Clinic
Froedtert South, INC.
Froedtert South, INC. was paid $5.22M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoFROEDTERT SOUTH, INC.
KENOSHA, WI 53143
KENOSHA, WI 53143
33aNPI1558305284assigned 06/15/2006
33bProvider typeClinic/Center
28Total paid$5.22M
24GClaims194,246
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Wisconsin
Rank by total paid#6 of 102
Median peer was paid$54K
This provider vs. median97×
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 | 26,873 | $610K | |
| 2019 | 27,078 | $710K | |
| 2020 | 20,646 | $586K | |
| 2021 | 28,987 | $825K | |
| 2022 | 25,874 | $772K | |
| 2023 | 38,266 | $850K | |
| 2024incomplete | 26,522 | $867K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 61,805 | 54,220 | $2.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 47,020 | 41,892 | $1.25M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.9% | 2,107 | 1,907 | $362K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.9% | 30,823 | 25,551 | $204K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 3,910 | 3,540 | $198K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 3,425 | 2,465 | $168K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 365 | 323 | $78K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.4% | 1,561 | 1,414 | $72K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,238 | 2,024 | $66K |
| 93000 | 1.2% | 5,904 | 5,200 | $63K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.1% | 1,908 | 1,713 | $56K |
| 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 | 1.0% | 908 | 835 | $53K |
90 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,946 | $43K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 610 | $28K |
| 20610 | <1% | 611 | $27K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 826 | $25K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,806 | $24K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 836 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,453 | $20K |
| 99000 | <1% | 4,063 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 257 | $14K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,780 | $12K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 498 | $12K |
| 73630 | <1% | 821 | $12K | |
| 90961 | <1% | 293 | $10K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 37 | $9K |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 65 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 265 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 103 | $6K |
| 93016 | <1% | 362 | $5K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 150 | $5K |
| 99152 | <1% | 158 | $4K | |
| 11721 | <1% | 339 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 436 | $4K |
| 98942 | <1% | 162 | $4K | |
| 93018 | <1% | 362 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 40 | $3K |
| 90686 | <1% | 219 | $3K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 76 | $3K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 27 | $2K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 37 | $2K |
| 99385 | <1% | 44 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 61 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 73 | $2K |
| 73030 | <1% | 143 | $2K | |
| 93350 | <1% | 55 | $2K | |
| 0240U | <1% | 81 | $2K | |
| 72100 | <1% | 105 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 475 | $2K |
| 73564 | <1% | 52 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 90962 | <1% | 40 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $1K |
| 74018 | <1% | 108 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 656 | $1K |
| 73562 | <1% | 86 | $1K | |
| 95718 | <1% | 13 | $1K | |
| 73610 | <1% | 73 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 249 | $1K |
| 59025 | Fetal non-stress test | <1% | 26 | $877.39 |
| 82947 | <1% | 357 | $876.88 | |
| 81025 | <1% | 107 | $814.05 | |
| 99442 | <1% | 64 | $767.36 | |
| 81003 | <1% | 542 | $739.90 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 161 | $723.70 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 298 | $718.09 |
| 72110 | <1% | 18 | $711.37 | |
| 93308 | <1% | 31 | $542.24 | |
| 73110 | <1% | 41 | $499.56 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | $402.94 |
| 94010 | <1% | 33 | $394.16 | |
| 99443 | <1% | 16 | $384.78 | |
| 95251 | <1% | 49 | $382.57 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $361.66 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 59 | $271.29 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $251.40 |
| 73130 | <1% | 13 | $250.40 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 29 | $196.01 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 14 | $167.79 |
| 90670 | <1% | 52 | $161.91 | |
| 96161 | <1% | 40 | $126.70 | |
| 93321 | <1% | 25 | $113.14 | |
| 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% | 14 | $84.74 |
| 90647 | <1% | 16 | $62.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $55.00 |
| 93325 | <1% | 25 | $53.94 | |
| 90648 | <1% | 19 | $53.65 | |
| 90723 | <1% | 15 | $45.90 | |
| 90681 | <1% | 16 | $43.72 | |
| 90685 | <1% | 13 | $41.27 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 58 | $30.41 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 18 | $16.60 |
| 94760 | <1% | 63 | $13.96 | |
| 3045F | <1% | 15 | $10.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 3,132 | $0.16 |
| 3079F | <1% | 58 | $0.01 | |
| 3080F | 0% | 45 | $0.00 | |
| 3075F | 0% | 27 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| 0502F | 0% | 1,256 | $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 officialKELLEY, THOMAS (VICE PRESIDENT & CFO)
Parent organizationFROEDTERT SOUTH, INC.
| Provider | Location | Paid |
|---|---|---|
| Froedtert South, INC. | Pleasant Prairie, WI | $33.07M |
| Town of Marshfield | Marshfield, MA | $329K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.