Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › GLENDALE › ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

NPI: 1609881077 · GLENDALE, WI 53212 · Allergy & Immunology Physician · NPI assigned 07/31/2006

$44.47M
Total Medicaid Paid
1,473,697
Total Claims
1,227,525
Beneficiaries
237
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISSEL, J. BRYAN (VP-FINANCE)
NPI Enumeration Date07/31/2006

Related Entities

Other providers sharing the same authorized official: FISSEL, J. BRYAN

ProviderCityStateTotal Paid
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC NEENAH WI $13.41M
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC APPLETON WI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 247,885 $7.15M
2019 238,884 $6.75M
2020 197,364 $5.38M
2021 231,676 $6.68M
2022 222,924 $6.61M
2023 208,489 $6.33M
2024 126,475 $5.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 470,056 415,807 $17.19M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 232,071 206,288 $5.99M
90834 Psychotherapy, 45 minutes with patient 63,103 38,584 $2.45M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26,290 23,599 $1.49M
99232 Subsequent hospital care, per day, moderate complexity 90,406 36,311 $1.32M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22,507 21,380 $1.29M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12,878 11,737 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,006 15,432 $940K
99215 Prolong outpt/office vis 18,315 15,922 $933K
J0585 Injection, onabotulinumtoxina, 1 unit 1,488 886 $803K
76819 Fetal biophysical profile; without non-stress testing 22,109 18,753 $764K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 23,949 21,134 $708K
99239 Hospital discharge day management, more than 30 minutes 13,811 12,535 $685K
99223 Prolong inpt eval add15 m 12,971 11,514 $648K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,499 10,624 $568K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,416 13,117 $483K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 72,769 55,087 $457K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,185 6,890 $434K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 8,806 7,709 $408K
99233 Prolong inpt eval add15 m 16,922 7,145 $397K
90792 Psychiatric diagnostic evaluation with medical services 4,120 3,324 $290K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,687 1,510 $265K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,711 3,393 $240K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,096 3,757 $238K
90686 27,807 26,112 $223K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,572 1,473 $217K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 154 145 $199K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,846 9,068 $187K
90670 12,619 12,000 $170K
3008F 19,384 18,555 $167K
59025 Fetal non-stress test 7,137 4,765 $155K
76820 6,315 4,568 $139K
99254 2,402 2,137 $131K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,473 2,328 $118K
20610 3,182 2,411 $109K
99244 Office or other outpatient consultation, moderate to high complexity 1,496 1,387 $107K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,436 3,981 $106K
99222 Initial hospital care, per day, moderate complexity 2,700 2,415 $98K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,243 1,228 $79K
90837 Psychotherapy, 53 minutes with patient 1,218 826 $76K
90636 803 761 $74K
J1050 Injection, medroxyprogesterone acetate, 1 mg 996 962 $71K
76942 2,420 2,125 $68K
64615 1,042 968 $67K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,077 3,761 $65K
90651 3,298 3,176 $64K
90647 9,090 8,639 $59K
90723 9,327 8,956 $55K
45380 Colonoscopy, flexible; with biopsy, single or multiple 219 203 $52K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,760 948 $51K
99205 Prolong outpt/office vis 751 693 $51K
99188 3,954 3,790 $50K
99243 898 841 $47K
11721 3,228 2,950 $44K
90853 Group psychotherapy (other than of a multiple-family group) 2,320 942 $42K
90832 Psychotherapy, 30 minutes with patient 1,930 1,179 $42K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,939 1,639 $41K
90677 1,761 1,671 $40K
90732 469 442 $40K
90750 305 286 $39K
90791 Psychiatric diagnostic evaluation 662 566 $39K
99442 3,748 2,741 $39K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,270 456 $37K
90707 821 781 $36K
95806 815 759 $36K
20553 2,943 2,607 $36K
90680 6,231 5,999 $36K
90961 524 464 $33K
76801 770 707 $31K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 685 620 $31K
96156 656 535 $29K
90674 1,729 1,641 $29K
90633 4,772 4,476 $28K
99238 Hospital discharge day management, 30 minutes or less 1,126 1,032 $28K
