Providers
BSH, SC
NPI 1467811331, organization, Mount Pleasant, WI, Family Medicine
5
Evidence tier
informational
score 26 of 100, rank 11994, $28 at stake
Public list actions
Medicare revocation effective October 24, 2024, barred from re-enrolling until December 18, 2026
424.535(a)(1) noncompliance (dme standards not met), DME Supplier - Medical Supply Company, 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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (dme standards not met) | Exact NPI, name verified | Oct 24, 2024 | Dec 18, 2026 | 1 | Nov 2024 | Nov 2024 | $28 | $52K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BSH, SC (also ADVANCED CARE SPECIALISTS) |
| Type | Organization |
| Status | Active |
| NPI issued | February 19, 2016, last updated July 13, 2023 |
| Practice location | 5439 DURAND AVE STE 100, Mount Pleasant, WI 53406-5058, 262-898-9000 |
| Authorized official | JONATHAN SAIGH (President) |
| Specialties | Chiropractor (111N00000X, license 5133 WI) Chiropractor (111N00000X, license 5131 WI) Chiropractor (111N00000X, license 5067 WI) Family Medicine (207Q00000X, primary, license 33960 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | $59K | 53% | $36 | $45 (top 5% from $86) | too few months to rank | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $14K | 13% | $49 | $76 (top 5% from $314) | too few months to rank | |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $13K | 11% | $34 | $47 (top 5% from $120) | too few months to rank | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | $10K | 8% | $25 | $13 (top 5% from $63) | too few months to rank | |
| 97530 | Therapy procedure using functional activities | $8K | 7% | $36 | $124 (top 5% from $387) | too few months to rank | |
| 97035 | Application of ultrasound, each 15 minutes | $4K | 3% | $17 | $21 (top 5% from $107) | too few months to rank | |
| 20553 | Injection of trigger points, 3 or more muscles | $2K | 1% | $25 | $37 (top 5% from $144) | too few months to rank | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $1K | 1% | $37 | $67 (top 5% from $121) | too few months to rank |
In this area
2 providers in Racine County, WI carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ASCENSION LIVING - LAKESHORE AT SIENA, INC. Racine, WI, ranked 2968 | $0 |
|
| 3 | STATE OF WISCONSIN Union Grove, WI, ranked 3931 | $0 |
|
Recent enforcement in WI
All releasesDepartment 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.