Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1154372944 · MENOMONIE, WI 54751 · Critical Access Hospital · NPI assigned 05/15/2006

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

Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more

$9.93M
Total Medicaid Paid
344,497
Total Claims
270,139
Beneficiaries
181
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: BORTNEM, MARK

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. EAU CLAIRE WI $16.81M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. LA CROSSE WI $13.43M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. LACROSSE WI $8.76M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. SPARTA WI $8.41M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BARRON WI $7.81M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. EAU CLAIRE WI $7.51M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. OSSEO WI $2.14M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BLOOMER WI $2.07M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. MENOMONIE WI $1.66M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BARRON WI $1.11M
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. EAU CLAIRE WI $928K
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. SPARTA WI $469K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. MENOMONIE WI $439K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. EAU CLAIRE WI $318K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BLOOMER WI $234K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. OSSEO WI $229K
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. ARCADIA WI $192K
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. PRAIRIE DU CHIEN WI $177K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. MONDOVI WI $91K
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. BARRON WI $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46,475 $943K
2019 44,363 $1.18M
2020 41,647 $1.15M
2021 56,351 $1.57M
2022 52,451 $1.70M
2023 55,561 $1.93M
2024 47,649 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 3,919 3,281 $1.49M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,939 7,238 $1.37M
99283 Emergency department visit for the evaluation and management, moderate severity 6,960 5,475 $1.14M
99284 Emergency department visit for the evaluation and management, high severity 8,339 5,925 $985K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21,581 16,502 $505K
70450 Computed tomography, head or brain; without contrast material 2,092 1,795 $438K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,110 1,850 $430K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,795 1,615 $314K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,783 5,481 $283K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,668 1,209 $269K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,046 951 $225K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,332 10,126 $159K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,101 3,736 $118K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,807 3,396 $105K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,931 16,836 $90K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,807 6,849 $81K
80053 Comprehensive metabolic panel 11,220 9,378 $80K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,284 920 $79K
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 1,697 1,569 $78K
87631 812 712 $69K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,623 2,291 $68K
80048 Basic metabolic panel (calcium, ionized) 11,865 10,077 $65K
84443 Thyroid stimulating hormone (TSH) 6,313 5,755 $64K
90834 Psychotherapy, 45 minutes with patient 901 707 $58K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,473 1,837 $56K
99215 Prolong outpt/office vis 4,600 3,398 $54K
71275 Computed tomographic angiography, chest, with contrast material 234 221 $51K
97162 1,717 1,635 $51K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,524 1,362 $48K
80061 Lipid panel 5,202 4,744 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 630 381 $41K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,682 5,101 $39K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 130 104 $39K
87480 2,597 2,209 $39K
87660 2,597 2,209 $38K
87510 2,597 2,209 $38K
74176 Computed tomography, abdomen and pelvis; without contrast material 161 146 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,326 1,026 $36K
83036 Hemoglobin; glycosylated (A1C) 6,169 5,651 $34K
71046 Radiologic examination, chest; 2 views 3,141 2,750 $33K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 174 153 $33K
73630 1,068 881 $29K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 439 382 $28K
97161 753 707 $28K
72125 Computed tomography, cervical spine; without contrast material 446 390 $26K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 51 25 $26K
81025 4,119 3,596 $26K
71260 Computed tomography, thorax, diagnostic; with contrast material 124 108 $23K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,791 3,724 $22K
