NP / PA
Aurora Health Care Metro, INC.
Aurora Health Care Metro, INC. was paid $2.11M by Medicaid between Jan 2018 and Oct 2020, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoAURORA HEALTH CARE METRO, INC.
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1073739926assigned 04/18/2007
33bProvider typeAdvanced Practice Midwife
28Total paid$2.11M
24GClaims67,078
24DCodes billed55
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Advanced Practice Midwife providers in Wisconsin
Rank by total paid#1 of 6
Median peer was paid$32K
This provider vs. median67×
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 | |
|---|---|---|---|
| 2018 | 28,509 | $897K | |
| 2019 | 26,236 | $794K | |
| 2020 | 12,333 | $421K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 31,357 | 28,989 | $1.24M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 10,134 | 9,541 | $293K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 5,034 | 1,944 | $77K |
| 99220 | 3.5% | 1,530 | 1,425 | $75K | |
| 99460 | 3.3% | 669 | 640 | $70K | |
| 99223 | Prolong inpt eval add15 m | 2.3% | 1,014 | 942 | $49K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 1,620 | 1,526 | $45K |
| 90686 | 1.6% | 2,808 | 2,752 | $34K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.6% | 1,569 | 581 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 523 | 519 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 476 | 463 | $28K |
| 99217 | <1% | 699 | 648 | $18K |
43 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 282 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 328 | $12K |
| 90688 | <1% | 874 | $11K | |
| 99000 | <1% | 2,720 | $10K | |
| 99443 | <1% | 459 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 84 | $6K |
| 81025 | <1% | 677 | $5K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 67 | $5K |
| 99442 | <1% | 297 | $5K | |
| 99225 | <1% | 258 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 72 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 70 | $4K |
| 99226 | <1% | 141 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 59 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 74 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 304 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 48 | $2K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 439 | $2K |
| 54150 | <1% | 40 | $2K | |
| 90715 | <1% | 78 | $2K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 52 | $2K |
| 59025 | Fetal non-stress test | <1% | 50 | $2K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 39 | $2K |
| 90670 | <1% | 234 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 297 | $951.01 |
| 99349 | <1% | 12 | $910.75 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 99 | $838.30 |
| 99219 | <1% | 14 | $591.79 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $532.79 |
| 99462 | <1% | 14 | $479.84 | |
| 3008F | <1% | 29 | $250.20 | |
| 90647 | <1% | 58 | $239.43 | |
| 93000 | <1% | 14 | $182.09 | |
| 83655 | <1% | 14 | $174.52 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 867 | $157.19 |
| 81002 | <1% | 40 | $115.06 | |
| 90685 | <1% | 31 | $103.39 | |
| 90633 | <1% | 29 | $97.36 | |
| 90662 | <1% | 82 | $68.36 | |
| 90723 | <1% | 18 | $59.97 | |
| 90700 | <1% | 12 | $40.20 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 126 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 116 | $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 officialNELSON, NAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Aurora Advanced Healthcare, INC. | Milwaukee, WI | $28.21M |
| Aurora Medical Group, INC. | Milwaukee, WI | $3.18M |
| Aurora Bay Area Medical Group LLC | Marinette, WI | $555K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.