Physician
Ascension Medical Group-Fox Valley Wisconsin, INC
Ascension Medical Group-Fox Valley Wisconsin, INC was paid $13.41M by Medicaid between Jan 2018 and Dec 2024, across 154 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NEENAH, WI 54956
NEENAH, WI 54956
33aNPI1730126392assigned 06/01/2006
33bProvider typeGeneral Practice Physician
28Total paid$13.41M
24GClaims474,345
24DCodes billed154
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Wisconsin
Rank by total paid#2 of 20
Median peer was paid$18K
This provider vs. median760×
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 | 73,861 | $1.89M | |
| 2019 | 70,264 | $1.96M | |
| 2020 | 57,204 | $1.65M | |
| 2021 | 75,442 | $1.99M | |
| 2022 | 77,845 | $2.13M | |
| 2023 | 77,971 | $2.05M | |
| 2024incomplete | 41,758 | $1.75M |
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 | 40% | 142,342 | 121,751 | $5.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 102,206 | 90,606 | $2.75M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 9,384 | 8,833 | $534K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 8,726 | 7,904 | $489K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 12,013 | 4,483 | $384K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 4,584 | 4,385 | $261K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 9,920 | 7,514 | $254K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 3,215 | 2,836 | $207K |
| 3008F | 1.5% | 22,686 | 21,745 | $205K | |
| 99223 | Prolong inpt eval add15 m | 1.5% | 3,830 | 3,445 | $200K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 2,389 | 1,749 | $191K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 8,294 | 4,500 | $183K |
142 more codes
| 96130 | 1.2% | 3,098 | $167K | |
| 96131 | 1.1% | 2,439 | $153K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 25,744 | $146K |
| 96137 | <1% | 2,574 | $132K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,728 | $127K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,743 | $124K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 844 | $116K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,131 | $92K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 6,850 | $87K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,816 | $82K |
| 92015 | Determination of refractive state | <1% | 10,630 | $71K |
| 96136 | <1% | 3,303 | $68K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,124 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,011 | $60K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,330 | $50K |
| 90686 | <1% | 9,619 | $49K | |
| 20611 | <1% | 1,407 | $45K | |
| 73630 | <1% | 3,284 | $41K | |
| 96101 | <1% | 500 | $40K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,634 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,814 | $36K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 206 | $28K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 476 | $24K |
| 0002A | <1% | 619 | $22K | |
| Q3014 | Telehealth originating site facility fee | <1% | 2,227 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,289 | $20K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 169 | $20K |
| 0001A | <1% | 642 | $19K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 509 | $16K |
| 92567 | <1% | 1,179 | $15K | |
| 90670 | <1% | 3,510 | $15K | |
| 99188 | <1% | 1,188 | $14K | |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 34 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 365 | $13K |
| 80306 | <1% | 809 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 967 | $12K |
| 93000 | <1% | 972 | $12K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 24 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,294 | $11K |
| 96127 | <1% | 5,370 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,454 | $10K |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 41 | $9K |
| 90723 | <1% | 1,730 | $9K | |
| 65860 | <1% | 164 | $8K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 35 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 49 | $8K |
| 90647 | <1% | 1,416 | $8K | |
| 66821 | <1% | 144 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 666 | $7K |
| 94060 | <1% | 357 | $7K | |
| 95886 | <1% | 101 | $6K | |
| 90677 | <1% | 458 | $6K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 105 | $6K |
| 0071A | <1% | 238 | $6K | |
| 90656 | <1% | 377 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 762 | $5K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 71 | $5K |
| 90680 | <1% | 1,080 | $5K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 38 | $5K |
| 0072A | <1% | 159 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 375 | $4K |
| 94726 | <1% | 275 | $4K | |
| 95806 | <1% | 94 | $4K | |
| 11720 | <1% | 804 | $4K | |
| 94729 | <1% | 301 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 105 | $4K |
| V5266 | Battery for use in hearing device | <1% | 500 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 77 | $3K |
| 92133 | <1% | 163 | $3K | |
| 11719 | <1% | 936 | $3K | |
| 92310 | <1% | 208 | $3K | |
| 95117 | <1% | 747 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 887 | $3K |
| 82947 | <1% | 686 | $2K | |
| 92557 | <1% | 77 | $2K | |
| 0031A | <1% | 65 | $2K | |
| 76519 | <1% | 98 | $2K | |
| 90633 | <1% | 415 | $2K | |
| 90674 | <1% | 153 | $2K | |
| 96133 | <1% | 23 | $2K | |
| 0004A | <1% | 65 | $2K | |
| 99442 | <1% | 237 | $2K | |
| 99221 | <1% | 71 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 197 | $2K |
| 99381 | <1% | 24 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 30 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $1K |
| 99220 | <1% | 29 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,611 | $1K |
| 81001 | <1% | 408 | $1K | |
| 0011A | <1% | 30 | $1K | |
| 93793 | <1% | 421 | $1K | |
| 0012A | <1% | 27 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $998.18 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 124 | $985.70 |
| 99236 | Prolong inpt eval add15 m | <1% | 14 | $896.30 |
| 99254 | <1% | 12 | $859.41 | |
| 96132 | <1% | 22 | $803.90 | |
| 99443 | <1% | 68 | $798.45 | |
| 92134 | <1% | 62 | $747.06 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 38 | $596.04 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 206 | $566.05 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $537.75 |
| 99441 | <1% | 109 | $527.29 | |
| 85651 | <1% | 160 | $518.71 | |
| 73610 | <1% | 30 | $439.17 | |
| 87210 | <1% | 156 | $390.75 | |
| 90651 | <1% | 66 | $374.83 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 49 | $332.32 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 187 | $303.43 |
| 97597 | <1% | 25 | $295.78 | |
| 99000 | <1% | 104 | $294.99 | |
| 93227 | <1% | 15 | $249.89 | |
| 11721 | <1% | 30 | $248.62 | |
| 92551 | <1% | 22 | $243.97 | |
| 85027 | <1% | 45 | $231.81 | |
| 90734 | <1% | 64 | $210.28 | |
| 36416 | <1% | 109 | $210.24 | |
| 90688 | <1% | 61 | $208.71 | |
| 90710 | <1% | 48 | $156.86 | |
| 99305 | <1% | 19 | $147.56 | |
| 85652 | <1% | 79 | $141.64 | |
| 80047 | <1% | 16 | $141.02 | |
| 11056 | <1% | 14 | $140.29 | |
| 99307 | <1% | 21 | $130.47 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 38 | $125.89 |
| 51798 | <1% | 14 | $118.35 | |
| 81025 | <1% | 20 | $105.90 | |
| 85007 | <1% | 27 | $76.80 | |
| 83037 | <1% | 33 | $64.41 | |
| 90696 | <1% | 12 | $37.35 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $19.47 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | $1.80 |
| 91300 | <1% | 1,429 | $0.98 | |
| 91307 | <1% | 403 | $0.63 | |
| Q0247 | Injection, sotrovimab, 500 mg | <1% | 31 | $0.03 |
| 91301 | <1% | 57 | $0.02 | |
| 2028F | 0% | 108 | $0.00 | |
| 97803 | 0% | 58 | $0.00 | |
| Q0243 | Injection, casirivimab and imdevimab, 2400 mg | 0% | 43 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | $0.00 |
| 91303 | 0% | 65 | $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 officialFISSEL, J. BRYAN (VP-FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Ascension Medical Group-Southeast Wisconsin INC | Glendale, WI | $44.47M |
| Ascension Medical Group-Fox Valley Wisconsin, INC | Appleton, WI | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.