Clinic
Pain Centers of Wisconsin - Appleton, LLC
Pain Centers of Wisconsin - Appleton, LLC was paid $36K by Medicaid between Jan 2018 and Jun 2019, across 7 billing codes. Its largest line is 64635, — 50% of everything it billed.
33Billing provider infoPAIN CENTERS OF WISCONSIN - APPLETON, LLC
APPLETON, WI 54913
APPLETON, WI 54913
33aNPI1548502008assigned 03/22/2013
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$36K
24GClaims233
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wisconsin
Rank by total paid#37 of 64
Median peer was paid$60K
This provider vs. median0.6×
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 LAL, VISHAL controls 17+ related entities in our dataset. Read more
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 | 192 | $30K | |
| 2019 | 41 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 64635 | 50% | 39 | 30 | $18K | |
| 64483 | 18% | 41 | 28 | $6K | |
| 64490 | 14% | 33 | 14 | $5K | |
| 64493 | 11% | 26 | 12 | $4K | |
| 64636 | 3.8% | 39 | 27 | $1K | |
| 64491 | 3.0% | 29 | 12 | $1K | |
| 64494 | 0% | 26 | 12 | $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 officialLAL, VISHAL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Advanced Pain Management SC | Greenfield, WI | $3.74M |
| Wisconsin Health Center LLC | Greenfield, WI | $1.15M |
| United Medical Center, LLC | Milwaukee, WI | $1.07M |
| Wisconsin Surgery Center LLC | Milwaukee, WI | $532K |
| Sheboygan Medical Center, LLC | Sheboygan, WI | $353K |
| Pain Centers of Wisconsin-Green Bay, LLC | Green Bay, WI | $284K |
| Pain Centers of Wisconsin - Kenosha, LLC | Pleasant Prairie, WI | $77K |
| Waukesha Pain Center LLC | Waukesha, WI | $32K |
| Surgi Center of Greater Madison, LLC | Madison, WI | $26K |
| Munster Surgery Center LLC | Munster, IN | $17K |
| Pain Centers of Wisconsin - Wauwatosa, LLC | Milwaukee, WI | $12K |
| Pain Centers of Wisconsin-Franklin, LLC | Franklin, WI | $11K |
| Pain Centers of Wisconsin - Wausau, LLC | Wausau, WI | $9K |
| Pain Centers of Wisconsin - Beaver Dam, LLC | Beaver Dam, WI | $2K |
| Pain Centers of Wisconsin - West Bend, LLC | West Bend, WI | $0.00 |
| Pain Centers of Wisconsin - Stevens Point, LLC | Stevens Point, WI | $0.00 |
| Pain Centers of Wisconsin - Sauk Prairie, LLC | Prairie Du Sac, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.