Rheumatology and Immunotherapy

Rheumatology and Immunotherapy was paid $29K by Medicaid between Jan 2018 and Apr 2019, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoRHEUMATOLOGY AND IMMUNOTHERAPY
FRANKLIN, WI 53132

33aNPI1154527455assigned 06/23/2007

33bProvider typeRheumatology Physician

28Total paid$29K

24GClaims974

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Rheumatology Physician providers in Wisconsin

Rank by total paid#4 of 9

Median peer was paid$13K

This provider vs. median2.1×

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	706	$21K
2019	268	$7K

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	82%	842	768	$23K
99205	Prolong outpt/office vis	12%	47	41	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	85	80	$2K

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 officialWELLS, ALVIN (PRESIDENT)