top 5%

Telehealth originating site facility fee

$1.7M

45K claims · 1.4%

Your Cost: $37.37/claim|Median: $15.37
2.4× median
80048Top 10%

Basic metabolic panel

$1.6M

61K claims · 1.3%

Your Cost: $25.76/claim|Median: $5.78
4.5× median
99215Normal range

Office/outpatient visit, high complexity

$1.4M

15K claims · 1.1%

Your Cost: $90.61/claim|Median: $74.09
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.3M

19K claims · 1.1%

Your Cost: $66.72/claim|Median: $57.85
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.2M

11K claims · 1.0%

Your Cost: $108.57/claim|Median: $100.62
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$1.0M

5K claims · 0.9%

Your Cost: $189.19/claim|Median: $151.68
1.3× median
96360Normal range

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

$1.0M

12K claims · 0.8%

Your Cost: $85.23/claim|Median: $61.57
1.4× median
70553Normal range

MRI brain without contrast, then with contrast

$1.0M

10K claims · 0.8%

Your Cost: $95.68/claim|Median: $133.68
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$986K

15K claims · 0.8%

Your Cost: $65.98/claim|Median: $65.76
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$978K

49K claims · 0.8%

Your Cost: $19.92/claim|Median: $24.49
0.8× median
A0436Normal range

ALS mileage, per mile, level 2

$975K

2K claims · 0.8%

Your Cost: $562.77/claim|Median: $705.08
0.8× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$970K

8K claims · 0.8%

Your Cost: $121.24/claim|Median: $260.56
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$833K

122K claims · 0.7%

Your Cost: $6.85/claim|Median: $4.71
1.4× median
96366Normal range

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

$811K

9K claims · 0.7%

Your Cost: $89.53/claim|Median: $40.12
2.2× median
G0463Normal range

Hospital outpatient clinic visit

$790K

102K claims · 0.7%

Your Cost: $7.72/claim|Median: $26.41
0.3× median
64643Top 25%

$777K

5K claims · 0.6%

Your Cost: $155.37/claim|Median: $58.21
2.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$739K

6K claims · 0.6%

Your Cost: $115.74/claim|Median: $54.68
2.1× median
82306Top 10%

Vitamin D, 25 hydroxy

$735K

19K claims · 0.6%

Your Cost: $39.38/claim|Median: $18.18
2.2× median
P9016Top 5%

$718K

1K claims · 0.6%

Your Cost: $645.49/claim|Median: $122.26
5.3× median

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