Aspirus Medical Group, INC.
Aspirus Medical Group, INC. was paid $975K by Medicaid between Apr 2018 and Oct 2024, across 19 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 20% of everything it billed.
WAUSAU, WI 54401
Next to other Clinic/Center providers in Wisconsin
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 260 | $12K | |
| 2019 | 1,215 | $61K | |
| 2020 | 2,805 | $162K | |
| 2021 | 4,251 | $278K | |
| 2022 | 4,167 | $284K | |
| 2023 | 2,787 | $171K | |
| 2024incomplete | 202 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 20% | 3,335 | 2,446 | $190K |
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 2,668 | 1,165 | $183K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 16% | 150 | 131 | $156K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 16% | 1,222 | 1,019 | $153K |
| 59025 | Fetal non-stress test | 8.6% | 2,541 | 1,501 | $84K |
| 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 | 6.8% | 1,697 | 1,032 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 1,960 | 1,233 | $49K |
| 99242 | 2.7% | 690 | 609 | $27K | |
| 76821 | 2.5% | 350 | 109 | $24K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.3% | 211 | 145 | $13K |
| 76820 | 1.3% | 330 | 101 | $12K | |
| 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% | 121 | 112 | $7K |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 264 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 18 | $2K |
| 90715 | <1% | 14 | $415.91 | |
| 90686 | <1% | 21 | $377.66 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $46.87 |
| 0503F | 0% | 64 | $0.00 | |
| 0500F | 0% | 19 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.