Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1235588831 · EAU CLAIRE, WI 54701 · Optician · NPI assigned 06/06/2016

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

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

$7.51M
Total Medicaid Paid
338,075
Total Claims
291,997
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date06/06/2016

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-NORTHWEST WISCONSIN REGION, INC. MENOMONIE WI $9.93M
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. 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 54,446 $1.04M
2019 48,468 $1.05M
2020 37,316 $781K
2021 59,655 $1.05M
2022 54,998 $1.25M
2023 47,253 $1.13M
2024 35,939 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 50,319 46,233 $1.78M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,575 38,137 $1.04M
99284 Emergency department visit for the evaluation and management, high severity 16,828 15,647 $624K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,423 9,065 $336K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,097 7,507 $297K
99215 Prolong outpt/office vis 6,306 5,735 $287K
90834 Psychotherapy, 45 minutes with patient 4,585 3,323 $219K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,340 7,811 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 33,495 26,971 $158K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14,251 12,632 $155K
99233 Prolong inpt eval add15 m 7,981 3,193 $134K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,497 2,285 $134K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,224 2,143 $127K
99223 Prolong inpt eval add15 m 2,676 2,390 $125K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,347 4,109 $123K
99283 Emergency department visit for the evaluation and management, moderate severity 3,901 3,664 $99K
99239 Hospital discharge day management, more than 30 minutes 1,844 1,648 $89K
99232 Subsequent hospital care, per day, moderate complexity 8,575 3,652 $87K
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 1,294 1,146 $83K
87631 741 697 $79K
92340 Fitting of spectacles, except for aphakia; monofocal 3,699 3,487 $74K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,212 1,118 $68K
92015 Determination of refractive state 8,826 8,442 $59K
67028 Intravitreal injection of a pharmacologic agent 1,286 973 $58K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,572 1,479 $53K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,401 1,294 $51K
92134 4,855 4,427 $50K
71046 Radiologic examination, chest; 2 views 6,690 6,220 $49K
71045 Radiologic examination, chest; single view 13,446 11,148 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 637 631 $39K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,161 1,066 $38K
90792 Psychiatric diagnostic evaluation with medical services 299 283 $36K
88307 633 572 $36K
70450 Computed tomography, head or brain; without contrast material 1,362 1,225 $32K
90686 3,704 3,547 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 419 404 $29K
99222 Initial hospital care, per day, moderate complexity 716 637 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 409 372 $25K
0002A 719 705 $24K
90961 862 789 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,804 754 $21K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 374 290 $21K
99221 439 402 $19K
0001A 616 580 $18K
0004A 517 495 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,490 3,157 $17K
77067 Screening mammography, bilateral, including computer-aided detection 170 163 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,178 1,008 $17K
92060 422 400 $16K
99238 Hospital discharge day management, 30 minutes or less 541 498 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,033 962 $14K
90962 378 327 $13K
90847 Family psychotherapy with the patient present, 50 minutes 222 168 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 109 81 $11K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 153 139 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 407 374 $10K
0071A 283 258 $10K
90837 Psychotherapy, 53 minutes with patient 117 79 $9K
99243 147 143 $9K
0072A 250 242 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 235 147 $9K
99245 72 66 $8K
80053 Comprehensive metabolic panel 1,174 1,084 $7K
11721 846 803 $7K
49083 30 13 $7K
92341 223 222 $6K
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 740 625 $6K
73630 400 328 $6K
81025 826 776 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 27 $6K
