Aspirus Riverview Hospital & Clinics, INC.
Aspirus Riverview Hospital & Clinics, INC. was paid $4.69M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.
WISCONSIN RAPIDS, WI 54494
WISCONSIN RAPIDS, WI 54494
33aNPI1184176059assigned 10/26/2016
33bProvider typeSpecialist
28Total paid$4.69M
24GClaims148,303
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#2 of 37
Median peer was paid$19K
This provider vs. median251×
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 | |
|---|---|---|---|
| 2018 | 22,895 | $615K | |
| 2019 | 21,697 | $622K | |
| 2020 | 18,737 | $523K | |
| 2021 | 24,278 | $688K | |
| 2022 | 23,176 | $746K | |
| 2023 | 21,801 | $720K | |
| 2024incomplete | 15,719 | $780K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 65,192 | 59,519 | $2.08M |
| 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 | 21% | 18,589 | 17,068 | $982K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 6,139 | 5,567 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 5,089 | 4,956 | $299K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 3,194 | 3,124 | $186K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.1% | 1,171 | 1,067 | $144K |
| 99307 | 2.4% | 3,428 | 3,201 | $111K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,314 | 1,285 | $77K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 4,620 | 4,236 | $53K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,957 | 2,778 | $42K |
| 92551 | <1% | 3,031 | 2,948 | $36K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 721 | 683 | $34K |
65 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 242 | $33K |
| 90686 | <1% | 4,606 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,435 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 837 | $19K |
| 99304 | <1% | 410 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,060 | $15K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 756 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 134 | $13K |
| 80053 | Comprehensive metabolic panel | <1% | 1,285 | $13K |
| 90670 | <1% | 3,016 | $12K | |
| 90677 | <1% | 531 | $12K | |
| 90647 | <1% | 1,616 | $11K | |
| 0002A | <1% | 280 | $10K | |
| 90723 | <1% | 1,327 | $10K | |
| 0001A | <1% | 263 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 111 | $7K |
| 90633 | <1% | 1,098 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 701 | $5K |
| 80061 | Lipid panel | <1% | 315 | $5K |
| 90681 | <1% | 708 | $4K | |
| 99173 | <1% | 229 | $4K | |
| 59025 | Fetal non-stress test | <1% | 138 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $3K |
| 90651 | <1% | 465 | $3K | |
| 90656 | <1% | 164 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 274 | $2K |
| 0004A | <1% | 52 | $2K | |
| 90698 | <1% | 574 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 247 | $2K |
| 81001 | <1% | 508 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 128 | $1K |
| 99152 | <1% | 51 | $1K | |
| 90734 | <1% | 240 | $1K | |
| 0012A | <1% | 29 | $995.20 | |
| 99460 | <1% | 14 | $985.63 | |
| 99188 | <1% | 78 | $973.17 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | $963.56 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 43 | $904.99 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $877.44 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 26 | $845.31 |
| 87634 | <1% | 13 | $836.82 | |
| 90744 | <1% | 265 | $810.99 | |
| 99000 | <1% | 221 | $733.43 | |
| 90685 | <1% | 218 | $711.06 | |
| 90710 | <1% | 121 | $696.43 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 83 | $681.02 |
| 0064A | <1% | 17 | $650.24 | |
| 0011A | <1% | 39 | $649.16 | |
| 99383 | <1% | 12 | $644.35 | |
| 85027 | <1% | 92 | $594.71 | |
| 90696 | <1% | 44 | $282.45 | |
| 90715 | <1% | 73 | $239.38 | |
| 99442 | <1% | 12 | $233.76 | |
| 81025 | <1% | 29 | $225.23 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,678 | $146.59 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,378 | $130.66 |
| 85018 | <1% | 43 | $97.85 | |
| 91300 | <1% | 54 | $0.09 | |
| 91301 | <1% | 20 | $0.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 119 | $0.00 |
| 90381 | 0% | 19 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 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) | 0% | 156 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 25 | $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)
Parent organizationASPIRUS INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.