Medicaid Provider Spending

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

SYNERGY MEDICAL SERVICES LLC

NPI: 1366820904 · GREEN BAY, WI 54304 · Family Medicine Physician · NPI assigned 05/15/2015

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

Authorized official WILLIAMS, JAMES controls 13+ related entities in our dataset. Read more

$229K
Total Medicaid Paid
21,092
Total Claims
17,696
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, JAMES (OWNER / PRESIDENT)
NPI Enumeration Date05/15/2015

Related Entities

Other providers sharing the same authorized official: WILLIAMS, JAMES

ProviderCityStateTotal Paid
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS WATERSMEET MI $7.89M
DEPENDABLE HOME HEALTHCARE, LLC MARTINSVILLE VA $3.47M
GROWING MIRACLES MILWAUKEE WI $599K
J. BARTON WILLIAMS MD PA COLUMBUS MS $303K
DIGNITY RESPECT TRANSPORTATION, LLC HAMPTON VA $211K
WILLIAMS EYE ASSOCIATES, OD, PLLC WINSTON SALEM NC $135K
COVINA EAR NOSE & THROAT MEDICAL GROUP INC COVINA CA $128K
TLK DERMATOLOGY PLLC ASHEBORO NC $101K
DR. MICHAEL WILLIAMS D.D.S. BLYTHEVILLE AR $96K
API ASSOCIATES, INC. WASHINGTON DC $95K
EYE TO EYE OPTOMETRY, INC MEXICO MO $69K
HEALTH COMPLETE FAMILY MEDICAL CARE AUSTIN TX $36K
MAUI INFECTIOUS DISEASES LLC WAILUKU HI $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,607 $34K
2019 1,287 $12K
2020 1,385 $12K
2021 3,073 $27K
2022 5,516 $55K
2023 6,749 $66K
2024 1,475 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99337 4,092 3,502 $69K
99350 Prolong home eval add 15m 1,478 1,086 $40K
99336 2,372 1,728 $30K
99490 Ccm add 20min 2,639 2,453 $23K
99487 Ccm add 20min 1,124 1,018 $21K
99349 1,026 861 $21K
99439 952 867 $7K
99489 Ccm add 20min 440 392 $6K
99454 484 446 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 148 130 $2K
99457 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 75 73 $1K
99306 Prolong nursin fac eval 15m 43 37 $1K
99458 235 205 $804.53
99327 39 27 $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)). 109 107 $621.18
99491 Ccm add 20min 32 32 $425.01
99453 27 27 $56.67
99354 31 23 $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) 26 23 $31.40
G9368 At least two orders for high-risk medications from the same drug class not ordered 435 360 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,494 1,192 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,928 1,517 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 19 18 $0.00
99358 Prolong nursin fac eval 15m 50 38 $0.00
4040F 91 73 $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 312 269 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 29 27 $0.00
90863 21 14 $0.00
99310 Prolong nursin fac eval 15m 52 34 $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) 34 30 $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) 32 26 $0.00
1123F 433 354 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 233 205 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 31 29 $0.00
1036F 59 54 $0.00
2010F 16 15 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 42 32 $0.00