Surgical Associates, S.C.

Surgical Associates, S.C. was paid $15K by Medicaid between Feb 2018 and Oct 2024, across 4 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 53% of everything it billed.

33Billing provider infoSURGICAL ASSOCIATES, S.C.
WAUSAU, WI 54401

33aNPI1710910476assigned 07/08/2006

33bProvider typeSurgery Physician

28Total paid$15K

24GClaims1,142

24DCodes billed4

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in Wisconsin

Rank by total paid#12 of 22

Median peer was paid$15K

This provider vs. median1.0×

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	66	$2K
2019	42	$561.97
2020	66	$1K
2021	106	$1K
2022	229	$3K
2023	484	$5K
2024incomplete	149	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	53%	740	225	$8K
93922		28%	146	137	$4K
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%	181	170	$2K
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	6.3%	75	63	$958.85

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 officialLEHMAN, KAYANNE (ASST CLINIC MGR/CREDENTIALING)