Clinic
Mayo Clinic Health System-Northwest Wisconsin Region, INC.
Mayo Clinic Health System-Northwest Wisconsin Region, INC. was paid $1.66M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
MENOMONIE, WI 54751
MENOMONIE, WI 54751
33aNPI1235666967assigned 05/12/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.66M
24GClaims65,336
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#12 of 40
Median peer was paid$333K
This provider vs. median5.0×
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 BORTNEM, MARK 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 | 10,615 | $246K | |
| 2019 | 9,036 | $217K | |
| 2020 | 8,345 | $191K | |
| 2021 | 14,207 | $298K | |
| 2022 | 10,044 | $253K | |
| 2023 | 8,870 | $258K | |
| 2024incomplete | 4,219 | $199K |
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 | 39% | 23,893 | 22,429 | $657K |
| 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% | 7,610 | 7,016 | $350K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.1% | 3,037 | 2,920 | $102K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.7% | 1,540 | 1,411 | $78K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 4,997 | 4,636 | $60K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.1% | 1,466 | 864 | $51K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 531 | 387 | $40K |
| 92015 | Determination of refractive state | 2.2% | 5,020 | 4,798 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.2% | 1,042 | 960 | $36K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 6,297 | 5,385 | $32K |
| 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 | 1.9% | 337 | 324 | $32K |
| 87631 | 1.5% | 216 | 201 | $24K |
48 more codes
| 90686 | 1.1% | 2,219 | $19K | |
| 0002A | 1.1% | 507 | $18K | |
| 0001A | 1.1% | 533 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 667 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 225 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 209 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 200 | $11K |
| 99283 | Emergency room visit (moderate) | <1% | 354 | $10K |
| 99285 | Emergency room visit (most serious) | <1% | 141 | $7K |
| 0004A | <1% | 193 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 555 | $5K |
| 0071A | <1% | 166 | $5K | |
| 0072A | <1% | 98 | $4K | |
| 0054A | <1% | 94 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 39 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 36 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 359 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 60 | $1K |
| 92567 | <1% | 101 | $1K | |
| 91322 | <1% | 14 | $1K | |
| 0064A | <1% | 29 | $1K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 25 | $842.16 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $801.89 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $775.47 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $504.46 |
| 93000 | <1% | 36 | $489.52 | |
| 83655 | <1% | 38 | $460.18 | |
| 99442 | <1% | 22 | $445.41 | |
| 0051A | <1% | 16 | $428.96 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 14 | $413.40 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $324.12 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 97 | $289.77 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $201.60 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 36 | $182.03 |
| 92583 | <1% | 14 | $169.84 | |
| 86780 | <1% | 13 | $107.70 | |
| 90670 | <1% | 30 | $87.93 | |
| 90698 | <1% | 17 | $47.19 | |
| 91300 | 0% | 1,284 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 65 | $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% | 55 | $0.00 |
| 91305 | 0% | 165 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 144 | $0.00 |
| 91307 | 0% | 316 | $0.00 | |
| 91306 | 0% | 29 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 15 | $0.00 |
| 3074F | 0% | 16 | $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 officialBORTNEM, MARK (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.