Physician
Greater Milwaukee Critical Care and Pulmonary Associates SC
Greater Milwaukee Critical Care and Pulmonary Associates SC was paid $916K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 70% of everything it billed.
33Billing provider infoGREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1952569816assigned 05/28/2008
33bProvider typePulmonary Disease Physician
28Total paid$916K
24GClaims30,455
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Wisconsin
Rank by total paid#1 of 20
Median peer was paid$10K
This provider vs. median91×
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 | 3,609 | $85K | |
| 2019 | 6,333 | $150K | |
| 2020 | 5,911 | $175K | |
| 2021 | 5,686 | $199K | |
| 2022 | 5,398 | $191K | |
| 2023 | 3,481 | $116K | |
| 2024incomplete | 37 | $536.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 70% | 13,541 | 5,624 | $641K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 11,141 | 4,057 | $142K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 4,722 | 2,520 | $104K |
| 99292 | 1.5% | 629 | 509 | $14K | |
| 99223 | Prolong inpt eval add15 m | 1.0% | 230 | 208 | $9K |
| 94003 | <1% | 192 | 67 | $5K |
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 officialWAGHRAY, RAKESH (OFFICER)