Medicaid Provider Spending

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

ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.

NPI: 1184176059 · WISCONSIN RAPIDS, WI 54494 · Specialist · NPI assigned 10/26/2016

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

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

$4.69M
Total Medicaid Paid
148,303
Total Claims
136,938
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Parent OrganizationASPIRUS INC
NPI Enumeration Date10/26/2016

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 22,895 $615K
2019 21,697 $622K
2020 18,737 $523K
2021 24,278 $688K
2022 23,176 $746K
2023 21,801 $720K
2024 15,719 $780K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65,192 59,519 $2.08M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,589 17,068 $982K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,139 5,567 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,089 4,956 $299K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,194 3,124 $186K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,171 1,067 $144K
99307 3,428 3,201 $111K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,314 1,285 $77K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,620 4,236 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,957 2,778 $42K
92551 3,031 2,948 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 721 683 $34K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 242 235 $33K
90686 4,606 4,475 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,435 2,332 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 837 778 $19K
99304 410 394 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,060 480 $15K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 756 516 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 134 109 $13K
80053 Comprehensive metabolic panel 1,285 1,188 $13K
90670 3,016 2,885 $12K
90677 531 504 $12K
90647 1,616 1,547 $11K
0002A 280 277 $10K
90723 1,327 1,271 $10K
0001A 263 258 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 111 98 $7K
90633 1,098 1,062 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 701 658 $5K
80061 Lipid panel 315 302 $5K
90681 708 681 $4K
99173 229 225 $4K
59025 Fetal non-stress test 138 93 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $3K
99215 Prolong outpt/office vis 39 37 $3K
90651 465 457 $3K
90656 164 164 $2K
80048 Basic metabolic panel (calcium, ionized) 274 257 $2K
0004A 52 51 $2K
90698 574 554 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 247 226 $2K
81001 508 481 $2K
71046 Radiologic examination, chest; 2 views 128 117 $1K
99152 51 50 $1K
90734 240 238 $1K
0012A 29 28 $995.20
99460 14 12 $985.63
99188 78 77 $973.17
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 29 $963.56
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 43 29 $904.99
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $877.44
99238 Hospital discharge day management, 30 minutes or less 26 24 $845.31
87634 13 12 $836.82
90744 265 251 $810.99
99000 221 181 $733.43
90685 218 214 $711.06
90710 121 117 $696.43
83036 Hemoglobin; glycosylated (A1C) 83 77 $681.02
0064A 17 17 $650.24
0011A 39 38 $649.16
99383 12 12 $644.35
85027 92 90 $594.71
90696 44 42 $282.45
90715 73 72 $239.38
99442 12 12 $233.76
81025 29 28 $225.23
36415 Collection of venous blood by venipuncture 4,678 4,326 $146.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,378 1,338 $130.66
85018 43 40 $97.85
91300 54 54 $0.09
91301 20 19 $0.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 119 119 $0.00
90381 19 17 $0.00
90472 Immunization administration, each additional vaccine (list separately) 42 42 $0.00
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) 156 141 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 25 24 $0.00