GRO FAMILY SERVICES LLC
NPI 1144475765, organization, Milwaukee, WI, Clinic/Center, Mental Health (Including Community Mental Health Center)
- Listed on the Medicare revocation list since April 25, 2024.
- Medicaid still paid claims in 4 later months, $23,219 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion) | Exact NPI, name verified | Apr 25, 2024 | Apr 25, 2034 | 4 | May 2024 | Aug 2024 | $23K | $144K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GRO FAMILY SERVICES LLC |
| Type | Organization |
| Status | Active |
| NPI issued | November 24, 2008, last updated March 6, 2015 |
| Practice location | 6400 W CAPITOL DR, SUITE 200, Milwaukee, WI 53216-2156, 414-445-1400 |
| Authorized official | Gregory Owens (Ceo) |
| Specialties | Community/Behavioral Health (251S00000X, license 2803 WI) Substance Abuse Rehabilitation Facility (324500000X, license 2803 WI) Clinic/Center, Mental Health (Including Community Mental Health Center) (261QM0801X, primary, license 2803 WI) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H0005 | Medicaid service code | $833K | 41% | $301 | $129 (top 5% from $479) | too few months to rank | |
| H2012 | Behavioral health day treatment per hour | $687K | 34% | $865 | $677 (top 5% from $3K) | 56th percentile | |
| H0022 | Medicaid service code | $402K | 20% | $151 | $54 (top 5% from $139) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $93K | 5% | $70 | $9.23 (top 5% from $22) | too few months to rank | |
| 99000 | Medicaid service code | $14K | 1% | $24 | $0.29 (top 5% from $11) | too few months to rank | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1K | 0% | $64 | $191 (top 5% from $442) | too few months to rank | |
| 90853 | Group psychotherapyhistory of abuse | $600 | 0% | $17 | $60 (top 5% from $332) | too few months to rank |
In this area
29 providers in Milwaukee County, WI carry an indicator in the public record, with $11.4M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 11. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC Wauwatosa, WI, ranked 380 | $1K |
|
| 1 | NOAH ASSOCIATES INCORPORATED West Allis, WI, ranked 574 | $0 |
|
| 1 | CARING THROUGH LOVE LLC Milwaukee, WI, ranked 615 | $0 |
|
| 1 | HERE FOR YOU PRENATAL COORDINATION SERVICES LLC West Allis, WI, ranked 633 | $0 |
|
| 3 | ST. CAMILLUS HEALTH CENTER, INC. Wauwatosa, WI, ranked 2180 | $0 |
|
| 3 | WE CARE SERVICES LLC Milwaukee, WI, ranked 2561 | $0 |
|
| 3 | ST. CAMILLUS HEALTH CENTER, INC. Wauwatosa, WI, ranked 2611 | $0 |
|
| 3 | UNITED LUTHERAN PROGRAM FOR THE AGING, INC Wauwatosa, WI, ranked 2779 | $0 |
|
Recent enforcement in WI
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.