Providers
All 139 in WI
NORTHSHORE CLINIC & CONSULTANTS, INC.
NPI 1720201163, organization, Cedarburg, WI, Community/Behavioral Health
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since October 26, 2023.
- Medicaid still paid claims in 14 later months, $191,166 in total.
- 87% of Medicaid dollars are on codes with a history of abuse.
score 97 of 100, rank 35, $191K at stake
Public list actions
Medicare revocation effective October 26, 2023, barred from re-enrolling until October 25, 2033
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice, 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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(8)(ii) abuse of billing privileges: pattern or practice | Exact NPI, name verified | Oct 26, 2023 | Oct 25, 2033 | 14 | Nov 2023 | Dec 2024 | $191K | $302K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NORTHSHORE CLINIC & CONSULTANTS, INC. |
| Type | Organization |
| Status | Active |
| NPI issued | April 11, 2007, last updated April 19, 2011 |
| Practice location | W62N248 WASHINGTON AVE, SUITE #207, Cedarburg, WI 53012-2768, 262-375-1116 |
| Authorized official | THERESE JAECKLE (Clinical Director) |
| Specialties | Community/Behavioral Health (251S00000X, primary, license 1695 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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $775K | 87% | $214 | $191 (top 5% from $442) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $114K | 13% | $89 | $101 (top 5% from $318) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $1K | 0% | $74 | $105 (top 5% from $228) | too few months to rank |
In this area
139 providers in WI carry an indicator in the public record, with $126.5M at stake between them. The most common is part of a provider network, on 88 of them, followed by more hours than a day holds on 40. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MAINOR ANTILLON-GALDAMEZ Eau Claire, WI, ranked 162 | $70K |
|
| 1 | GRO FAMILY SERVICES LLC Milwaukee, WI, ranked 234 | $23K |
|
| 1 | WISCONSIN CHRONIC PAIN PHYSICAL THERAPY, INC Wauwatosa, WI, ranked 380 | $1K |
|
| 1 | KESTREL MEDICAL LLC Oconomowoc, WI, ranked 530 | $0 |
|
| 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. CROIX VALLEY SHARED SERVICES, INC. Baldwin, WI, ranked 795 | $694K |
|
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.