Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Synergy Medical Services LLC

Synergy Medical Services LLC was paid $229K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99337, — 30% of everything it billed.

33Billing provider infoSYNERGY MEDICAL SERVICES LLC
GREEN BAY, WI 54304
33aNPI1366820904assigned 05/15/2015
28Total paid$229K
24GClaims21,092
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#46 of 359
Median peer was paid$4K
This provider vs. median59×

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 WILLIAMS, JAMES controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,607$34K
20191,287$12K
20201,385$12K
20213,073$27K
20225,516$55K
20236,749$66K
2024incomplete1,475$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99337 30% 4,092 3,502 $69K
99350 Prolong home eval add 15m 17% 1,478 1,086 $40K
99336 13% 2,372 1,728 $30K
99490 Ccm add 20min 9.9% 2,639 2,453 $23K
99487 Ccm add 20min 9.2% 1,124 1,018 $21K
99349 9.1% 1,026 861 $21K
99439 3.2% 952 867 $7K
99489 Ccm add 20min 2.7% 440 392 $6K
99454 1.4% 484 446 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.0% 148 130 $2K
99457 <1% 409 372 $2K
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more <1% 75 73 $1K
26 more codes
99306 Prolong nursin fac eval 15m <1% 43 $1K
99458 <1% 235 $804.53
99327 <1% 39 $762.93
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 109 $621.18
99491 Ccm add 20min <1% 32 $425.01
99453 <1% 27 $56.67
99354 <1% 31 $36.19
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 26 $31.40
G9368 At least two orders for high-risk medications from the same drug class not ordered 0% 435 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,494 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,928 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 19 $0.00
99358 Prolong nursin fac eval 15m 0% 50 $0.00
4040F 0% 91 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 312 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 29 $0.00
90863 0% 21 $0.00
99310 Prolong nursin fac eval 15m 0% 52 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 0% 34 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 32 $0.00
1123F 0% 433 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 233 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 31 $0.00
1036F 0% 59 $0.00
2010F 0% 16 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 42 $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 officialWILLIAMS, JAMES (OWNER / PRESIDENT)
Same official

Other billing entities under WILLIAMS, JAMES

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.