Clinic
Mayfair Digestive Health Center, LLC
Mayfair Digestive Health Center, LLC was paid $196K by Medicaid between Mar 2019 and Oct 2024, across 6 billing codes. Its largest line is 45385, Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) — 40% of everything it billed.
33Billing provider infoMAYFAIR DIGESTIVE HEALTH CENTER, LLC
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
33aNPI1013984657assigned 03/02/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$196K
24GClaims1,426
24DCodes billed6
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wisconsin
Rank by total paid#25 of 64
Median peer was paid$60K
This provider vs. median3.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 29 | $3K | |
| 2020 | 97 | $16K | |
| 2021 | 157 | $27K | |
| 2022 | 409 | $53K | |
| 2023 | 454 | $49K | |
| 2024incomplete | 280 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 40% | 295 | 236 | $79K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 35% | 639 | 536 | $68K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 255 | 197 | $43K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 3.0% | 17 | 14 | $6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 181 | 138 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 39 | 29 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBURNS, AMY (DIRECTOR REVENUE CYCLE MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Gi Associates LLC | Milwaukee, WI | $1.72M |
| Center for Digestive Health LTD | Milwaukee, WI | $599K |
| Aurora Gi Asc LLC | West Allis, WI | $203K |
| Racine Digestive Health Center LLC | Sturtevant, WI | $85K |
| Milwaukee Gi Specialists SC | Wauwatosa, WI | $8K |
| Anesthesia Partners Services, S.C. | Milwaukee, WI | $6K |
| Gi Specialists LLC | Waukesha, WI | $3K |
| Kenosha Digestive Health Center LLC | Kenosha, WI | $2K |
| Gastroenterology Consultants, LTD | Milwaukee, WI | $0.00 |
| Southern Lakes Endoscopy LLC | Mukwonago, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.