Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVANCED PAIN MANAGEMENT SC

NPI: 1770506669 · GREENFIELD, WI 53221 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAL, VISHAL controls 17+ related entities in our dataset. Read more

$3.74M
Total Medicaid Paid
130,284
Total Claims
99,586
Beneficiaries
45
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialLAL, VISHAL (CEO)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: LAL, VISHAL

ProviderCityStateTotal Paid
WISCONSIN HEALTH CENTER LLC GREENFIELD WI $1.15M
UNITED MEDICAL CENTER, LLC MILWAUKEE WI $1.07M
WISCONSIN SURGERY CENTER LLC MILWAUKEE WI $532K
SHEBOYGAN MEDICAL CENTER, LLC SHEBOYGAN WI $353K
PAIN CENTERS OF WISCONSIN-GREEN BAY, LLC GREEN BAY WI $284K
PAIN CENTERS OF WISCONSIN - KENOSHA, LLC PLEASANT PRAIRIE WI $77K
PAIN CENTERS OF WISCONSIN - APPLETON, LLC APPLETON WI $36K
WAUKESHA PAIN CENTER LLC WAUKESHA WI $32K
SURGI CENTER OF GREATER MADISON, LLC MADISON WI $26K
MUNSTER SURGERY CENTER LLC MUNSTER IN $17K
PAIN CENTERS OF WISCONSIN - WAUWATOSA, LLC MILWAUKEE WI $12K
PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC FRANKLIN WI $11K
PAIN CENTERS OF WISCONSIN - WAUSAU, LLC WAUSAU WI $9K
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC BEAVER DAM WI $2K
PAIN CENTERS OF WISCONSIN - WEST BEND, LLC WEST BEND WI $0.00
PAIN CENTERS OF WISCONSIN - STEVENS POINT, LLC STEVENS POINT WI $0.00
PAIN CENTERS OF WISCONSIN - SAUK PRAIRIE, LLC PRAIRIE DU SAC WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54,949 $1.64M
2019 50,627 $1.50M
2020 24,708 $600K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,418 41,367 $1.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,610 20,992 $386K
64635 2,184 1,431 $313K
64483 2,147 1,569 $187K
64493 2,272 1,697 $179K
62323 1,655 1,304 $177K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,486 4,439 $161K
64636 3,086 1,255 $145K
27096 1,793 1,385 $137K
99152 9,133 6,329 $117K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,909 1,601 $98K
64494 2,194 1,628 $82K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 1,722 1,395 $80K
01936 1,645 1,240 $79K
64495 1,230 933 $48K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 660 515 $47K
20610 1,729 1,324 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,068 935 $42K
J7999 Compounded drug, not otherwise classified 1,259 608 $38K
62370 1,429 821 $20K
77002 1,714 1,334 $17K
76942 1,212 712 $15K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 879 634 $14K
64633 117 73 $12K
99441 2,408 1,834 $12K
90791 Psychiatric diagnostic evaluation 406 310 $12K
99442 846 625 $8K
64484 148 111 $7K
64490 69 51 $6K
62321 61 52 $6K
90834 Psychotherapy, 45 minutes with patient 203 134 $5K
64634 149 71 $5K
64450 121 38 $4K
01992 70 51 $3K
64491 66 49 $3K
90832 Psychotherapy, 30 minutes with patient 87 58 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 317 233 $1K
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 210 159 $868.01
62369 57 33 $788.19
64492 17 12 $700.67
J3490 Unclassified drugs 279 69 $646.33
99443 83 71 $450.29
20553 52 36 $437.12
99406 66 54 $221.17
99153 Mod sedat endo service >5yrs 18 14 $33.44