Arena, Arthur

Arena, Arthur was paid $292K by Medicaid between Jan 2018 and Feb 2022, across 12 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 58% of everything it billed.

33Billing provider infoARENA, ARTHUR
MILWAUKEE, WI 53215

33aNPI1376583286assigned 06/08/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$292K

24GClaims3,471

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Wisconsin

Rank by total paid#2 of 39

Median peer was paid$23K

This provider vs. median13×

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	1,330	$140K
2019	816	$112K
2020	623	$13K
2021	594	$19K
2022	108	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	58%	110	105	$170K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	14%	399	350	$42K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.0%	1,111	898	$26K
59426		8.1%	31	31	$24K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	233	178	$7K
59425		2.3%	18	18	$7K
59025	Fetal non-stress test	1.9%	187	69	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.5%	97	77	$4K
99000		1.5%	1,211	1,121	$4K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	12	12	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$801.48
81025		<1%	49	41	$337.03

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.