Wheaton Franciscan Medical Group-Sussex, INC.
Wheaton Franciscan Medical Group-Sussex, INC. was paid $85K by Medicaid between Jan 2018 and Oct 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoWHEATON FRANCISCAN MEDICAL GROUP-SUSSEX, INC.
SUSSEX, WI 53089
SUSSEX, WI 53089
33aNPI1619934288assigned 04/27/2006
33bProvider typePhysical Therapist
28Total paid$85K
24GClaims2,385
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Physical Therapist providers in Wisconsin
Rank by total paid#14 of 83
Median peer was paid$10K
This provider vs. median8.4×
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 | 2,193 | $79K | |
| 2019 | 192 | $7K |
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 | 93% | 2,162 | 1,775 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 195 | 177 | $5K |
| 90686 | <1% | 13 | 13 | $144.02 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | 13 | $124.15 |
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 officialKUHS, KATIE (PROVIDER RELATIONS COORDINATOR)