Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHEBOYGAN MEDICAL CENTER, LLC

NPI: 1366487241 · SHEBOYGAN, WI 53081 · Ambulatory Surgical Clinic/Center · NPI assigned 06/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAL, VISHAL controls 17+ related entities in our dataset. Read more

$353K
Total Medicaid Paid
2,496
Total Claims
1,738
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialLAL, VISHAL (EXECUTIVE ADMINISTRATOR)
NPI Enumeration Date06/17/2006

Related Entities

Other providers sharing the same authorized official: LAL, VISHAL

ProviderCityStateTotal Paid
ADVANCED PAIN MANAGEMENT SC GREENFIELD WI $3.74M
WISCONSIN HEALTH CENTER LLC GREENFIELD WI $1.15M
UNITED MEDICAL CENTER, LLC MILWAUKEE WI $1.07M
WISCONSIN SURGERY CENTER LLC MILWAUKEE WI $532K
PAIN CENTERS OF WISCONSIN-GREEN BAY, LLC GREEN BAY WI $284K
PAIN CENTERS OF WISCONSIN - KENOSHA, LLC PLEASANT PRAIRIE WI $77K
PAIN CENTERS OF WISCONSIN - APPLETON, LLC APPLETON WI $36K
WAUKESHA PAIN CENTER LLC WAUKESHA WI $32K
SURGI CENTER OF GREATER MADISON, LLC MADISON WI $26K
MUNSTER SURGERY CENTER LLC MUNSTER IN $17K
PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC MILWAUKEE WI $12K
PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC FRANKLIN WI $11K
PAIN CENTERS OF WISCONSIN - WAUSAU, LLC WAUSAU WI $9K
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC BEAVER DAM WI $2K
PAIN CENTERS OF WISCONSIN - WEST BEND, LLC WEST BEND WI $0.00
PAIN CENTERS OF WISCONSIN - STEVENS POINT, LLC STEVENS POINT WI $0.00
PAIN CENTERS OF WISCONSIN - SAUK PRAIRIE, LLC PRAIRIE DU SAC WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,410 $178K
2019 810 $135K
2020 276 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
64635 323 247 $146K
64483 615 393 $100K
64633 67 51 $28K
62323 249 218 $27K
64493 205 96 $24K
62321 157 135 $21K
20610 18 12 $5K
64494 170 77 $906.18
64636 292 190 $104.70
64484 32 28 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 307 252 $0.00
64634 48 27 $0.00
77002 13 12 $0.00