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Aurora Medical Group, Inc.

Internal Medicine·Milwaukee, WI·NPI: 1427271378Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $139.2M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$139.2M

$139,243,287

Total Claims

5.1M

Beneficiaries

4.4M

1.2 claims/patient

Avg Cost/Claim

$27

#796 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Aurora Medical Group, Inc. is a Internal Medicine provider based in Milwaukee, WI. From the 2018–2024 period, this provider received $139.2M in Medicaid payments across 5.1M claims.

Why This Matters

This provider received $139.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,405 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 38% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.0M
+0%
2019
$16.0M
-6%
2020
$15.0M
+47%
2021
$22.0M
+3%
2022
$22.8M
+11%
2023
$25.3M
-12%
2024
$22.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$30.8M

840K claims · 22.1%

Your Cost: $36.64/claim|Median: $53.41
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$16.2M

589K claims · 11.7%

Your Cost: $27.57/claim|Median: $37.81
0.7× median
99284Normal range

Emergency dept visit, high complexity

$7.9M

204K claims · 5.7%

Your Cost: $38.92/claim|Median: $69.51
0.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$4.3M

50K claims · 3.1%

Your Cost: $86.81/claim|Median: $49.45
1.8× median
90834Normal range

Psychotherapy, 45 minutes

$4.0M

112K claims · 2.9%

Your Cost: $35.58/claim|Median: $63.65
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$3.2M

34K claims · 2.3%

Your Cost: $94.88/claim|Median: $108.91
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.1M

53K claims · 2.2%

Your Cost: $58.09/claim|Median: $69.35
0.8× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$3.0M

15K claims · 2.1%

Your Cost: $195.56/claim|Median: $106.79
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.9M

37K claims · 2.1%

Your Cost: $78.62/claim|Median: $58.55
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.7M

66K claims · 2.0%

Your Cost: $41.45/claim|Median: $85.65
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.7M

46K claims · 1.9%

Your Cost: $58.35/claim|Median: $75.18
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$2.4M

52K claims · 1.7%

Your Cost: $47.21/claim|Median: $65.76
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.3M

100K claims · 1.7%

Your Cost: $23.35/claim|Median: $35.30
0.7× median
70450Normal range

CT head/brain without contrast

$2.2M

76K claims · 1.6%

Your Cost: $29.35/claim|Median: $45.53
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$1.9M

41K claims · 1.3%

Your Cost: $45.15/claim|Median: $74.09
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.8M

132K claims · 1.3%

Your Cost: $13.96/claim|Median: $23.99
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

42K claims · 1.3%

Your Cost: $42.02/claim|Median: $54.68
0.8× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$1.5M

11K claims · 1.1%

Your Cost: $139.36/claim|Median: $74.78
1.9× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.4M

17K claims · 1.0%

Your Cost: $84.39/claim|Median: $47.65
1.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.3M

27K claims · 0.9%

Your Cost: $48.10/claim|Median: $57.85
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.3M

23K claims · 0.9%

Your Cost: $56.37/claim|Median: $43.85
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$1.2M

26K claims · 0.9%

Your Cost: $48.70/claim|Median: $67.32
0.7× median
71045Normal range

Chest X-ray, single view

$1.2M

270K claims · 0.9%

Your Cost: $4.50/claim|Median: $4.93
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$1.1M

40K claims · 0.8%

Your Cost: $27.74/claim|Median: $42.48
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.0M

185K claims · 0.7%

Your Cost: $5.64/claim|Median: $5.60
1.0× median
99000Normal range

$1.0M

285K claims · 0.7%

Your Cost: $3.66/claim|Median: $2.30
1.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$1.0M

33K claims · 0.7%

Your Cost: $30.66/claim|Median: $28.46
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.0M

17K claims · 0.7%

Your Cost: $58.33/claim|Median: $74.82
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$1000K

25K claims · 0.7%

Your Cost: $40.59/claim|Median: $39.33
1.0× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$974K

8K claims · 0.7%

Your Cost: $123.52/claim|Median: $58.16
2.1× median

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