Clinic
Racine Digestive Health Center LLC
Racine Digestive Health Center LLC was paid $85K by Medicaid between Sep 2021 and Aug 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 50% of everything it billed.
33Billing provider infoRACINE DIGESTIVE HEALTH CENTER LLC
STURTEVANT, WI 53177
STURTEVANT, WI 53177
33aNPI1659903292assigned 02/11/2020
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$85K
24GClaims1,083
24DCodes billed4
24AFirst – last monthSep 2021 – Aug 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wisconsin
Rank by total paid#30 of 64
Median peer was paid$60K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2021 | 75 | $7K | |
| 2022 | 269 | $28K | |
| 2023 | 609 | $36K | |
| 2024incomplete | 130 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 50% | 550 | 415 | $43K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 50% | 203 | 152 | $42K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 208 | 165 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 122 | 96 | $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 officialBURNS, AMY (DIRECTOR REVENUE CYCLE MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Gi Associates LLC | Milwaukee, WI | $1.72M |
| Center for Digestive Health LTD | Milwaukee, WI | $599K |
| Aurora Gi Asc LLC | West Allis, WI | $203K |
| Mayfair Digestive Health Center, LLC | Wauwatosa, WI | $196K |
| Milwaukee Gi Specialists SC | Wauwatosa, WI | $8K |
| Anesthesia Partners Services, S.C. | Milwaukee, WI | $6K |
| Gi Specialists LLC | Waukesha, WI | $3K |
| Kenosha Digestive Health Center LLC | Kenosha, WI | $2K |
| Gastroenterology Consultants, LTD | Milwaukee, WI | $0.00 |
| Southern Lakes Endoscopy LLC | Mukwonago, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.