Clinic
Sheboygan Medical Center, LLC
Sheboygan Medical Center, LLC was paid $353K by Medicaid between Jan 2018 and Sep 2020, across 13 billing codes. Its largest line is 64635, — 41% of everything it billed.
33Billing provider infoSHEBOYGAN MEDICAL CENTER, LLC
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
33aNPI1366487241assigned 06/17/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$353K
24GClaims2,496
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wisconsin
Rank by total paid#17 of 64
Median peer was paid$60K
This provider vs. median5.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAL, VISHAL controls 17+ related entities in our dataset. Read more
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 | 1,410 | $178K | |
| 2019 | 810 | $135K | |
| 2020 | 276 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 64635 | 41% | 323 | 247 | $146K | |
| 64483 | 28% | 615 | 393 | $100K | |
| 64633 | 7.9% | 67 | 51 | $28K | |
| 62323 | 7.6% | 249 | 218 | $27K | |
| 64493 | 6.8% | 205 | 96 | $24K | |
| 62321 | 6.0% | 157 | 135 | $21K | |
| 20610 | 1.5% | 18 | 12 | $5K | |
| 64494 | <1% | 170 | 77 | $906.18 | |
| 64636 | <1% | 292 | 190 | $104.70 | |
| 64484 | 0% | 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 | 0% | 307 | 252 | $0.00 |
| 64634 | 0% | 48 | 27 | $0.00 |
1 more codes
| 77002 | 0% | 13 | $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 officialLAL, VISHAL (EXECUTIVE ADMINISTRATOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.