Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Kenosha › NPI 1043610280
Physician

Zenith Healthcare SC

Zenith Healthcare SC was paid $949K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.

33Billing provider infoZENITH HEALTHCARE SC
KENOSHA, WI 53142
33aNPI1043610280assigned 08/25/2014
28Total paid$949K
24GClaims49,687
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Wisconsin

Rank by total paid#4 of 72
Median peer was paid$544.40
This provider vs. median1,743×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20186,043$98K
20198,356$157K
20208,099$136K
20217,410$106K
20226,925$132K
20237,012$150K
2024incomplete5,842$171K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 51% 30,324 5,319 $485K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 8,974 7,033 $220K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14% 3,715 2,978 $134K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 516 468 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.8% 1,742 416 $27K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.3% 238 200 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 164 154 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 84 68 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 183 164 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 91 69 $3K
0012A <1% 90 85 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 39 39 $2K
26 more codes
0011A <1% 91 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 18 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 79 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 57 $897.75
99201 <1% 73 $874.00
99072 <1% 671 $819.20
90686 <1% 81 $766.55
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 52 $712.52
99000 <1% 189 $548.80
90648 <1% 45 $540.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 13 $510.00
96127 <1% 151 $502.74
0064A <1% 17 $496.08
93000 <1% 46 $395.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 29 $352.11
90656 <1% 25 $223.88
92552 <1% 12 $182.27
80061 Lipid panel <1% 33 $180.71
90670 <1% 14 $180.00
90460 Immunization administration through 18 years of age via any route, first or only component <1% 546 $176.18
82947 <1% 128 $124.13
36415 Collection of venous blood by venipuncture <1% 636 $123.99
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 32 $81.55
3008F <1% 239 $80.04
80053 Comprehensive metabolic panel <1% 16 $61.79
90461 <1% 234 $52.20

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 officialMUSEITIF, RAAID (PRESIDENT)