84484 2,855 2,365 $22K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 653 493 $21K
83605 3,481 2,914 $20K
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 1,245 1,152 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,799 2,857 $18K
80306 1,283 1,100 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,262 1,178 $15K
81001 6,976 6,116 $14K
83690 3,405 2,854 $14K
85610 6,115 3,596 $12K
80050 General health panel 444 390 $12K
83880 929 834 $11K
83735 3,005 2,358 $11K
90837 Psychotherapy, 53 minutes with patient 153 101 $10K
82077 1,127 892 $9K
76830 Ultrasound, transvaginal 113 97 $9K
82728 883 809 $9K
85027 2,238 1,921 $9K
86140 2,757 2,343 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 133 112 $9K
87103 1,117 966 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,524 5,370 $8K
87040 2,111 967 $7K
87086 Culture, bacterial; quantitative colony count, urine 2,479 2,229 $7K
81003 4,464 3,987 $7K
82947 2,469 2,084 $7K
85379 1,087 964 $6K
77063 Screening digital breast tomosynthesis, bilateral 114 109 $6K
82570 1,929 1,605 $6K
77067 Screening mammography, bilateral, including computer-aided detection 180 168 $5K
84702 467 365 $5K
82043 1,573 1,410 $5K
82565 1,589 1,292 $5K
73610 273 226 $5K
73030 209 184 $5K
82803 416 356 $5K
86850 1,436 1,231 $5K
80143 424 349 $4K
82948 1,630 886 $4K
80179 373 306 $4K
82248 1,421 1,200 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 250 169 $3K
71045 Radiologic examination, chest; single view 2,515 2,165 $3K
73564 184 153 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 119 40 $3K
97535 Self-care/home management training, each 15 minutes 417 274 $3K
87077 1,041 956 $3K
85018 1,590 1,427 $3K
36415 Collection of venous blood by venipuncture 14,565 11,951 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 761 696 $2K
97597 154 38 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 102 95 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 102 95 $2K
90715 149 139 $2K
84460 572 430 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 24 17 $2K
87186 826 752 $2K
93976 22 13 $2K
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) 644 568 $2K
96375 Therapeutic injection; each additional sequential IV push 3,336 2,729 $2K
84450 437 328 $1K
Q3014 Telehealth originating site facility fee 345 291 $1K
86901 772 659 $1K
86900 772 659 $1K
99442 98 94 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 18 13 $1K
88142 39 39 $970.47
J1885 Injection, ketorolac tromethamine, per 15 mg 3,231 2,646 $943.46
91322 169 163 $911.32
83550 158 142 $821.42
83540 182 166 $699.19
72100 19 14 $689.57
36416 2,722 1,515 $686.25
90686 602 583 $608.14
99443 34 34 $592.27
73110 16 15 $586.15
73502 30 28 $484.38
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 12 12 $459.60
90662 445 434 $428.48
88305 Level IV - Surgical pathology, gross and microscopic examination 62 52 $428.13
83655 27 25 $391.99
J7030 Infusion, normal saline solution , 1000 cc 1,046 865 $384.54
84550 160 147 $365.11
73562 16 12 $340.63
73080 13 12 $326.41
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,423 1,326 $288.60
90480 165 160 $264.10
93971 17 15 $192.99
85652 99 94 $180.42
82950 39 38 $173.90
J2250 Injection, midazolam hydrochloride, per 1 mg 988 822 $92.19
0764T 186 134 $76.08
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,007 1,594 $74.08
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 173 155 $73.13
84439 12 12 $70.14
84132 30 25 $69.57
86308 15 12 $54.06
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 12 $51.58
0004A 33 28 $50.31
84156 15 12 $45.89
90656 36 36 $41.55
J0696 Injection, ceftriaxone sodium, per 250 mg 233 169 $34.74
J3010 Injection, fentanyl citrate, 0.1 mg 421 313 $33.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 785 523 $13.30
90677 59 55 $13.23
J7120 Ringers lactate infusion, up to 1000 cc 32 27 $11.64
J3490 Unclassified drugs 292 211 $10.47
90472 Immunization administration, each additional vaccine (list separately) 14 12 $10.08
J2795 Injection, ropivacaine hydrochloride, 1 mg 292 122 $9.33
0064A 31 31 $4.05
J2704 Injection, propofol, 10 mg 29 14 $3.81
0124A 58 56 $3.69
0054A 60 58 $1.95
A9270 Non-covered item or service 1,792 1,612 $0.00
G0008 Administration of influenza virus vaccine 880 861 $0.00
V2632 Posterior chamber intraocular lens 32 29 $0.00
92136 13 13 $0.00
96376 60 53 $0.00
93000 16 15 $0.00
J1170 Injection, hydromorphone, up to 4 mg 38 26 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 15 15 $0.00
G0009 Administration of pneumococcal vaccine 39 39 $0.00
87070 27 26 $0.00
0134A 19 19 $0.00
00142 27 26 $0.00
J2060 Injection, lorazepam, 2 mg 21 13 $0.00
J0697 Injection, sterile cefuroxime sodium, per 750 mg 12 12 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 69 55 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 110 105 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 49 38 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 93 89 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 14 13 $0.00