Medicaid Provider Spending

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

ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC

NPI: 1144991340 · STEVENS POINT, WI 54481 · Rural Health Clinic/Center · NPI assigned 09/27/2021

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

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

$962K
Total Medicaid Paid
24,277
Total Claims
21,106
Beneficiaries
50
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/27/2021

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 MERRILL HOSPITAL & CLINICS, INC MERRILL WI $11.12M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 300 $4K
2022 8,262 $219K
2023 9,264 $411K
2024 6,451 $328K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,415 3,818 $238K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,375 4,635 $184K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,427 1,340 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,369 1,163 $75K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,003 966 $60K
99215 Prolong outpt/office vis 488 428 $59K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,546 1,379 $57K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 621 575 $45K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,020 497 $29K
11721 1,114 1,042 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 317 314 $19K
Q4133 Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) 45 25 $15K
77067 Screening mammography, bilateral, including computer-aided detection 138 129 $9K
90686 950 908 $9K
90677 259 239 $7K
92015 Determination of refractive state 761 677 $5K
95806 84 82 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 70 $4K
90723 373 346 $4K
90647 358 341 $4K
90670 358 339 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $2K
95251 259 197 $2K
99173 126 123 $2K
92567 161 154 $2K
99205 Prolong outpt/office vis 14 14 $2K
90656 138 134 $2K
11043 28 13 $1K
90633 95 89 $1K
29581 54 25 $1K
91321 12 12 $1K
93793 518 316 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 34 26 $855.16
92557 28 26 $846.18
0072A 29 25 $821.71
92340 Fitting of spectacles, except for aphakia; monofocal 45 42 $739.66
92551 57 56 $716.22
99336 15 14 $589.90
90681 38 37 $544.05
90680 87 77 $507.61
V5266 Battery for use in hearing device 54 52 $438.00
0071A 15 13 $396.88
90655 38 38 $364.05
90651 25 25 $222.14
90700 15 14 $212.85
99188 12 12 $156.22
51798 29 27 $128.79
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 37 24 $116.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 164 154 $16.40
0500F 44 42 $0.00