Clinic
University of Wisconsin Medical Foundation, INC
University of Wisconsin Medical Foundation, INC was paid $15.17M by Medicaid between Jan 2018 and Dec 2024, across 268 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoUNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC
MIDDLETON, WI 53562
MIDDLETON, WI 53562
33aNPI1598784555assigned 07/19/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$15.17M
24GClaims743,824
24DCodes billed268
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#3 of 40
Median peer was paid$333K
This provider vs. median45×
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 | 97,049 | $1.49M | |
| 2019 | 100,931 | $1.59M | |
| 2020 | 85,638 | $1.48M | |
| 2021 | 117,306 | $2.14M | |
| 2022 | 125,182 | $2.23M | |
| 2023 | 125,632 | $3.11M | |
| 2024incomplete | 92,086 | $3.13M |
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 | 17% | 80,821 | 74,093 | $2.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 112,903 | 104,439 | $2.23M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.3% | 30,532 | 28,796 | $1.10M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.9% | 28,941 | 27,442 | $899K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.1% | 17,126 | 15,703 | $628K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.7% | 14,107 | 13,088 | $554K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.4% | 97,086 | 79,788 | $515K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 3.3% | 5,453 | 5,061 | $498K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.6% | 13,780 | 12,227 | $389K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 6,270 | 5,780 | $352K |
| 71045 | Radiologic examination, chest; single view | 2.3% | 76,403 | 50,627 | $345K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.2% | 11,703 | 10,739 | $337K |
256 more codes
| 90378 | 2.0% | 125 | $306K | |
| 99232 | Hospital visit by a doctor, follow-up day | 1.6% | 18,861 | $248K |
| 71046 | Radiologic examination, chest; 2 views | 1.6% | 36,158 | $245K |
| 99283 | Emergency room visit (moderate) | 1.5% | 10,186 | $221K |
| 71250 | 1.4% | 4,951 | $218K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 6,572 | $152K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.0% | 6,260 | $152K |
| 59025 | Fetal non-stress test | <1% | 8,180 | $141K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 3,144 | $133K |
| 92015 | Determination of refractive state | <1% | 21,066 | $120K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,727 | $111K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 1,493 | $105K |
| 95720 | <1% | 873 | $103K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,289 | $99K |
| 99243 | <1% | 2,194 | $93K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,270 | $91K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,650 | $89K |
| 74018 | <1% | 16,689 | $85K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,461 | $80K |
| 88307 | <1% | 1,132 | $71K | |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | <1% | 1,929 | $70K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 682 | $67K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,703 | $65K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,055 | $63K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 1,213 | $62K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,307 | $60K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 865 | $58K |
| 76770 | <1% | 1,966 | $55K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,322 | $54K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,863 | $49K |
| 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% | 777 | $47K |
| 90686 | <1% | 10,852 | $47K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 933 | $46K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,867 | $43K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,747 | $41K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 500 | $40K |
| 96132 | <1% | 362 | $36K | |
| 64643 | <1% | 1,275 | $36K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,343 | $34K |
| 99460 | <1% | 467 | $33K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 879 | $33K |
| 88112 | <1% | 949 | $32K | |
| 91322 | <1% | 276 | $31K | |
| 0001A | <1% | 1,396 | $31K | |
| 64642 | <1% | 1,107 | $30K | |
| 0002A | <1% | 1,317 | $30K | |
| 76497 | <1% | 10,199 | $25K | |
| 84165 | <1% | 2,532 | $24K | |
| 88342 | <1% | 744 | $21K | |
| 99245 | <1% | 287 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 345 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 666 | $19K |
