Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASPIRUS MERRILL HOSPITAL & CLINICS, INC

NPI: 1124084678 · MERRILL, WI 54452 · Certified Registered Nurse Anesthetist · NPI assigned 04/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official YANG, JERRY controls 20+ related entities in our dataset. Read more

$11.12M
Total Medicaid Paid
188,401
Total Claims
145,814
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/25/2006

Related Entities

Other providers sharing the same authorized official: YANG, JERRY

ProviderCityStateTotal Paid
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN ANTIGO WI $19.58M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $16.31M
ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. STEVENS POINT WI $15.59M
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $11.83M
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. WISCONSIN RAPIDS WI $10.85M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. RHINELANDER WI $10.23M
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. IRONWOOD MI $9.31M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $6.93M
ASPIRUS KEWEENAW LAURIUM MI $6.03M
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. IRON RIVER MI $5.76M
ASPIRUS STANLEY HOSPITAL & CLINICS, INC STANLEY WI $4.81M
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC EAGLE RIVER WI $3.72M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. TOMAHAWK WI $3.60M
ASPIRUS VNA HOME HEALTH INC WAUSAU WI $3.22M
THE HOWARD YOUNG MEDICAL CENTER, INC. WOODRUFF WI $2.91M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $2.71M
ASPIRUS MEDICAL GROUP, INC. WESTON WI $2.50M
ASPIRUS KEWEENAW HOUGHTON MI $1.98M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $1.86M
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $1.85M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,817 $1.55M
2019 26,833 $1.41M
2020 22,138 $1.28M
2021 26,993 $1.42M
2022 28,216 $1.61M
2023 30,627 $1.97M
2024 26,777 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 4,602 3,482 $1.95M
99284 Emergency department visit for the evaluation and management, high severity 8,138 6,030 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,985 6,763 $1.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,092 4,847 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,286 8,214 $978K
99283 Emergency department visit for the evaluation and management, moderate severity 5,617 4,474 $848K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,710 2,032 $551K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,832 2,428 $523K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,732 1,471 $451K
70450 Computed tomography, head or brain; without contrast material 1,829 1,483 $375K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,793 1,487 $281K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,231 1,961 $229K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,963 1,710 $219K
99215 Prolong outpt/office vis 1,365 1,199 $216K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 667 568 $160K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,451 1,032 $149K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 345 275 $119K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,151 915 $78K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,028 868 $76K
80053 Comprehensive metabolic panel 9,131 6,901 $60K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,219 7,660 $47K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,813 2,120 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 474 437 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,508 1,238 $37K
87070 3,318 2,919 $31K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 741 585 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,042 1,814 $27K
84484 4,748 3,105 $26K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 542 446 $24K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 898 650 $24K
87430 1,630 1,436 $24K
71275 Computed tomographic angiography, chest, with contrast material 82 64 $17K
83690 3,087 2,456 $14K
83735 3,938 2,821 $14K
81001 6,365 5,066 $13K
80048 Basic metabolic panel (calcium, ionized) 2,186 1,643 $12K
74176 Computed tomography, abdomen and pelvis; without contrast material 52 42 $11K
80306 911 725 $10K
81025 1,123 961 $9K
87086 Culture, bacterial; quantitative colony count, urine 1,794 1,465 $9K
83880 711 559 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 946 738 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 65 45 $8K
83605 1,634 1,172 $8K
84443 Thyroid stimulating hormone (TSH) 768 618 $8K
86140 2,579 1,965 $8K
85610 3,077 2,312 $6K
87040 1,030 631 $6K
72125 Computed tomography, cervical spine; without contrast material 77 66 $5K
85379 898 750 $5K
87077 972 805 $5K
85730 1,870 1,443 $5K
84703 761 662 $5K
96368 26 24 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 14 $3K
84145 318 268 $3K
71046 Radiologic examination, chest; 2 views 1,823 1,524 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,640 3,568 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 63 53 $3K
85027 904 671 $3K
87420 146 131 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,744 4,268 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 191 83 $2K
82948 649 257 $1K
71045 Radiologic examination, chest; single view 3,741 3,014 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 90 53 $1K
G0378 Hospital observation service, per hour 14 12 $1K
87186 332 257 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,607 1,300 $1K
85007 967 767 $1K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 20 15 $1K
82805 51 40 $993.33
87081 136 125 $961.56
87400 146 120 $878.81
87088 201 169 $829.19
85652 448 336 $783.42
82803 64 43 $773.76
36415 Collection of venous blood by venipuncture 5,212 3,823 $744.08
82150 141 114 $651.13
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $537.38
73630 157 143 $478.88
96375 Therapeutic injection; each additional sequential IV push 4,300 3,288 $452.20
82550 68 57 $261.89
82728 16 15 $152.24
36000 271 244 $113.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,194 2,365 $91.76
81003 72 49 $72.86
J7030 Infusion, normal saline solution , 1000 cc 3,414 2,431 $65.18
73610 29 29 $53.52
96376 762 589 $50.21
83615 14 13 $44.29
J1885 Injection, ketorolac tromethamine, per 15 mg 2,760 1,992 $42.21
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,774 2,115 $35.33
81015 29 19 $31.69
J3475 Injection, magnesium sulfate, per 500 mg 183 139 $10.50
J0696 Injection, ceftriaxone sodium, per 250 mg 396 287 $5.44
A9270 Non-covered item or service 3,065 1,558 $3.59
J1200 Injection, diphenhydramine hcl, up to 50 mg 496 388 $0.08
J2765 Injection, metoclopramide hcl, up to 10 mg 235 190 $0.08
J2270 Injection, morphine sulfate, up to 10 mg 29 26 $0.00
73130 13 13 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 443 351 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 704 564 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 17 15 $0.00
J2704 Injection, propofol, 10 mg 14 12 $0.00
J1170 Injection, hydromorphone, up to 4 mg 438 301 $0.00