Physician
Ascension Medical Group-Southeast Wisconsin INC
Ascension Medical Group-Southeast Wisconsin INC was paid $44.47M by Medicaid between Jan 2018 and Dec 2024, across 237 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
GLENDALE, WI 53212
GLENDALE, WI 53212
33aNPI1609881077assigned 07/31/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$44.47M
24GClaims1,473,697
24DCodes billed237
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Wisconsin
Rank by total paid#1 of 11
Median peer was paid$26K
This provider vs. median1,688×
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 | 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 | |
| 2024incomplete | 126,475 | $5.56M |
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 | 39% | 470,056 | 415,807 | $17.19M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 232,071 | 206,288 | $5.99M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.5% | 63,103 | 38,584 | $2.45M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 26,290 | 23,599 | $1.49M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 90,406 | 36,311 | $1.32M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 22,507 | 21,380 | $1.29M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.3% | 12,878 | 11,737 | $1.01M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 16,006 | 15,432 | $940K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 18,315 | 15,922 | $933K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.8% | 1,488 | 886 | $803K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 22,109 | 18,753 | $764K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 23,949 | 21,134 | $708K |
225 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 13,811 | $685K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 12,971 | $648K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 11,499 | $568K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 14,416 | $483K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 72,769 | $457K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,185 | $434K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 8,806 | $408K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16,922 | $397K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,120 | $290K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,687 | $265K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 3,711 | $240K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 4,096 | $238K |
| 90686 | <1% | 27,807 | $223K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 4,572 | $217K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 154 | $199K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,846 | $187K |
| 90670 | <1% | 12,619 | $170K | |
| 3008F | <1% | 19,384 | $167K | |
| 59025 | Fetal non-stress test | <1% | 7,137 | $155K |
| 76820 | <1% | 6,315 | $139K | |
| 99254 | <1% | 2,402 | $131K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,473 | $118K |
| 20610 | <1% | 3,182 | $109K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,496 | $107K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 4,436 | $106K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,700 | $98K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,243 | $79K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,218 | $76K |
| 90636 | <1% | 803 | $74K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 996 | $71K |
| 76942 | <1% | 2,420 | $68K | |
| 64615 | <1% | 1,042 | $67K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,077 | $65K |
| 90651 | <1% | 3,298 | $64K | |
| 90647 | <1% | 9,090 | $59K | |
| 90723 | <1% | 9,327 | $55K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 219 | $52K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,760 | $51K |
| 99205 | Prolong outpt/office vis | <1% | 751 | $51K |
| 99188 | <1% | 3,954 | $50K | |
| 99243 | <1% | 898 | $47K | |
| 11721 | <1% | 3,228 | $44K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,320 | $42K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,930 | $42K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,939 | $41K |
| 90677 | <1% | 1,761 | $40K | |
| 90732 | <1% | 469 | $40K | |
| 90750 | <1% | 305 | $39K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 662 | $39K |
| 99442 | <1% | 3,748 | $39K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,270 | $37K |
| 90707 | <1% | 821 | $36K | |
| 95806 | <1% | 815 | $36K | |
| 20553 | <1% | 2,943 | $36K | |
| 90680 | <1% | 6,231 | $36K | |
| 90961 | <1% | 524 | $33K | |
| 76801 | <1% | 770 | $31K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 685 | $31K |
| 96156 | <1% | 656 | $29K | |
| 90674 | <1% | 1,729 | $29K | |
| 90633 | <1% | 4,772 | $28K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,126 | $28K |
| 95886 | <1% | 498 | $26K | |
| 99460 | <1% | 274 | $26K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 81 | $25K |
| 90656 | <1% | 1,447 | $24K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,333 | $23K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,157 | $23K |
| 90715 | <1% | 1,260 | $20K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 663 | $19K |
| 90734 | <1% | 2,039 | $17K | |
| 96153 | <1% | 720 | $15K | |
| 94060 | <1% | 1,715 | $14K | |
| 93000 | <1% | 1,210 | $13K | |
| 99443 | <1% | 865 | $13K | |
| 95251 | <1% | 1,151 | $13K | |
| 93018 | <1% | 1,195 | $12K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 450 | $12K |
| 93016 | <1% | 711 | $11K | |
| 99220 | <1% | 230 | $11K | |
| 96165 | <1% | 1,053 | $10K | |
| 99219 | <1% | 259 | $10K | |