| 93325 | <1% | 4,844 | $19K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 762 | $18K |
| 96133 | <1% | 197 | $18K | |
| 95951 | <1% | 180 | $17K | |
| 88141 | <1% | 1,032 | $16K | |
| 62370 | <1% | 278 | $16K | |
| 96116 | <1% | 221 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,217 | $14K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 283 | $14K |
| 0004A | <1% | 611 | $13K | |
| 90480 | <1% | 382 | $13K | |
| 94010 | <1% | 1,661 | $13K | |
| 76942 | <1% | 915 | $12K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 67 | $12K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 128 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,098 | $11K |
| 76818 | <1% | 348 | $11K | |
| 90656 | <1% | 598 | $11K | |
| 90961 | <1% | 163 | $10K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 321 | $10K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 206 | $10K |
| 76801 | <1% | 315 | $9K | |
| 95957 | <1% | 296 | $8K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 520 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 394 | $8K |
| 86334 | <1% | 814 | $8K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 306 | $8K |
| 95874 | <1% | 1,018 | $8K | |
| 92134 | <1% | 611 | $7K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 308 | $7K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 100 | $7K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 31 | $7K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 340 | $7K |
| 93320 | <1% | 324 | $7K | |
| 73630 | <1% | 626 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 420 | $6K |
| 99152 | <1% | 509 | $6K | |
| 92567 | <1% | 522 | $5K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 94 | $5K |
| 64615 | <1% | 130 | $5K | |
| 96121 | <1% | 72 | $5K | |
| 88313 | <1% | 391 | $5K | |
| 62369 | <1% | 176 | $5K | |
| 99354 | <1% | 108 | $5K | |
| 0071A | <1% | 277 | $5K | |
| 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% | 2,378 | $4K |
| 0072A | <1% | 222 | $4K | |
| 72131 | <1% | 79 | $4K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 51 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 190 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 349 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 351 | $4K |
| 73610 | <1% | 317 | $4K | |
| 93356 | <1% | 226 | $4K | |
| 91321 | <1% | 55 | $4K | |
| 0054A | <1% | 177 | $3K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 37 | $3K |
| 90677 | <1% | 114 | $3K | |
| 99464 | <1% | 66 | $3K | |
| 93227 | <1% | 199 | $3K | |
| 76813 | <1% | 111 | $3K | |
| 96118 | <1% | 26 | $3K | |
| 99242 | <1% | 80 | $3K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 131 | $3K |
| 99443 | <1% | 196 | $2K | |
| 88348 | <1% | 70 | $2K | |
| 70498 | <1% | 29 | $2K | |
| 87631 | <1% | 63 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 283 | $2K |
| 72082 | <1% | 201 | $2K | |
| 76821 | <1% | 77 | $2K | |
| 96158 | <1% | 64 | $2K | |
| 88331 | <1% | 113 | $2K | |
| 85060 | <1% | 148 | $2K | |
| 64644 | <1% | 51 | $2K | |
| 76820 | <1% | 98 | $2K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 24 | $2K |
| 93454 | <1% | 13 | $2K | |
| 92201 | <1% | 111 | $2K | |
| 70491 | <1% | 29 | $2K | |
| 70486 | <1% | 50 | $2K | |
| 72128 | <1% | 36 | $2K | |
| 54150 | <1% | 39 | $2K | |
| 77002 | <1% | 109 | $2K | |
| 72170 | <1% | 254 | $1K | |
| 95800 | <1% | 54 | $1K | |
| 73030 | <1% | 226 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 43 | $1K |
| 80305 | <1% | 198 | $1K | |
| 85610 | <1% | 383 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 27 | $1K |
| 95718 | <1% | 18 | $1K | |
| 0124A | <1% | 112 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 109 | $1K |
| 92083 | <1% | 101 | $1K | |
| 73562 | <1% | 109 | $1K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 15 | $1K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 12 | $1K |
| 94729 | <1% | 352 | $1K | |
| 96165 | <1% | 139 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 24 | $1K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 119 | $1K |
| 95886 | <1% | 53 | $1K | |
| 90966 | <1% | 62 | $1K | |
| 51784 | <1% | 28 | $1K | |
| 95816 | <1% | 73 | $1K | |
| 93321 | <1% | 166 | $990.00 | |
| 52310 | <1% | 16 | $960.26 | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 13 | $959.42 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 62 | $926.97 |
| 77014 | <1% | 48 | $892.12 | |
| 90670 | <1% | 442 | $891.54 | |
