Providers

GRO FAMILY SERVICES LLC

NPI 1144475765, organization, Milwaukee, WI, Clinic/Center, Mental Health (Including Community Mental Health Center)

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since April 25, 2024.
  • Medicaid still paid claims in 4 later months, $23,219 in total.
score 94 of 100, rank 234, $23K at stake

Public list actions

Medicare revocation effective April 25, 2024, barred from re-enrolling until April 25, 2034
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion), Part B Supplier - Clinic/Group Practice, WI

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.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedApr 25, 2024Apr 25, 20344May 2024Aug 2024$23K$144K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameGRO FAMILY SERVICES LLC
TypeOrganization
StatusActive
NPI issuedNovember 24, 2008, last updated March 6, 2015
Practice location6400 W CAPITOL DR, SUITE 200, Milwaukee, WI 53216-2156, 414-445-1400
Authorized officialGregory 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
H0005Medicaid service code$833K41%$301$129 (top 5% from $479)too few months to rank
H2012Behavioral health day treatment per hour$687K34%$865$677 (top 5% from $3K)56th percentile
H0022Medicaid service code$402K20%$151$54 (top 5% from $139)too few months to rank
80305Testing for presence of drug, read by direct observation$93K5%$70$9.23 (top 5% from $22)too few months to rank
99000Medicaid service code$14K1%$24$0.29 (top 5% from $11)too few months to rank
90837Psychotherapy, 1 hourhistory of abuse$1K0%$64$191 (top 5% from $442)too few months to rank
90853Group psychotherapyhistory of abuse$6000%$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.

tierproviderat stakewhy
1WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC
Wauwatosa, WI, ranked 380
$1K
  • Listed on the Medicare revocation list since December 10, 2021.
  • Medicaid still paid claims in 1 later month, $1,434 in total.
1NOAH ASSOCIATES INCORPORATED
West Allis, WI, ranked 574
$0
  • Adjudicated (sentenced) per a Department of Justice release dated January 24, 2025.
  • No Medicaid payments in the last 12 observed months.
1CARING THROUGH LOVE LLC
Milwaukee, WI, ranked 615
$0
  • Adjudicated (convicted) per a Department of Justice release dated September 12, 2025.
  • No Medicaid payments in the last 12 observed months.
1HERE FOR YOU PRENATAL COORDINATION SERVICES LLC
West Allis, WI, ranked 633
$0
  • Adjudicated (convicted) per a Department of Justice release dated November 21, 2025.
  • No Medicaid payments in the last 12 observed months.
3ST. CAMILLUS HEALTH CENTER, INC.
Wauwatosa, WI, ranked 2180
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3WE CARE SERVICES LLC
Milwaukee, WI, ranked 2561
$0
  • Charged (indicted) per a Department of Justice release dated October 16, 2024, not adjudicated.
3ST. CAMILLUS HEALTH CENTER, INC.
Wauwatosa, WI, ranked 2611
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Wauwatosa, WI, ranked 2779
$0
  • Part of provider network D1-00095, ranked 95 nationally.
All 29 in WI

Recent enforcement in WI

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 25, 2026
Federal Charges Announced in Multi-Million Dollar Medicaid Fraud Scheme and Prescription Drug Diversion Conspiracy; Announcement Made as Part of Justice Department’s National Health Care Fraud Takedown
Cooper submitted over $5.8 million in false claims to Wisconsin Medicaid for prenatal care coordination services that beneficiaries never received and used another person's means of identification, while Jones conspired to distribute controlled substances outside the usual course of professional practice.
DOJCivil settlementApr 17, 2026
Appleton Clinic to Pay Over $380,000 to Resolve False Claims Act Allegations Relating to the Marketing and Use of Electric Stimulation Devices
Apple Medical Clinic and its principal caused the submission of false claims to Medicare for electrical muscle stimulation, vitamin injections, and other related services that were not medically reasonable or necessary, and marketed the Sanexas device outside its FDA clearance and contrary to coverage determinations.
DOJSentencedMar 23, 2026
Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 60 Months’ Imprisonment for Healthcare Fraud Scheme
Jackson offered women kickbacks in exchange for their Medicaid numbers and falsely billed Wisconsin Medicaid for prenatal care coordination services, almost always at the monthly maximum, when she and her employees provided few to no covered services.
DOJCivil settlementMar 5, 2026
Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare Programs
From 2019 through 2024, Kinex provided patients covered by federal programs with medical braces the patients did not need and billed Medicare, TRICARE, FEHBP, and OWCP as if the braces had been necessary, inducing patients to accept them by waiving co-pays and giving free equipment.
DOJSentencedFeb 3, 2026
Delafield Man Sentenced to 18 Months’ Imprisonment for Conspiracy to Pay Healthcare Kickbacks
Johnson paid kickbacks to companies purporting to provide marketing services in exchange for signed prescriptions and doctors' orders for durable medical equipment that his company Kestrel Medical submitted to Medicare.

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.

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