Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Froedtert &The Medical College of Wisconsin Community Physicians, INC.

Froedtert &The Medical College of Wisconsin Community Physicians, INC. was paid $13.87M by Medicaid between Jan 2018 and Dec 2024, across 211 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoFROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
MENOMONEE FALLS, WI 53051
33aNPI1568787448assigned 04/02/2010
33bProvider typeCase Management Agency
28Total paid$13.87M
24GClaims880,257
24DCodes billed211
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Wisconsin

Rank by total paid#5 of 156
Median peer was paid$578K
This provider vs. median24×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2018103,172$1.61M
2019109,337$1.74M
202088,507$1.41M
2021138,776$1.99M
2022149,215$2.17M
2023167,091$2.44M
2024incomplete124,159$2.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 40% 153,177 128,856 $5.51M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 88,025 77,004 $2.36M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3.7% 23,811 11,251 $512K
84443 Thyroid stimulating hormone (TSH) 2.2% 22,579 20,479 $307K
80061 Lipid panel 2.2% 28,432 25,852 $301K
80053 Comprehensive metabolic panel 2.1% 33,631 30,550 $289K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.1% 12,353 11,153 $289K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 6,662 5,930 $281K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.9% 10,181 5,729 $268K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.7% 37,194 33,634 $238K
83036 Hemoglobin; glycosylated (A1C) 1.4% 26,302 24,015 $190K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 4,232 3,466 $178K
199 more codes
90686 1.3% 14,411 $174K
80050 General health panel 1.0% 3,929 $139K
80048 Basic metabolic panel (calcium, ionized) <1% 18,190 $133K
85027 <1% 24,581 $133K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,025 $129K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,644 $118K
91322 <1% 848 $104K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,065 $104K
99204 Doctor's office visit, new patient (more involved) <1% 1,320 $90K
0002A <1% 2,555 $89K
99284 Emergency room visit (serious) <1% 2,908 $88K
87210 <1% 17,401 $81K
0001A <1% 2,616 $79K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,356 $75K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,353 $71K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 504 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 725 $54K
81001 <1% 17,329 $48K
84439 <1% 5,859 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,142 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 714 $41K
71046 Radiologic examination, chest; 2 views <1% 3,467 $41K
83550 <1% 5,845 $39K
76819 Fetal biophysical profile; without non-stress testing <1% 514 $39K
84702 <1% 3,163 $37K
11721 <1% 3,647 $36K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,874 $31K
77063 Screening digital breast tomosynthesis, bilateral <1% 925 $31K
83540 <1% 6,098 $30K
0124A <1% 933 $30K
90480 <1% 902 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 755 $29K
90837 Psychotherapy session, about an hour <1% 634 $28K
99223 Prolong inpt eval add15 m <1% 828 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 928 $27K
93000 <1% 2,156 $26K
82043 <1% 5,141 $25K
85610 <1% 7,343 $25K
84153 <1% 1,496 $25K
80076 <1% 3,140 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 618 $21K
81025 <1% 2,699 $20K
0003A <1% 669 $20K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 381 $20K
83735 <1% 3,602 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 999 $17K
81003 <1% 8,847 $17K
73630 <1% 1,060 $17K
77080 <1% 408 $17K
0011A <1% 561 $17K
86140 <1% 3,556 $16K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,206 $16K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 124 $16K
0012A <1% 433 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 94 $14K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 984 $13K
82950 <1% 2,837 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,958 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 328 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 571 $11K
90656 <1% 602 $10K
90677 <1% 84 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 184 $10K
85652 <1% 4,298 $10K
77089 <1% 234 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 364 $9K
0054A <1% 263 $9K
36415 Collection of venous blood by venipuncture <1% 144,623 $9K
0031A <1% 236 $8K
99205 Prolong outpt/office vis <1% 111 $7K
98929 <1% 201 $7K