| 90723 | <1% | 259 | $858.53 | |
| 0031A | <1% | 32 | $839.52 | |
| 92504 | <1% | 55 | $824.32 | |
| 76506 | <1% | 34 | $789.72 | |
| 0003A | <1% | 39 | $763.20 | |
| 70496 | <1% | 15 | $755.10 | |
| 81025 | <1% | 133 | $743.13 | |
| 72100 | <1% | 84 | $716.18 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $700.71 |
| 99451 | <1% | 96 | $693.36 | |
| 73110 | <1% | 68 | $689.30 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 29 | $656.02 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 25 | $639.72 |
| 99205 | Prolong outpt/office vis | <1% | 12 | $573.45 |
| 73502 | <1% | 112 | $571.86 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 258 | $526.29 |
| 99221 | <1% | 13 | $512.43 | |
| 93971 | <1% | 37 | $466.26 | |
| 99188 | <1% | 104 | $464.04 | |
| 93018 | <1% | 49 | $418.61 | |
| 76642 | <1% | 41 | $391.33 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $385.99 |
| 74183 | <1% | 16 | $383.99 | |
| 99241 | <1% | 13 | $378.10 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 38 | $371.39 |
| 0081A | <1% | 38 | $368.74 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $364.80 |
| 92226 | <1% | 48 | $356.52 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 33 | $354.07 |
| 96164 | <1% | 103 | $327.78 | |
| 73130 | <1% | 49 | $313.65 | |
| 00731 | <1% | 14 | $307.86 | |
| 98968 | <1% | 56 | $307.12 | |
| 90680 | <1% | 133 | $301.64 | |
| 81001 | <1% | 175 | $300.62 | |
| 96127 | <1% | 125 | $300.55 | |
| 73560 | <1% | 61 | $296.55 | |
| 11721 | <1% | 15 | $278.55 | |
| 0052A | <1% | 12 | $267.12 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 54 | $258.45 |
| 92133 | <1% | 25 | $254.15 | |
| 92025 | <1% | 14 | $233.93 | |
| 88173 | <1% | 22 | $231.20 | |
| 95251 | <1% | 15 | $210.85 | |
| 80061 | Lipid panel | <1% | 24 | $199.85 |
| 99459 | <1% | 12 | $190.15 | |
| 88108 | <1% | 13 | $182.57 | |
| 99307 | <1% | 25 | $179.76 | |
| 92060 | <1% | 14 | $164.08 | |
| 0074A | <1% | 14 | $152.64 | |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests | <1% | 183 | $143.79 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $142.50 |
| 74019 | <1% | 34 | $128.60 | |
| 94618 | <1% | 15 | $127.49 | |
| 99201 | <1% | 12 | $121.20 | |
| 76857 | <1% | 13 | $120.16 | |
| 80053 | Comprehensive metabolic panel | <1% | 18 | $118.27 |
| 88312 | <1% | 14 | $116.34 | |
| 88304 | <1% | 15 | $113.52 | |
| 90647 | <1% | 120 | $109.23 | |
| 88311 | <1% | 14 | $102.71 | |
| 99441 | <1% | 16 | $97.83 | |
| 84484 | <1% | 14 | $87.29 | |
| 73590 | <1% | 15 | $78.55 | |
| 0082A | <1% | 18 | $76.32 | |
| 87210 | <1% | 37 | $65.10 | |
| 92202 | <1% | 16 | $63.30 | |
| 77001 | <1% | 16 | $62.26 | |
| 95117 | <1% | 14 | $59.40 | |
| 94726 | <1% | 18 | $59.06 | |
| 0399T | <1% | 15 | $56.04 | |
| 51798 | <1% | 12 | $52.86 | |
| 90651 | <1% | 52 | $43.03 | |
| 99442 | <1% | 16 | $42.12 | |
| 85027 | <1% | 14 | $31.92 | |
| 93294 | <1% | 24 | $28.14 | |
| 81000 | <1% | 13 | $26.65 | |
| 90633 | <1% | 25 | $23.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $17.26 |
| 97803 | <1% | 13 | $12.41 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $12.06 |
| 87081 | <1% | 15 | $9.02 | |
| 91312 | <1% | 44 | $0.03 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 4,585 | $0.00 |
| 99358 | Prolong nursin fac eval 15m | 0% | 249 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 25 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 42 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 472 | $0.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 195 | $0.00 |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 0% | 34 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $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 officialFLANNERY, ROBERT (CAO AND CFO)
| Provider | Location | Paid |
|---|---|---|
| Wisconsin Sleep, INC | Madison, WI | $507K |
| University of Wisconsin Hospitals and Clinics Authority | Middleton, WI | $379K |
| University of Wisconsin Hospitals and Clinics Authority | Madison, WI | $66K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $57K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $8K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $4K |
| University of Wisconsin Medical Foundation INC | Middleton, WI | $4K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $4K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $1K |
| University of Wisconsin Medical Foundation INC | Madison, WI | $47.25 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.