95886 498 454 $26K
99460 274 251 $26K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 81 76 $25K
90656 1,447 1,427 $24K
D0140 Limited oral evaluation - problem focused 1,333 1,267 $23K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,157 971 $23K
90715 1,260 1,210 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 663 605 $19K
90734 2,039 1,955 $17K
96153 720 244 $15K
94060 1,715 1,613 $14K
93000 1,210 1,114 $13K
99443 865 505 $13K
95251 1,151 1,069 $13K
93018 1,195 1,090 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 450 361 $12K
93016 711 648 $11K
99220 230 199 $11K
96165 1,053 512 $10K
99219 259 244 $10K
0001A 263 247 $10K
94726 1,438 1,358 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 895 778 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,694 3,320 $9K
94729 2,102 1,993 $9K
64450 252 211 $9K
29848 26 25 $8K
99253 159 139 $8K
99464 150 137 $8K
99245 103 94 $7K
93296 569 537 $7K
0002A 173 169 $7K
95819 345 318 $6K
96164 1,059 514 $6K
98968 480 217 $6K
0072A 189 149 $6K
0071A 181 141 $6K
93458 54 41 $6K
93295 216 202 $5K
76813 135 121 $5K
99308 Subsequent nursing facility care, per day, straightforward 638 449 $5K
90836 123 94 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 7,021 6,643 $5K
90710 745 717 $5K
91321 41 41 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 44 42 $4K
90480 183 178 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 20 12 $4K
90620 275 261 $4K
93298 348 335 $4K
99385 75 73 $4K
99383 60 58 $4K
99477 14 13 $4K
93356 177 158 $4K
95816 194 184 $4K
0004A 98 94 $3K
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) 127 107 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $3K
99217 152 141 $3K
99221 78 72 $3K
90838 46 40 $3K
93299 55 51 $3K
90935 Hemodialysis procedure with single evaluation by a physician 107 63 $3K
90696 497 482 $3K
99255 40 36 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 78 69 $3K
99152 114 92 $3K
95910 39 36 $3K
99441 588 440 $3K
95813 58 54 $3K
81002 1,051 761 $3K
64405 110 85 $2K
96127 694 446 $2K
99000 832 780 $2K
11104 46 41 $2K
51784 26 13 $2K
54150 39 38 $2K
99218 40 32 $2K
99307 396 361 $2K
80305 485 303 $2K
90739 13 13 $2K
90716 269 254 $2K
17250 167 83 $2K
87210 589 410 $2K
96112 14 13 $2K
76828 64 52 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,587 1,347 $2K
90461 2,154 2,060 $2K
90700 276 261 $2K
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) 868 805 $2K
31575 30 26 $2K
90632 31 28 $2K
99381 40 40 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 53 40 $1K
99173 57 54 $1K
99252 32 28 $1K
99242 26 26 $1K
96132 12 12 $1K
96137 13 12 $989.80
51798 142 115 $963.72
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 47 26 $947.05
90966 26 22 $930.84
90681 273 263 $906.85
95908 14 12 $846.38
96150 27 25 $794.24
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 66 64 $775.52
81025 209 164 $774.17
90962 13 12 $715.77
0124A 25 25 $712.47
96161 190 148 $695.56
92552 48 43 $629.02
83036 Hemoglobin; glycosylated (A1C) 202 182 $625.19
92567 52 49 $567.61
29581 36 13 $488.13
96116 14 12 $487.36
94727 72 70 $472.35
31231 12 12 $466.97
82962 236 223 $460.83
0054A 18 16 $425.48
94010 46 39 $387.65
95812 14 12 $380.73
96380 15 14 $360.00
92557 15 15 $343.11
96136 13 12 $327.29
17110 13 12 $314.88
69209 29 27 $312.26
93970 14 12 $269.30
94070 14 14 $248.17
95874 34 27 $238.98
94375 35 33 $236.85
93248 31 27 $193.12
96130 13 12 $174.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,540 29,994 $169.95
90662 16 14 $139.12
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $130.44
90756 44 35 $119.88
93294 14 13 $115.57
88142 13 13 $105.97
93246 32 29 $104.43
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 29 27 $103.86
90685 26 25 $81.85
99305 14 13 $73.78
99406 189 175 $60.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 52 50 $57.70
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 40 32 $49.50
81003 36 31 $48.50
36415 Collection of venous blood by venipuncture 115 107 $45.82
90472 Immunization administration, each additional vaccine (list separately) 16,105 15,408 $39.76
J1885 Injection, ketorolac tromethamine, per 15 mg 16 14 $21.27
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 15 15 $1.56
91307 440 337 $0.53
91305 23 20 $0.04
91312 40 40 $0.02
0502F 3,287 2,431 $0.00
91300 843 778 $0.00
97803 31 27 $0.00
91308 12 12 $0.00
S9088 Services provided in an urgent care center (list in addition to code for service) 2,766 2,572 $0.00
90474 3,150 3,011 $0.00
0500F 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 205 173 $0.00
G0008 Administration of influenza virus vaccine 170 160 $0.00
97802 52 42 $0.00