Clinic
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC was paid $962K by Medicaid between Dec 2021 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC
STEVENS POINT, WI 54481
STEVENS POINT, WI 54481
33aNPI1144991340assigned 09/27/2021
33bProvider typeRural Health Clinic/Center
28Total paid$962K
24GClaims24,277
24DCodes billed50
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#12 of 84
Median peer was paid$117K
This provider vs. median8.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 300 | $4K | |
| 2022 | 8,262 | $219K | |
| 2023 | 9,264 | $411K | |
| 2024incomplete | 6,451 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 4,415 | 3,818 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,375 | 4,635 | $184K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.9% | 1,427 | 1,340 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 1,369 | 1,163 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 1,003 | 966 | $60K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 488 | 428 | $59K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.9% | 1,546 | 1,379 | $57K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.7% | 621 | 575 | $45K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.0% | 1,020 | 497 | $29K |
| 11721 | 2.8% | 1,114 | 1,042 | $27K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 317 | 314 | $19K |
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) | 1.6% | 45 | 25 | $15K |
38 more codes
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 138 | $9K |
| 90686 | <1% | 950 | $9K | |
| 90677 | <1% | 259 | $7K | |
| 92015 | Determination of refractive state | <1% | 761 | $5K |
| 95806 | <1% | 84 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 73 | $4K |
| 90723 | <1% | 373 | $4K | |
| 90647 | <1% | 358 | $4K | |
| 90670 | <1% | 358 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $2K |
| 95251 | <1% | 259 | $2K | |
| 99173 | <1% | 126 | $2K | |
| 92567 | <1% | 161 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 90656 | <1% | 138 | $2K | |
| 11043 | <1% | 28 | $1K | |
| 90633 | <1% | 95 | $1K | |
| 29581 | <1% | 54 | $1K | |
| 91321 | <1% | 12 | $1K | |
| 93793 | <1% | 518 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 34 | $855.16 |
| 92557 | <1% | 28 | $846.18 | |
| 0072A | <1% | 29 | $821.71 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 45 | $739.66 |
| 92551 | <1% | 57 | $716.22 | |
| 99336 | <1% | 15 | $589.90 | |
| 90681 | <1% | 38 | $544.05 | |
| 90680 | <1% | 87 | $507.61 | |
| V5266 | Battery for use in hearing device | <1% | 54 | $438.00 |
| 0071A | <1% | 15 | $396.88 | |
| 90655 | <1% | 38 | $364.05 | |
| 90651 | <1% | 25 | $222.14 | |
| 90700 | <1% | 15 | $212.85 | |
| 99188 | <1% | 12 | $156.22 | |
| 51798 | <1% | 29 | $128.79 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $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) | <1% | 164 | $16.40 |
| 0500F | 0% | 44 | $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.
From NPPES
Who's on the registration
Authorized officialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.