Physician
Aspirus Medical Group, INC.
Aspirus Medical Group, INC. was paid $233K by Medicaid between Nov 2023 and Dec 2024, across 9 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 24% of everything it billed.
33Billing provider infoASPIRUS MEDICAL GROUP, INC.
WAUSAU, WI 54401
WAUSAU, WI 54401
33aNPI1942084199assigned 08/21/2023
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$233K
24GClaims3,284
24DCodes billed9
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Wisconsin
Rank by total paid#1 of 9
Median peer was paid$2K
This provider vs. median130×
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 | |
|---|---|---|---|
| 2023 | 303 | $20K | |
| 2024incomplete | 2,981 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 24% | 963 | 726 | $56K |
| 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 | 24% | 835 | 560 | $56K |
| 76819 | Fetal biophysical profile; without non-stress testing | 19% | 647 | 308 | $44K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 19% | 309 | 281 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 255 | 221 | $12K |
| 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 | 4.1% | 108 | 96 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.3% | 125 | 95 | $8K |
| 76821 | 1.0% | 30 | 12 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $823.39 |
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 officialTHUMS, MELISSA (DIRECTOR-SYSTEM REVENUE INTEGRITY)