Mayo Clinic Health System-Northwest Wisconsin Region, INC.
Mayo Clinic Health System-Northwest Wisconsin Region, INC. was paid $229K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
OSSEO, WI 54758
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,674 | $50K | |
| 2019 | 1,137 | $30K | |
| 2020 | 667 | $19K | |
| 2021 | 1,565 | $32K | |
| 2022 | 1,121 | $30K | |
| 2023 | 1,115 | $32K | |
| 2024incomplete | 672 | $36K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 5,042 | 4,675 | $141K |
| 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 | 27% | 1,331 | 1,224 | $63K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.3% | 83 | 80 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 178 | 166 | $3K |
| 87631 | 1.3% | 33 | 25 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 51 | 47 | $3K |
| 0002A | 1.2% | 77 | 75 | $3K | |
| 0001A | <1% | 58 | 57 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 330 | 284 | $1K |
| 90686 | <1% | 134 | 132 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 176 | 161 | $989.75 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | 54 | $718.08 |
7 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 24 | $493.69 |
| 0004A | <1% | 13 | $465.28 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $439.64 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 26 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 15 | $0.00 |
| 91300 | 0% | 259 | $0.00 | |
| 80061 | Lipid panel | 0% | 32 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.