Supplier
Advanced Pain Management SC
Advanced Pain Management SC was paid $3.74M by Medicaid between Jan 2018 and Nov 2020, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoADVANCED PAIN MANAGEMENT SC
GREENFIELD, WI 53221
GREENFIELD, WI 53221
33aNPI1770506669assigned 07/25/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3.74M
24GClaims130,284
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Wisconsin
Rank by total paid#6 of 451
Median peer was paid$10K
This provider vs. median390×
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 LAL, VISHAL controls 17+ 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 | 54,949 | $1.64M | |
| 2019 | 50,627 | $1.50M | |
| 2020 | 24,708 | $600K |
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 | 33% | 51,418 | 41,367 | $1.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 26,610 | 20,992 | $386K |
| 64635 | 8.4% | 2,184 | 1,431 | $313K | |
| 64483 | 5.0% | 2,147 | 1,569 | $187K | |
| 64493 | 4.8% | 2,272 | 1,697 | $179K | |
| 62323 | 4.7% | 1,655 | 1,304 | $177K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 4.3% | 5,486 | 4,439 | $161K |
| 64636 | 3.9% | 3,086 | 1,255 | $145K | |
| 27096 | 3.7% | 1,793 | 1,385 | $137K | |
| 99152 | 3.1% | 9,133 | 6,329 | $117K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 1,909 | 1,601 | $98K |
| 64494 | 2.2% | 2,194 | 1,628 | $82K |
33 more codes
| 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 | 2.1% | 1,722 | $80K |
| 01936 | 2.1% | 1,645 | $79K | |
| 64495 | 1.3% | 1,230 | $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 | 1.2% | 660 | $47K |
| 20610 | 1.2% | 1,729 | $44K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 1,068 | $42K |
| J7999 | Compounded drug, not otherwise classified | 1.0% | 1,259 | $38K |
| 62370 | <1% | 1,429 | $20K | |
| 77002 | <1% | 1,714 | $17K | |
| 76942 | <1% | 1,212 | $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 | <1% | 879 | $14K |
| 64633 | <1% | 117 | $12K | |
| 99441 | <1% | 2,408 | $12K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 406 | $12K |
| 99442 | <1% | 846 | $8K | |
| 64484 | <1% | 148 | $7K | |
| 64490 | <1% | 69 | $6K | |
| 62321 | <1% | 61 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 203 | $5K |
| 64634 | <1% | 149 | $5K | |
| 64450 | <1% | 121 | $4K | |
| 01992 | <1% | 70 | $3K | |
| 64491 | <1% | 66 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 87 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 317 | $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 | <1% | 210 | $868.01 |
| 62369 | <1% | 57 | $788.19 | |
| 64492 | <1% | 17 | $700.67 | |
| J3490 | Unclassified drugs | <1% | 279 | $646.33 |
| 99443 | <1% | 83 | $450.29 | |
| 20553 | <1% | 52 | $437.12 | |
| 99406 | <1% | 66 | $221.17 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 18 | $33.44 |
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 officialLAL, VISHAL (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.