Clinic
West Grove Clinic, SC
West Grove Clinic, SC was paid $3.77M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H0047, Alcohol and/or other drug abuse services, not otherwise specified — 35% of everything it billed.
33Billing provider infoWEST GROVE CLINIC, SC
WAUWATOSA, WI 53222
WAUWATOSA, WI 53222
33aNPI1518167477assigned 07/19/2007
33bProvider typeClinic/Center
28Total paid$3.77M
24GClaims70,741
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Wisconsin
Rank by total paid#8 of 102
Median peer was paid$54K
This provider vs. median70×
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 | 4,063 | $239K | |
| 2019 | 8,960 | $485K | |
| 2020 | 11,149 | $543K | |
| 2021 | 11,724 | $677K | |
| 2022 | 11,340 | $605K | |
| 2023 | 13,213 | $694K | |
| 2024incomplete | 10,292 | $523K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 35% | 9,382 | 1,669 | $1.33M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 26% | 12,401 | 5,400 | $964K |
| 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 | 22% | 27,133 | 17,607 | $831K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 10% | 12,378 | 8,016 | $392K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 5,304 | 2,649 | $120K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 1,204 | 799 | $52K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 432 | 382 | $25K |
| 90836 | <1% | 391 | 313 | $14K | |
| 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 | <1% | 300 | 215 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 355 | 258 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 328 | 159 | $7K |
| Q3014 | Telehealth originating site facility fee | <1% | 649 | 271 | $5K |
7 more codes
| 99205 | Prolong outpt/office vis | <1% | 46 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 127 | $2K |
| 98968 | <1% | 127 | $1K | |
| 99442 | <1% | 73 | $307.42 | |
| 80305 | <1% | 61 | $235.42 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 20 | $186.42 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $33.10 |
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 officialKURTER, SELAHATTIN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Genetox, LLC | Milwaukee, WI | $6.46M |
| Spectrum Healthcare, LLC | Milwaukee, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.