Physician
Aspirus Medical Group, INC.
Aspirus Medical Group, INC. was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoASPIRUS MEDICAL GROUP, INC.
WESTON, WI 54476
WESTON, WI 54476
33aNPI1720177371assigned 10/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.50M
24GClaims78,730
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#10 of 359
Median peer was paid$4K
This provider vs. median643×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official YANG, JERRY controls 20+ related entities in our dataset. Read more
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 | 9,552 | $305K | |
| 2019 | 11,812 | $315K | |
| 2020 | 9,101 | $291K | |
| 2021 | 13,369 | $351K | |
| 2022 | 15,067 | $465K | |
| 2023 | 12,666 | $420K | |
| 2024incomplete | 7,163 | $354K |
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 | 37% | 24,225 | 21,486 | $936K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 17,750 | 15,733 | $483K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 19% | 9,693 | 8,590 | $479K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.3% | 1,068 | 996 | $133K |
| Q3014 | Telehealth originating site facility fee | 3.9% | 5,793 | 5,033 | $97K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 7,878 | 6,886 | $91K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.1% | 423 | 390 | $53K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 670 | 420 | $39K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 445 | 382 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,630 | 2,411 | $36K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 434 | 247 | $16K |
| 96116 | <1% | 414 | 348 | $14K |
32 more codes
| 90836 | <1% | 179 | $13K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 245 | $11K |
| 80053 | Comprehensive metabolic panel | <1% | 1,239 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,482 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,191 | $7K |
| 80061 | Lipid panel | <1% | 387 | $5K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 67 | $5K |
| 90686 | <1% | 416 | $4K | |
| 96132 | <1% | 68 | $3K | |
| 96118 | <1% | 16 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 289 | $2K |
| 81001 | <1% | 669 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 36 | $2K |
| 99443 | <1% | 108 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 93 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $1K |
| 99442 | <1% | 106 | $1K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $1K |
| 0012A | <1% | 17 | $657.12 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 91 | $512.18 |
| 85027 | <1% | 98 | $508.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $480.62 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $458.10 |
| 0011A | <1% | 17 | $239.88 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $209.35 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 18 | $180.06 |
| 90785 | <1% | 14 | $166.53 | |
| 87210 | <1% | 34 | $165.21 | |
| 82947 | <1% | 43 | $161.64 | |
| 81025 | <1% | 12 | $103.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 237 | $62.89 |
| 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% | 40 | $30.88 |
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 officialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Parent organizationASPIRUS MEDICAL GROUP, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.