Behavioral
Aurora Bay Area Medical Group LLC
Aurora Bay Area Medical Group LLC was paid $555K by Medicaid between Jan 2018 and Jan 2020, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoAURORA BAY AREA MEDICAL GROUP LLC
MARINETTE, WI 54143
MARINETTE, WI 54143
33aNPI1295122729assigned 04/22/2015
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$555K
24GClaims16,298
24DCodes billed27
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin
Rank by total paid#19 of 147
Median peer was paid$12K
This provider vs. median47×
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 | 7,669 | $249K | |
| 2019 | 7,866 | $270K | |
| 2020 | 763 | $35K |
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 | 52% | 6,634 | 5,630 | $288K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 5,393 | 4,799 | $169K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.0% | 410 | 341 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 396 | 369 | $15K |
| 97597 | 1.7% | 529 | 287 | $9K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 153 | 135 | $9K |
| 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 | 1.2% | 81 | 76 | $7K |
| 99310 | Prolong nursin fac eval 15m | <1% | 402 | 387 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 97 | 96 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 115 | 70 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 688 | 548 | $4K |
| 99000 | <1% | 618 | 568 | $2K |
15 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 13 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 50 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 22 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $814.06 |
| 90686 | <1% | 56 | $647.94 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 488 | $642.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $312.02 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $267.60 |
| 3008F | <1% | 15 | $150.00 | |
| 90688 | <1% | 17 | $131.32 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $113.38 |
| 90670 | <1% | 15 | $50.57 | |
| 90723 | <1% | 14 | $47.26 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 25 | $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 (ASSISTANT TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Aurora Advanced Healthcare, INC. | Milwaukee, WI | $28.21M |
| Aurora Medical Group, INC. | Milwaukee, WI | $3.18M |
| Aurora Health Care Metro, INC. | Milwaukee, WI | $2.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.