Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Plover › NPI 1053080168
Clinic

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC.

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC. was paid $220K by Medicaid between Dec 2021 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
PLOVER, WI 54467
33aNPI1053080168assigned 09/10/2021
28Total paid$220K
24GClaims5,983
24DCodes billed9
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Wisconsin

Rank by total paid#29 of 84
Median peer was paid$117K
This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official YANG, JERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021187$3K
20222,442$61K
20232,132$85K
2024incomplete1,222$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75% 3,480 3,075 $164K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 1,795 1,612 $51K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.2% 287 219 $3K
90686 <1% 38 36 $686.72
80048 Basic metabolic panel (calcium, ionized) <1% 96 86 $617.26
80053 Comprehensive metabolic panel <1% 42 39 $376.11
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 67 52 $354.61
99000 <1% 38 21 $75.65
36415 Collection of venous blood by venipuncture <1% 140 126 $18.72

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under YANG, JERRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.