95886 216 195 $6K
95117 1,648 862 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 111 111 $5K
88342 266 243 $5K
99205 Prolong outpt/office vis 88 85 $5K
99460 58 52 $5K
81001 1,941 1,809 $5K
0054A 137 132 $5K
64483 43 41 $5K
90656 293 288 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 147 138 $5K
92567 305 287 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 113 65 $4K
0064A 118 109 $4K
80048 Basic metabolic panel (calcium, ionized) 830 777 $4K
99244 Office or other outpatient consultation, moderate to high complexity 54 51 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 117 111 $4K
84165 483 459 $4K
81003 1,987 1,858 $3K
90670 706 671 $3K
92551 226 222 $3K
93294 590 562 $3K
93000 206 189 $3K
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) 1,805 1,688 $2K
87510 291 274 $2K
87660 291 274 $2K
88142 96 88 $2K
87480 274 260 $2K
84443 Thyroid stimulating hormone (TSH) 498 471 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 55 54 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 54 28 $2K
94060 326 289 $2K
99242 39 38 $2K
77063 Screening digital breast tomosynthesis, bilateral 39 39 $2K
92235 25 25 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 26 $1K
90698 517 479 $1K
88304 197 182 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 50 43 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 159 152 $1K
76819 Fetal biophysical profile; without non-stress testing 14 12 $1K
73610 77 65 $1K
92133 50 48 $1K
99217 60 47 $1K
88141 47 47 $996.15
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 26 26 $991.29
74176 Computed tomography, abdomen and pelvis; without contrast material 31 27 $990.00
0003A 34 29 $923.20
87634 13 13 $901.29
93295 37 37 $827.91
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 12 $768.80
83655 57 55 $753.85
94726 177 150 $701.57
93227 51 48 $679.80
36415 Collection of venous blood by venipuncture 4,169 3,790 $677.41
73564 30 24 $659.79
99188 54 51 $659.22
86334 103 96 $588.64
99442 46 45 $580.41
90680 156 151 $553.93
99443 56 54 $544.14
92083 36 29 $539.54
71275 Computed tomographic angiography, chest, with contrast material 13 13 $533.78
95812 12 12 $529.43
0031A 13 13 $507.12
94729 190 165 $506.01
0124A 13 13 $467.12
0051A 13 13 $465.35
87070 288 273 $462.13
90697 51 51 $395.70
90685 126 120 $379.55
99152 33 28 $373.51
82947 172 161 $371.07
90677 26 26 $363.14
86803 79 72 $286.11
92558 13 12 $274.16
90935 Hemodialysis procedure with single evaluation by a physician 39 13 $269.12
87086 Culture, bacterial; quantitative colony count, urine 173 165 $259.46
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 13 13 $239.44
85027 220 214 $234.43
73110 13 12 $232.52
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12 12 $217.26
99308 Subsequent nursing facility care, per day, straightforward 19 13 $214.94
85018 187 184 $213.01
17110 19 12 $202.93
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $189.04
85060 12 12 $179.55
74018 14 12 $148.93
99219 13 13 $133.58
99441 28 25 $121.41
96161 26 25 $108.80
77002 15 12 $102.29
83690 13 13 $91.61
90633 30 28 $90.73
90744 29 25 $77.84
83036 Hemoglobin; glycosylated (A1C) 248 238 $77.66
64566 35 13 $71.93
86140 156 144 $41.44
0764T 390 344 $22.00
93325 13 12 $15.80
86769 57 57 $14.23
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 2,039 1,901 $0.00
94760 71 66 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 100 98 $0.00
87340 93 90 $0.00
86762 54 53 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 120 118 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 180 174 $0.00
3074F 149 140 $0.00
91307 551 467 $0.00
86901 31 31 $0.00
82728 77 72 $0.00
83735 19 15 $0.00
G8432 Depression screening not documented, reason not given 33 31 $0.00
91305 190 184 $0.00
91306 114 105 $0.00
86850 58 54 $0.00
85652 14 14 $0.00
91303 30 27 $0.00
86780 90 86 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 35 35 $0.00
87077 79 54 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
82950 30 30 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,791 2,736 $0.00
84439 68 67 $0.00
80061 Lipid panel 216 208 $0.00
91300 1,896 1,696 $0.00
84702 56 41 $0.00
80364 61 57 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 181 175 $0.00
84450 65 59 $0.00
87186 34 30 $0.00
87653 74 73 $0.00
3078F 111 103 $0.00
84460 61 56 $0.00
85610 47 42 $0.00
82565 127 117 $0.00
91312 13 13 $0.00
86900 44 44 $0.00
99421 26 14 $0.00
0502F 12 12 $0.00