Physician
Fox Valley Pulmonary Medicine, S.C.
Fox Valley Pulmonary Medicine, S.C. was paid $189K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoFOX VALLEY PULMONARY MEDICINE, S.C.
APPLETON, WI 54911
APPLETON, WI 54911
33aNPI1366506016assigned 12/20/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$189K
24GClaims10,101
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Wisconsin
Rank by total paid#4 of 10
Median peer was paid$22K
This provider vs. median8.5×
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 | 605 | $11K | |
| 2019 | 816 | $13K | |
| 2020 | 522 | $9K | |
| 2021 | 1,900 | $35K | |
| 2022 | 2,218 | $43K | |
| 2023 | 2,638 | $49K | |
| 2024incomplete | 1,402 | $28K |
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 | 18% | 1,477 | 1,363 | $35K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 16% | 1,109 | 599 | $31K |
| 94729 | 14% | 2,458 | 2,173 | $26K | |
| 94060 | 12% | 1,457 | 1,294 | $22K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,117 | 1,035 | $21K |
| 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 | 9.7% | 354 | 322 | $18K |
| 94726 | 6.4% | 1,069 | 954 | $12K | |
| 95806 | 3.1% | 68 | 61 | $6K | |
| 94010 | 2.9% | 377 | 328 | $5K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.3% | 69 | 63 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 402 | 367 | $4K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 62 | 24 | $4K |
5 more codes
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 officialMAGUIRE, MICHAEL (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Michael Flynn Maguire MD INC | Santa Barbara, CA | $886K |
| Maguire & Welsh Medical Group | Whittier, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.