Medicaid Provider Spending

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

ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC.

NPI: 1184082745 · STEVENS POINT, WI 54481 · Family Medicine Physician · NPI assigned 02/10/2016

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

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

$1.94M
Total Medicaid Paid
49,270
Total Claims
37,719
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date02/10/2016

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
2018 6,929 $258K
2019 6,864 $256K
2020 5,357 $216K
2021 8,995 $344K
2022 6,388 $252K
2023 7,333 $317K
2024 7,404 $297K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,301 24,253 $1.19M
90834 Psychotherapy, 45 minutes with patient 7,788 4,589 $391K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,266 4,312 $166K
90792 Psychiatric diagnostic evaluation with medical services 1,066 853 $89K
90837 Psychotherapy, 53 minutes with patient 683 400 $54K
90832 Psychotherapy, 30 minutes with patient 311 211 $11K
99215 Prolong outpt/office vis 156 127 $7K
90791 Psychiatric diagnostic evaluation 76 64 $5K
Q3014 Telehealth originating site facility fee 312 285 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 108 93 $4K
99205 Prolong outpt/office vis 49 42 $3K
90785 282 178 $3K
99239 Hospital discharge day management, more than 30 minutes 89 45 $3K
90686 156 150 $2K
0012A 26 26 $966.95
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $797.45
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) 1,921 1,565 $692.38
80306 54 45 $569.92
90674 32 27 $551.85
0011A 13 13 $504.84
95806 14 13 $423.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 27 $412.09
99442 48 26 $408.54
99443 28 15 $317.12
99231 Subsequent hospital care, per day, straightforward or low complexity 53 12 $209.61
99406 150 126 $69.65
91301 38 35 $0.04
91300 28 26 $0.03
36415 Collection of venous blood by venipuncture 132 109 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 39 $0.00