Medicare provider payments and utilization data for Wisconsin (WI)
Wisconsin received $11.0B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Clinical Laboratory, accounting for $330.1M in payments across 25 providers.
In 2023, 24.4K providers were actively billing Medicare in Wisconsin.
Annual Medicare spending grew 36% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $919.3M | 25.9M | 20.5K | — |
| 2015 | $961.8M | 26.0M | 21.0K | +4.6% |
| 2016 | $999.6M | 26.4M | 21.5K | +3.9% |
| 2017 | $1.1B | 27.0M | 22.2K | +6.5% |
| 2018 | $1.1B | 26.9M | 22.7K | +5.7% |
| 2019 | $1.2B | 26.7M | 23.3K | +6.2% |
| 2020 | $1.0B | 23.4M | 22.8K | -13.3% |
| 2021 | $1.2B | 26.0M | 23.5K | +17.2% |
| 2022 | $1.2B | 25.2M | 23.9K | -1.7% |
| 2023 | $1.3B | 25.8M | 24.4K | +4.9% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 81528 | Gene analysis (colorectal cancer) | $299.3M | 600.4K | 1 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $90.6M | 1.2M | 9.8K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $43.8M | 854.4K | 9.4K |
| J0178 | Injection, aflibercept, 1 mg | $29.8M | 43.4K | 61 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $25.1M | 434.1K | 3.5K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $22.3M | 57.2K | 218 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $21.5M | 179.6K | 2.4K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $21.0M | 198.8K | 3.3K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $20.7M | 383.2K | 312 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $18.4M | 208.5K | 2.1K |
| 99285 | Emergency department visit with high level of medical decision making | $16.4M | 128.5K | 1.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $15.8M | 48.1K | 301 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | $13.5M | 378.8K | 301 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $13.2M | 94.4K | 752 |
| A0425 | Ground mileage, per statute mile | $13.1M | 1.7M | 322 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $12.7M | 100.4K | 2.1K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $12.4M | 121.3K | 3.4K |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $10.2M | 581.7K | 1.5K |
| 99291 | Critical care, first 30-74 minutes | $10.0M | 63.4K | 1.2K |
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | $10.0M | 375.8K | 1.0K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Clinical Laboratory | $330.1M | 25 | $13.2M |
| Ophthalmology | $81.1M | 303 | $267.8K |
| Family Practice | $64.3M | 2.0K | $31.7K |
| Ambulance Service Provider | $62.8M | 323 | $194.3K |
| Internal Medicine | $62.1M | 1.2K | $49.8K |
| Nurse Practitioner | $56.8M | 3.6K | $15.6K |
| Diagnostic Radiology | $48.5M | 732 | $66.3K |
| Ambulatory Surgical Center | $42.9M | 77 | $556.6K |
| Physician Assistant | $31.5M | 2.4K | $13.4K |
| Gastroenterology | $30.8M | 246 | $125.1K |
| Physical Therapist in Private Practice | $28.9M | 1.4K | $20.6K |
| Dermatology | $25.7M | 217 | $118.3K |
| Emergency Medicine | $25.4M | 893 | $28.4K |
| Mass Immunizer Roster Biller | $22.4M | 506 | $44.3K |
| Cardiology | $20.9M | 289 | $72.2K |
| Orthopedic Surgery | $20.8M | 414 | $50.3K |
| Centralized Flu | $20.4M | 230 | $88.9K |
| Hospitalist | $18.5M | 553 | $33.4K |
| Rheumatology | $16.4M | 97 | $168.6K |
| Pathology | $16.1M | 265 | $60.8K |
| Hematology-Oncology | $15.1M | 201 | $75.1K |
| Optometry | $14.1M | 633 | $22.3K |
| Chiropractic | $13.0M | 1.2K | $10.5K |
| Nephrology | $12.9M | 142 | $90.6K |
| Radiation Oncology | $12.4M | 124 | $100.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.