Physician
Sponagle, Stephen
Sponagle, Stephen was paid $2K by Medicaid between Dec 2020 and Jun 2021, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoSPONAGLE, STEPHEN
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
33aNPI1255382925assigned 05/15/2006
33bProvider typePsychiatry Physician
28Total paid$2K
24GClaims49
24DCodes billed1
24AFirst – last monthDec 2020 – Jun 2021
Compared with peers
Next to other Psychiatry Physician providers in Wisconsin
Rank by total paid#63 of 116
Median peer was paid$2K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 22 | $646.40 | |
| 2021 | 27 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 100% | 49 | 43 | $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.