| 0001A | <1% | 263 | $10K | |
| 94726 | <1% | 1,438 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 895 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,694 | $9K |
| 94729 | <1% | 2,102 | $9K | |
| 64450 | <1% | 252 | $9K | |
| 29848 | <1% | 26 | $8K | |
| 99253 | <1% | 159 | $8K | |
| 99464 | <1% | 150 | $8K | |
| 99245 | <1% | 103 | $7K | |
| 93296 | <1% | 569 | $7K | |
| 0002A | <1% | 173 | $7K | |
| 95819 | <1% | 345 | $6K | |
| 96164 | <1% | 1,059 | $6K | |
| 98968 | <1% | 480 | $6K | |
| 0072A | <1% | 189 | $6K | |
| 0071A | <1% | 181 | $6K | |
| 93458 | <1% | 54 | $6K | |
| 93295 | <1% | 216 | $5K | |
| 76813 | <1% | 135 | $5K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 638 | $5K |
| 90836 | <1% | 123 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,021 | $5K |
| 90710 | <1% | 745 | $5K | |
| 91321 | <1% | 41 | $4K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 44 | $4K |
| 90480 | <1% | 183 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 20 | $4K |
| 90620 | <1% | 275 | $4K | |
| 93298 | <1% | 348 | $4K | |
| 99385 | <1% | 75 | $4K | |
| 99383 | <1% | 60 | $4K | |
| 99477 | <1% | 14 | $4K | |
| 93356 | <1% | 177 | $4K | |
| 95816 | <1% | 194 | $4K | |
| 0004A | <1% | 98 | $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) | <1% | 127 | $3K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | $3K |
| 99217 | <1% | 152 | $3K | |
| 99221 | <1% | 78 | $3K | |
| 90838 | <1% | 46 | $3K | |
| 93299 | <1% | 55 | $3K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 107 | $3K |
| 90696 | <1% | 497 | $3K | |
| 99255 | <1% | 40 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 78 | $3K |
| 99152 | <1% | 114 | $3K | |
| 95910 | <1% | 39 | $3K | |
| 99441 | <1% | 588 | $3K | |
| 95813 | <1% | 58 | $3K | |
| 81002 | <1% | 1,051 | $3K | |
| 64405 | <1% | 110 | $2K | |
| 96127 | <1% | 694 | $2K | |
| 99000 | <1% | 832 | $2K | |
| 11104 | <1% | 46 | $2K | |
| 51784 | <1% | 26 | $2K | |
| 54150 | <1% | 39 | $2K | |
| 99218 | <1% | 40 | $2K | |
| 99307 | <1% | 396 | $2K | |
| 80305 | <1% | 485 | $2K | |
| 90739 | <1% | 13 | $2K | |
| 90716 | <1% | 269 | $2K | |
| 17250 | <1% | 167 | $2K | |
| 87210 | <1% | 589 | $2K | |
| 96112 | <1% | 14 | $2K | |
| 76828 | <1% | 64 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,587 | $2K |
| 90461 | <1% | 2,154 | $2K | |
| 90700 | <1% | 276 | $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) | <1% | 868 | $2K |
| 31575 | <1% | 30 | $2K | |
| 90632 | <1% | 31 | $2K | |
| 99381 | <1% | 40 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 53 | $1K |
| 99173 | <1% | 57 | $1K | |
| 99252 | <1% | 32 | $1K | |
| 99242 | <1% | 26 | $1K | |
| 96132 | <1% | 12 | $1K | |
| 96137 | <1% | 13 | $989.80 | |
| 51798 | <1% | 142 | $963.72 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 47 | $947.05 |
| 90966 | <1% | 26 | $930.84 | |
| 90681 | <1% | 273 | $906.85 | |
| 95908 | <1% | 14 | $846.38 | |
| 96150 | <1% | 27 | $794.24 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 66 | $775.52 |
| 81025 | <1% | 209 | $774.17 | |
| 90962 | <1% | 13 | $715.77 | |
| 0124A | <1% | 25 | $712.47 | |
| 96161 | <1% | 190 | $695.56 | |
| 92552 | <1% | 48 | $629.02 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 202 | $625.19 |
| 92567 | <1% | 52 | $567.61 | |
| 29581 | <1% | 36 | $488.13 | |
| 96116 | <1% | 14 | $487.36 | |
| 94727 | <1% | 72 | $472.35 | |
| 31231 | <1% | 12 | $466.97 | |
| 82962 | <1% | 236 | $460.83 | |
| 0054A | <1% | 18 | $425.48 | |
| 94010 | <1% | 46 | $387.65 | |
| 95812 | <1% | 14 | $380.73 | |
| 96380 | <1% | 15 | $360.00 | |
| 92557 | <1% | 15 | $343.11 | |
| 96136 | <1% | 13 | $327.29 | |
| 17110 | <1% | 13 | $314.88 | |
| 69209 | <1% | 29 | $312.26 | |
| 93970 | <1% | 14 | $269.30 | |
| 94070 | <1% | 14 | $248.17 | |
| 95874 | <1% | 34 | $238.98 | |
| 94375 | <1% | 35 | $236.85 | |
| 93248 | <1% | 31 | $193.12 | |
| 96130 | <1% | 13 | $174.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31,540 | $169.95 |
| 90662 | <1% | 16 | $139.12 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $130.44 |
| 90756 | <1% | 44 | $119.88 | |
| 93294 | <1% | 14 | $115.57 | |
| 88142 | <1% | 13 | $105.97 | |
| 93246 | <1% | 32 | $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 | <1% | 29 | $103.86 |
| 90685 | <1% | 26 | $81.85 | |
| 99305 | <1% | 14 | $73.78 | |
| 99406 | <1% | 189 | $60.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 52 | $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 | <1% | 40 | $49.50 |
| 81003 | <1% | 36 | $48.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 115 | $45.82 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,105 | $39.76 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $21.27 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 15 | $1.56 |
| 91307 | <1% | 440 | $0.53 | |
| 91305 | <1% | 23 | $0.04 | |
| 91312 | <1% | 40 | $0.02 | |
| 0502F | 0% | 3,287 | $0.00 | |
| 91300 | 0% | 843 | $0.00 | |
| 97803 | 0% | 31 | $0.00 | |
| 91308 | 0% | 12 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 2,766 | $0.00 |
| 90474 | 0% | 3,150 | $0.00 | |
| 0500F | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 205 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 170 | $0.00 |
| 97802 | 0% | 52 | $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 officialFISSEL, J. BRYAN (VP-FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, INC | Neenah, WI | $13.41M |
| Ascension Medical Group-Fox Valley Wisconsin, INC | Appleton, WI | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.