Eau Claire Gi Associates SC

Eau Claire Gi Associates SC was paid $32K by Medicaid between May 2018 and Oct 2023, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 90% of everything it billed.

33Billing provider infoEAU CLAIRE GI ASSOCIATES SC
EAU CLAIRE, WI 54701

33aNPI1912078718assigned 11/13/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$32K

24GClaims325

24DCodes billed5

24AFirst – last monthMay 2018 – Oct 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Wisconsin

Rank by total paid#20 of 180

Median peer was paid$2K

This provider vs. median14×

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	12	$286.38
2019	26	$3K
2020	69	$9K
2021	93	$9K
2022	68	$4K
2023	57	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	90%	201	175	$28K
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	4.5%	50	49	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.0%	27	25	$1K
99152		1.4%	34	26	$425.73
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	12	$92.12

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 officialFOGELTANZ, AMY (PRACTICE MANAGER)