Physician
Primary Care Associates of Appleton, LTD
Primary Care Associates of Appleton, LTD was paid $166K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPRIMARY CARE ASSOCIATES OF APPLETON, LTD
APPLETON, WI 54913
APPLETON, WI 54913
33aNPI1659305654assigned 07/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$166K
24GClaims5,879
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Wisconsin
Rank by total paid#25 of 160
Median peer was paid$6K
This provider vs. median28×
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 | 1,233 | $33K | |
| 2019 | 1,219 | $32K | |
| 2020 | 634 | $17K | |
| 2021 | 682 | $18K | |
| 2022 | 873 | $26K | |
| 2023 | 875 | $23K | |
| 2024incomplete | 363 | $16K |
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 | 54% | 2,476 | 2,291 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 3,115 | 2,802 | $75K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 211 | 199 | $1K |
| 90686 | <1% | 64 | 64 | $671.48 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | 12 | $134.90 |
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 officialHENN, GREG (CEO)