Froedtert South Inc.

Hospital in Pleasant Prairie, WI, Medicare certification number 520021. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 520021The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Local
Control type: Local
Participating since: Jul 1, 1966
Last certification: Oct 24, 2003
Beds: 380
Overall star rating: 2 of 5Care Compare
Address: 9555 76TH St
Pleasant Prairie, WI 53158
(262) 656-2011

NPI records for this facility (CCN to NPI Mapping) 1

Froedtert South, Inc.
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 4.01 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.58 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 4.14 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.68 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 4.22 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.88 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 4.14 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 4.04 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 472

Page 1 of 19Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Katherine M Abbo, MD FACC
- Cardiovascular Disease Physician
- Kenosha, WI
- NPI 1962488965
Guy R Abderholden, MD
- Family Medicine Physician
- Antioch, IL
- NPI 1902899792
Sameem M Abedin, MD
- Hematology & Oncology Physician
- Milwaukee, WI
- NPI 1063641157
Manish H Acharya, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1437129715
Anil Aggarwal, M.D.
- Anesthesiology Physician
- Menomonee Falls, WI
- NPI 1164405288
Farid A Ahmad, MD
- General Practice Physician
- Oak Creek, WI
- NPI 1871916031
Arvind Ahuja, M.D.
- Neurological Surgery Physician
- Franklin, WI
- NPI 1801857297
Nancy Aiello, NP
- Nurse Practitioner
- Kenosha, WI
- NPI 1821427568
Zaheer Akhtar, DO
- Hospitalist Physician
- Green Bay, WI
- NPI 1366002966
Akua Oforiwaa Akuffo, DNP-FNP-C
- Nurse Practitioner
- Libertyville, IL
- NPI 1386124618
Anika Alam, PA
- Physician Assistant
- Pleasant Prairie, WI
- NPI 1821860321
Nino Alapishvili
- Nephrology Physician
- Gurnee, IL
- NPI 1508033226
Justin P Alexander, MD
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1831552454
Jessica M Alles, FNP
- Family Nurse Practitioner
- Kenosha, WI
- NPI 1265052393
MHD Anas Alsawaf, MBBS, MD
- Orthopaedic Surgery Physician
- Pleasant Prairie, WI
- NPI 1144411653
Nejd F Alsikafi, M.D.
- Urology Physician
- Gurnee, IL
- NPI 1649271123
Ziad Alsokary, CRNA, ARNP, APRN, MS
- Certified Registered Nurse Anesthetist
- Killeen, TX
- NPI 1972772184
Jordan M Alvia, MD
- Family Medicine Physician
- Chicago, IL
- NPI 1205574456
Altaf Aman, M.D.
- Hospitalist Physician
- McHenry, IL
- NPI 1942381132
Aisha Amin, MD
- Hospitalist Physician
- Park Ridge, IL
- NPI 1225202096
Utchariya Anantamongkol, MD
- Anesthesiology Physician
- Marshfield, WI
- NPI 1114346558
Daisy Andaleon, M.D.
- Family Medicine Physician
- Pleasant Prairie, WI
- NPI 1093723413
Corey D Anderson, MD
- Anesthesiology Physician
- Lafayette, IN
- NPI 1588862114
Dustin C Anderson, M.D.
- Anesthesiology Physician
- Washington, UT
- NPI 1306053897
Clara Michelle Andrews, MD
- Anesthesiology Physician
- San Antonio, TX
- NPI 1871888347

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.9
- State average 1.12 (computed here)
- National average 1.06
- No different than the national rate
- 543 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.18
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.37 (computed here)
- National average 2.4
- No different than the national rate
- 30 patients
- Period from 07/01/2022
Death rate for COPD patients As expected10.2
- State average 8.59 (computed here)
- National average 8.6
- No different than the national rate
- 137 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.2
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 82 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected14.9
- State average 12.02 (computed here)
- National average 11.1
- No different than the national rate
- 200 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.2
- State average 15.15 (computed here)
- National average 15.2
- No different than the national rate
- 246 patients
- Period from 07/01/2022
Death rate for stroke patients As expected15.2
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 189 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4
- State average 3.88 (computed here)
- National average 3.9
- No different than the national rate
- 2,111 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.24
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 2,904 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 2,918 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.28
- State average 3.5 (computed here)
- National average 3.52
- No different than the national rate
- 619 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.86
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 179 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected3.39
- State average 2.45 (computed here)
- National average 2.34
- No different than the national rate
- 606 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected9.5
- State average 8.39 (computed here)
- National average 9.42
- No different than the national rate
- 169 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.29
- State average 4.94 (computed here)
- National average 5.27
- No different than the national rate
- 161 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.72
- State average 1.81 (computed here)
- National average 1.77
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.14
- State average 0.76 (computed here)
- National average 0.63
- No different than the national rate
- 2,638 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (2)

Death rate among surgical inpatients with serious treatable complications — 1
Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.76
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.78
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.5
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.75
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.67
- State average 0.98
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.4
- State average 4.55 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.2
- State average 5.62 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.98
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 52
- State average 72.8 (computed here)
- National average 74.05 (computed here)
- 40 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 95
- State average 96.09 (computed here)
- National average 92.79 (computed here)
- 134 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 79
- State average 72
- National average 65
- 87 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 171
- State average 144
- National average 168
- 379 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 157
- State average 137
- National average 162
- 348 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 301
- State average 203
- National average 257
- 26 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 98.07 (computed here)
- National average 96.1 (computed here)
- 157 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 97
- National average 93
- 93 patients
- Period from 01/01/2024
Head CT results 75
- State average 74
- National average 69
- 12 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 90
- State average 85
- National average 78
- 3,051 patients
- Period from 10/01/2024
Left before being seen 1
- State average 2
- National average 2
- 41,038 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 14
- National average 15
- 2,045 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 88
- State average 77
- National average 73
- 34 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 100
- State average 88
- National average 87
- 20 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 87
- State average 85
- National average 81
- 87 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 94
- National average 93
- 49 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.4
- State average 14.09 (computed here)
- National average 14.4
- No different than the national rate
- 139 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate Worse25.5
- State average 21.16 (computed here)
- National average 21.3
- Worse than the national rate
- 347 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 39.9
- State average 9.95 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 87 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 28.6
- State average -5.03 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 222 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 2.8
- State average -3.39 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 246 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.8
- State average 17.04 (computed here)
- National average 17.3
- No different than the national rate
- 395 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.2
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 90 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.6
- State average 10.67 (computed here)
- National average 10.7
- No different than the national rate
- 90 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected12
- State average 10.61 (computed here)
- National average 11
- No different than the national rate
- 33 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.6
- State average 19.79 (computed here)
- National average 20
- No different than the national rate
- 245 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.2
- State average 13.21 (computed here)
- National average 13
- No different than the national rate
- 1,490 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 252 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Other hospitals near Pleasant Prairie, WI

No other hospitals are listed in Pleasant Prairie, WI; these share its ZIP code area (531xx).

Aurora Lakeland Medical Center Elkhorn
Aurora Medical Center Kenosha Kenosha
Aurora Memorial Hospital Burlington Burlington
Children's Hospital of Wi--Kenosha Kenosha terminated
Froedtert Community Hospital New Berlin
Geneva Surgical Suites LLC Genoa City terminated
Mercy Walworth Hospital & Medical Center Lake Geneva
Midwest Orthopedic Specialty Hospital Franklin
Waukesha County Mental Health Ctr Waukesha
Waukesha Memorial Hospital Waukesha

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.