DR. LUCAS BRIAN LUDEMAN M.D.
NPI 1205080744
Radiology - Diagnostic Radiology in Green Bay, WI

Q: What is Lucas Ludeman's NPI number?

The NPI number for Lucas Ludeman is 1205080744. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: Where is Lucas Ludeman located?

Lucas Ludeman practices at 1789 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 499-1428.

Q: What is Lucas Ludeman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: Is Lucas Ludeman enrolled in Medicare?

Yes. Lucas Ludeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Q: Which organizations bill Medicare for Lucas Ludeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Ludeman reassigns Medicare benefits to 11 organizations: Radiology Chartered (Green Bay, WI), Allina Health System (River Falls, WI), St. Croix Regional Medical Center (Saint Croix Falls, WI), Fairview Express Care (Woodbury, MN), Fairview Clinics (Chisago City, MN) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Ludeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Lucas Ludeman accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and CareSource (Common Ground Healthcare) list Lucas Ludeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Q: Is Lucas Ludeman affiliated with any hospitals?

According to CMS data, Lucas Ludeman is affiliated with Bellin Memorial Hospital, Bay Area Medical Center and Bellin Health Oconto Hospital.

Q: When was this NPI record last updated?

The NPPES record for Lucas Ludeman was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2008PECOS EnrolledAccepts Medicare Assignment

98.25/100

CMS Quality Rating

1789 SHAWANO AVE, GREEN BAY, WI 54303(920) 499-1428 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, May 19, 2025, Jul 19, 2021 (3 updates tracked since 2021).

On this page

About Dr. Lucas Brian Ludeman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCAS BRIAN LUDEMAN M.D. (NPI 1205080744) is an individual diagnostic radiology provider in Green Bay, Wisconsin, licensed in Minnesota (55113) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1205080744

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. LUCAS BRIAN LUDEMANCredential: M.D.

Location Address1789 SHAWANO AVEGreen Bay, WI 54303-3243

Mailing Address1789 Shawano AveGreen Bay, WI 54303-3243 · (920) 499-1428

Phone(920) 499-1428

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2006

Enumeration DateNovember 11, 2008

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1205080744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MN · 55113✔ Licensed in WI · 51373020

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1789 SHAWANO AVE, Green Bay, WI 54303

Open in Google Maps ↗

Secondary Practice Location 1

Location 11044 Deer Run RdHudson, WI 54016-7131 · Phone (414) 507-7264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lucas Brian Ludeman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668537069

PECOS Enrollment IDI20090219000081, I20250505000544

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Lucas Ludeman reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Chartered

Same address

Diagnostic Radiology

1789 SHAWANO AVE
Green Bay, WI 54303

Reassigned Medicare billing, Michigan and Wisconsin enrollments
15 clinicians in this Medicare group

NPI 1760416895 (920) 499-1428

Allina Health System

224 mi

Internal Medicine

1687 E DIVISION ST
River Falls, WI 54022

Reassigned Medicare billing, Wisconsin and Minnesota enrollments
Also billed through NPI 1619559663 (Wisconsin), NPI 1881118149 (Minnesota), NPI 1578869293 (Minnesota)
530 clinicians in this Medicare group

NPI 1952257909 (715) 307-6432

St. Croix Regional Medical Center

232 mi

Critical Access

235 STATE ST
Saint Croix Falls, WI 54024

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
241 clinicians in this Medicare group

NPI 1043240922 (715) 483-3221

Fairview Express Care

240 mi

Pediatric Rehabilitation Medicine

9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1700235587 (612) 273-1172

Fairview Clinics

242 mi

Primary Care

11725 STINSON AVE
Chisago City, MN 55013

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1912151101 (651) 257-8499

Fairview Health Services

248 mi

General Acute Care Hospital

5200 FAIRVIEW BLVD
Wyoming, MN 55092

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1083692941 (651) 982-7000

Park Nicollet Clinic

258 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Ridgeview Medical Center

271 mi

Urgent Care

7907 POWERS BLVD
Chanhassen, MN 55317

Reassigned Medicare billing, Minnesota enrollment
581 clinicians in this Medicare group

NPI 1558142869 (952) 934-0570

Range Regional Health Services

307 mi

General Acute Care Hospital

750 E 34TH ST
Hibbing, MN 55746

Reassigned Medicare billing, Minnesota enrollment
707 clinicians in this Medicare group

NPI 1356321699 (218) 262-4881

Grand Itasca Clinic And Hospital

323 mi

General Acute Care Hospital

1601 GOLF COURSE RD
Grand Rapids, MN 55744

Reassigned Medicare billing, Minnesota enrollment
555 clinicians in this Medicare group

NPI 1669426631 (218) 326-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 63

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,591 services17 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

519 services519 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

512 services512 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

312 services304 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

296 services296 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

224 services213 patients

X-ray of chest, 2 views 71046

185 services103 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

181 services173 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

147 services145 patients

Dxa bone density measurement of hip, pelvis, spine 77080

145 services73 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

119 services109 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

111 services111 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

87 services82 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

74 services74 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

72 services33 patients

Ct scan of chest without contrast 71250

66 services38 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

55 services45 patients

X-ray of knee, 3 views 73562

54 services50 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

54 services51 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

54 services53 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

54 services53 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

52 services50 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

48 services44 patients

X-ray of shoulder, minimum of 2 views 73030

47 services22 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

46 services45 patients

Ultrasound scan of head and neck soft tissue 76536

46 services24 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

45 services44 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

44 services43 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

42 services42 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

42 services40 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

39 services34 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

37 services37 patients

Low dose ct scan of chest for lung cancer screening 71271

35 services19 patients

X-ray of hip, 2-3 views 73502

35 services18 patients

X-ray of foot, minimum of 3 views 73630

34 services16 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

30 services30 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

29 services29 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

27 services27 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

26 services12 patients

Ct scan of abdomen and pelvis with contrast 74177

26 services18 patients

Ct scan of abdomen and pelvis without contrast 74176

23 services12 patients

Limited ultrasound scan of abdomen 76705

22 services11 patients

X-ray of wrist, minimum of 3 views 73110

20 services19 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

20 services20 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

20 services20 patients

Single contrast x-ray of esophagus 74220

A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.

20 services20 patients

Ct scan of chest with contrast 71260

19 services13 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

19 services19 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

18 services17 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

17 services17 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

16 services15 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

16 services14 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

15 services13 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

14 services12 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

14 services14 patients

Interpretation of trabecular bone score (tbs) and report on fracture risk 77092

The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.

14 services14 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

13 services13 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

12 services12 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

12 services12 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

11 services11 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

11 services11 patients

Double contrast x-ray of esophagus 74221

A double contrast x-ray of the esophagus is a diagnostic procedure that uses a special type of x-ray and a contrast material to capture detailed images of your esophagus. This helps in identifying any abnormalities or issues.

11 services11 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520113

Location3003 University DrMarinette, WI 54143 · Marinette County

Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521356

Location820 Arbutus AveOconto, WI 54153 · Oconto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.83

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%51 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%495 patients

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

100%200 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%41 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK M CARRIGAN MD

Radiology (Diagnostic Radiology)