83690 <1% 1,131 $7K
92015 Determination of refractive state <1% 1,636 $7K
99283 Emergency room visit (moderate) <1% 348 $7K
99000 <1% 1,907 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 768 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 43 $6K
99493 <1% 63 $6K
84550 <1% 1,544 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 75 $6K
99385 <1% 110 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 220 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 310 $5K
0071A <1% 223 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 93 $5K
T1016 Case management, each 15 minutes <1% 662 $5K
92504 <1% 280 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 45 $5K
86592 <1% 925 $5K
70450 Computed tomography, head or brain; without contrast material <1% 70 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 145 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 62 $4K
84100 <1% 1,092 $4K
82570 <1% 883 $4K
0013A <1% 129 $4K
85014 <1% 1,534 $4K
76830 Ultrasound, transvaginal <1% 49 $3K
81015 <1% 1,501 $3K
0072A <1% 153 $3K
99232 Hospital visit by a doctor, follow-up day <1% 313 $3K
85651 <1% 907 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 77 $3K
90791 Psychiatric diagnostic evaluation <1% 59 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 546 $3K
97162 <1% 62 $3K
85018 <1% 1,140 $3K
0052A <1% 76 $3K
84156 <1% 816 $3K
99243 <1% 48 $3K
82947 <1% 664 $2K
H1003 Prenatal care, at-risk enhanced service; education <1% 74 $2K
74018 <1% 189 $2K
99244 Office or other outpatient consultation, moderate to high complexity <1% 30 $2K
90662 <1% 110 $2K
92551 <1% 168 $2K
73030 <1% 156 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 100 $2K
99222 Initial hospital care, per day, moderate complexity <1% 96 $2K
0051A <1% 54 $2K
82565 <1% 363 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 53 $2K
92557 <1% 57 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,328 $2K
84460 <1% 353 $2K
82550 <1% 250 $2K
0064A <1% 54 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 589 $2K
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% 153 $2K
99251 <1% 64 $2K
99386 <1% 26 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 240 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 87 $1K
73560 <1% 132 $1K
99285 Emergency room visit (most serious) <1% 26 $1K
84450 <1% 254 $1K
90670 <1% 221 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 132 $1K
95806 <1% 30 $1K
73610 <1% 65 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 19 $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% 1,790 $991.25
90715 <1% 14 $889.81
72100 <1% 44 $867.32
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 15 $839.24
99306 Prolong nursin fac eval 15m <1% 46 $737.59
80047 <1% 84 $732.60
73564 <1% 32 $717.44
97161 <1% 13 $698.66
99173 <1% 34 $627.53
83721 <1% 87 $595.48
97113 <1% 16 $564.69
J7030 Infusion, normal saline solution , 1000 cc <1% 677 $544.28
99238 Hospital discharge day management, 30 minutes or less <1% 14 $542.98
0053A <1% 19 $534.24
87081 <1% 62 $514.40
80305 <1% 53 $489.51
99221 <1% 16 $485.59
82962 <1% 233 $463.96
90723 <1% 92 $451.32
90461 <1% 467 $437.85
82248 <1% 105 $420.15
0081A <1% 18 $419.76
99252 <1% 15 $419.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 128 $404.09
99310 Prolong nursin fac eval 15m <1% 46 $400.48
83880 <1% 12 $391.35
84703 <1% 57 $382.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17,733 $368.87
62370 <1% 15 $337.19
99442 <1% 74 $309.45
73562 <1% 17 $298.42
99201 <1% 15 $286.20
71045 Radiologic examination, chest; single view <1% 59 $284.92
99443 <1% 75 $210.14
0352U <1% 523 $209.75
90685 <1% 58 $190.88
90472 Immunization administration, each additional vaccine (list separately) <1% 4,409 $190.72
82247 <1% 34 $180.34
85007 <1% 60 $163.92
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $154.65
83615 <1% 28 $152.27
99307 <1% 92 $152.20
85379 <1% 15 $132.85
82150 <1% 13 $91.44
90647 <1% 26 $87.08
86308 <1% 13 $66.60
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 81 $57.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 16 $10.80
91300 <1% 5,792 $7.89
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 71 $5.95
91301 <1% 1,181 $1.16
91312 <1% 934 $0.52
91305 <1% 624 $0.51
91307 <1% 380 $0.04
91306 <1% 54 $0.04
G0008 Administration of influenza virus vaccine 0% 208 $0.00
91303 0% 236 $0.00
99406 0% 16 $0.00
91308 0% 41 $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 officialGHAFERI, AMIR (PRESIDENT & CEO)
Parent organizationFROEDTERT HEALTH, INC.