Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Procare Medical Group SC

Procare Medical Group SC was paid $25.17M by Medicaid between Jan 2018 and Dec 2024, across 172 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoPROCARE MEDICAL GROUP SC
MILWAUKEE, WI 53208
33aNPI1922164656assigned 12/28/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$25.17M
24GClaims851,937
24DCodes billed172
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Wisconsin

Rank by total paid#2 of 40
Median peer was paid$333K
This provider vs. median76×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018110,228$4.03M
201995,339$3.43M
202094,333$3.37M
2021104,601$3.37M
2022154,378$3.39M
2023158,543$3.48M
2024incomplete134,515$4.10M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 191,427 159,587 $10.02M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 171,238 144,066 $6.04M
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 3.1% 7,048 6,522 $768K
70551 Magnetic resonance imaging, brain; without contrast material 2.5% 1,993 1,811 $635K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.3% 9,826 9,324 $582K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2.3% 1,754 1,606 $569K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.2% 9,333 8,896 $554K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.9% 3,023 2,726 $483K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.7% 7,238 6,523 $416K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 6,855 6,503 $412K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.6% 1,365 1,009 $393K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 6,035 5,732 $359K
160 more codes
99173 1.4% 20,091 $352K
92552 1.1% 18,665 $286K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 9,443 $284K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.0% 2,648 $262K
76830 Ultrasound, transvaginal <1% 2,827 $240K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,002 $238K
73221 <1% 510 $151K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 5,267 $146K
76770 <1% 1,617 $141K
81025 <1% 17,504 $128K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,138 $121K
99203 Doctor's office visit, new patient (routine) <1% 1,790 $119K
82962 <1% 43,289 $88K
90686 <1% 14,480 $81K
72141 <1% 245 $81K
3008F <1% 53,138 $81K
90756 <1% 2,355 $59K
93000 <1% 3,833 $58K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 803 $56K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 2,608 $55K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 217 $48K
81002 <1% 17,078 $48K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 27 $45K
76801 <1% 500 $44K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 220 $44K
78268 <1% 562 $40K
90674 <1% 2,203 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 483 $35K
90651 <1% 3,759 $30K
92250 <1% 2,367 $29K
96127 <1% 8,520 $27K
0001A <1% 735 $27K
76536 <1% 373 $27K
0002A <1% 622 $24K
93015 <1% 326 $22K
99215 Doctor's office visit, returning patient (complex) <1% 262 $21K
90698 <1% 3,891 $20K
99490 Ccm add 20min <1% 2,695 $19K
90633 <1% 3,121 $19K
90670 <1% 4,327 $18K
90619 <1% 1,244 $17K
D1208 Topical application of fluoride, excluding varnish <1% 1,376 $17K
72110 <1% 386 $17K
99406 <1% 5,360 $16K
99442 <1% 804 $14K
90671 <1% 903 $12K
99205 Prolong outpt/office vis <1% 75 $10K
73560 <1% 503 $10K
90697 <1% 639 $8K
71046 Radiologic examination, chest; 2 views <1% 500 $8K
0003A <1% 216 $8K
99441 <1% 745 $7K
90744 <1% 1,781 $7K
90620 <1% 1,521 $7K
90715 <1% 1,147 $7K
90710 <1% 928 $6K
99385 <1% 114 $6K
73630 <1% 249 $6K
99000 <1% 1,609 $5K
73030 <1% 253 $5K
99050 <1% 583 $5K
0071A <1% 181 $5K
99381 <1% 89 $5K
90656 <1% 551 $5K
90707 <1% 638 $5K
78267 <1% 562 $5K
90734 <1% 1,138 $4K
90716 <1% 690 $4K
0072A <1% 134 $4K
72050 <1% 104 $4K
93970 <1% 28 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 525 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,731 $3K
90681 <1% 724 $3K
90696 <1% 495 $3K
93922 <1% 48 $2K
99384 <1% 45 $2K
90685 <1% 729 $2K
73130 <1% 97 $2K
73502 <1% 92 $2K
86580 <1% 307 $2K
59025 Fetal non-stress test <1% 26 $2K
72070 <1% 50 $1K
92540 <1% 14 $1K
90661 <1% 45 $1K
77080 <1% 13 $1K
83655 <1% 63 $1K
2022F <1% 2,043 $910.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 15 $886.67
90621 <1% 260 $846.41
99386 <1% 12 $763.17
99383 <1% 12 $759.82
20610 <1% 15 $754.04
90649 <1% 192 $752.74
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 69 $750.71
96160 <1% 264 $744.85
99244 Office or other outpatient consultation, moderate to high complexity <1% 15 $725.62
99407 <1% 188 $716.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 1,325 $548.50
81003 <1% 166 $486.38
0012A <1% 15 $472.64
0011A <1% 16 $468.36
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 35 $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) <1% 249 $447.31
73610 <1% 13 $362.51
90680 <1% 28 $346.20
99497 <1% 249 $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 <1% 33 $299.96
99397 <1% 27 $287.04
90700 <1% 71 $267.96
99491 Ccm add 20min <1% 14 $230.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 31 $142.94
J1245 Injection, dipyridamole, per 10 mg <1% 29 $131.76
J0280 Injection, aminophyllin, up to 250 mg <1% 29 $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 <1% 82 $109.46
0503F <1% 74 $100.00
3044F <1% 233 $100.00
92229 <1% 154 $93.48
99439 <1% 15 $82.69
90648 <1% 15 $59.79
90713 <1% 13 $53.17
0501F <1% 12 $50.00
D0120 Dental checkup, returning patient <1% 14 $45.52
3046F <1% 45 $40.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 $23.57
G0444 Annual depression screening, 5 to 15 minutes <1% 619 $8.56
91300 <1% 629 $6.50
1036F <1% 23,569 $0.08
1126F <1% 5,583 $0.02
1160F <1% 13,045 $0.02
3725F <1% 4,961 $0.02
1159F <1% 12,555 $0.02
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 244 $0.01
1125F <1% 2,653 $0.01
3075F <1% 3,690 $0.01
3079F <1% 14,261 $0.01
3074F <1% 26,677 $0.01
1170F <1% 527 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg <1% 189 $0.01
3078F <1% 15,993 $0.01
1034F 0% 3,824 $0.00
3080F 0% 1,649 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 172 $0.00
2033F 0% 170 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 57 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 289 $0.00
91301 0% 30 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 0% 85 $0.00
1101F 0% 87 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 17 $0.00
G0008 Administration of influenza virus vaccine 0% 96 $0.00
2023F 0% 92 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 103 $0.00
1035F 0% 15 $0.00
3077F 0% 1,653 $0.00
1090F 0% 258 $0.00
3288F 0% 263 $0.00
1100F 0% 18 $0.00
G9782 History of or active diagnosis of familial hypercholesterolemia 0% 28 $0.00
0518F 0% 18 $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 officialVALLE, ROSALINA (OFFICE MANAGER)