Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › PROCARE MEDICAL GROUP SC

PROCARE MEDICAL GROUP SC

NPI: 1922164656 · MILWAUKEE, WI 53208 · Multi-Specialty Clinic/Center · NPI assigned 12/28/2006

$25.17M
Total Medicaid Paid
851,937
Total Claims
740,298
Beneficiaries
172
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALLE, ROSALINA (OFFICE MANAGER)
NPI Enumeration Date12/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,228 $4.03M
2019 95,339 $3.43M
2020 94,333 $3.37M
2021 104,601 $3.37M
2022 154,378 $3.39M
2023 158,543 $3.48M
2024 134,515 $4.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 191,427 159,587 $10.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 171,238 144,066 $6.04M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,048 6,522 $768K
70551 Magnetic resonance imaging, brain; without contrast material 1,993 1,811 $635K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,826 9,324 $582K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,754 1,606 $569K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,333 8,896 $554K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,023 2,726 $483K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7,238 6,523 $416K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,855 6,503 $412K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,365 1,009 $393K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,035 5,732 $359K
99173 20,091 18,920 $352K
92552 18,665 17,595 $286K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,443 8,476 $284K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,648 2,482 $262K
76830 Ultrasound, transvaginal 2,827 2,625 $240K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,002 2,774 $238K
73221 510 423 $151K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,267 4,684 $146K
76770 1,617 1,511 $141K
81025 17,504 15,252 $128K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,138 7,609 $121K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,790 1,655 $119K
82962 43,289 34,843 $88K
90686 14,480 13,779 $81K
72141 245 231 $81K
3008F 53,138 47,216 $81K
90756 2,355 2,147 $59K
93000 3,833 3,515 $58K
76705 Ultrasound, abdominal, real time with image documentation; limited 803 734 $56K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 2,608 2,149 $55K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 217 194 $48K
81002 17,078 15,406 $48K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 27 26 $45K
76801 500 419 $44K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 220 194 $44K
78268 562 498 $40K
90674 2,203 2,069 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 483 404 $35K
90651 3,759 3,581 $30K
92250 2,367 1,489 $29K
96127 8,520 7,515 $27K
0001A 735 712 $27K
76536 373 352 $27K
0002A 622 608 $24K
93015 326 292 $22K
99215 Prolong outpt/office vis 262 248 $21K
90698 3,891 3,753 $20K
99490 Ccm add 20min 2,695 2,518 $19K
90633 3,121 2,985 $19K
90670 4,327 4,147 $18K
90619 1,244 1,192 $17K
D1208 Topical application of fluoride, excluding varnish 1,376 1,339 $17K
72110 386 356 $17K
99406 5,360 4,529 $16K
99442 804 679 $14K
90671 903 852 $12K
99205 Prolong outpt/office vis 75 70 $10K
73560 503 307 $10K
90697 639 616 $8K
71046 Radiologic examination, chest; 2 views 500 431 $8K
0003A 216 200 $8K
99441 745 645 $7K
90744 1,781 1,729 $7K
90620 1,521 1,438 $7K
90715 1,147 1,095 $7K
90710 928 871 $6K
99385 114 95 $6K
73630 249 184 $6K
99000 1,609 1,475 $5K
73030 253 185 $5K
99050 583 539 $5K
0071A 181 144 $5K
99381 89 84 $5K
90656 551 521 $5K
90707 638 608 $5K
78267 562 498 $5K
90734 1,138 1,092 $4K
90716 690 660 $4K
0072A 134 121 $4K
72050 104 92 $4K
93970 28 26 $4K
83036 Hemoglobin; glycosylated (A1C) 525 445 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,731 1,454 $3K
90681 724 705 $3K
90696 495 474 $3K
93922 48 43 $2K
99384 45 42 $2K
90685 729 705 $2K
73130 97 60 $2K
73502 92 86 $2K
86580 307 271 $2K
59025 Fetal non-stress test 26 12 $2K
72070 50 42 $1K
92540 14 13 $1K
90661 45 42 $1K
77080 13 12 $1K
83655 63 61 $1K
2022F 2,043 1,202 $910.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 15 13 $886.67
90621 260 256 $846.41
99386 12 12 $763.17
99383 12 12 $759.82
20610 15 12 $754.04
90649 192 181 $752.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 69 65 $750.71
96160 264 228 $744.85
99244 Office or other outpatient consultation, moderate to high complexity 15 12 $725.62
99407 188 164 $716.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,325 1,102 $548.50
81003 166 163 $486.38
0012A 15 14 $472.64
0011A 16 16 $468.36
A9575 Injection, gadoterate meglumine, 0.1 ml 35 25 $467.69
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) 249 206 $447.31
73610 13 12 $362.51
90680 28 27 $346.20
99497 249 214 $328.79
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 33 19 $299.96
99397 27 25 $287.04
90700 71 67 $267.96
99491 Ccm add 20min 14 12 $230.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 31 29 $142.94
J1245 Injection, dipyridamole, per 10 mg 29 25 $131.76
J0280 Injection, aminophyllin, up to 250 mg 29 25 $127.20
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 82 62 $109.46
0503F 74 67 $100.00
3044F 233 193 $100.00
92229 154 132 $93.48
99439 15 14 $82.69
90648 15 15 $59.79
90713 13 13 $53.17
0501F 12 12 $50.00
D0120 Periodic oral evaluation - established patient 14 14 $45.52
3046F 45 41 $40.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $23.57
G0444 Annual depression screening, 5 to 15 minutes 619 519 $8.56
91300 629 508 $6.50
1036F 23,569 20,750 $0.08
1126F 5,583 4,897 $0.02
1160F 13,045 11,522 $0.02
3725F 4,961 4,321 $0.02
1159F 12,555 11,086 $0.02
G8754 Most recent diastolic blood pressure < 90 mmhg 244 197 $0.01
1125F 2,653 2,265 $0.01
3075F 3,690 3,233 $0.01
3079F 14,261 12,552 $0.01
3074F 26,677 23,771 $0.01
1170F 527 425 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg 189 157 $0.01
3078F 15,993 14,522 $0.01
1034F 3,824 3,132 $0.00
3080F 1,649 1,387 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 172 151 $0.00
2033F 170 111 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 57 53 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 289 242 $0.00
91301 30 15 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 85 79 $0.00
1101F 87 72 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 17 13 $0.00
G0008 Administration of influenza virus vaccine 96 75 $0.00
2023F 92 75 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 103 101 $0.00
1035F 15 13 $0.00
3077F 1,653 1,391 $0.00
1090F 258 212 $0.00
3288F 263 207 $0.00
1100F 18 14 $0.00
G9782 History of or active diagnosis of familial hypercholesterolemia 28 26 $0.00
0518F 18 14 $0.00