Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1235666967 · MENOMONIE, WI 54751 · Multi-Specialty Clinic/Center · NPI assigned 05/12/2017

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

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

$1.66M
Total Medicaid Paid
65,336
Total Claims
59,950
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/12/2017

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. EAU CLAIRE WI $7.51M
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. 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 10,615 $246K
2019 9,036 $217K
2020 8,345 $191K
2021 14,207 $298K
2022 10,044 $253K
2023 8,870 $258K
2024 4,219 $199K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,893 22,429 $657K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,610 7,016 $350K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,037 2,920 $102K
99284 Emergency department visit for the evaluation and management, high severity 1,540 1,411 $78K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,997 4,636 $60K
90834 Psychotherapy, 45 minutes with patient 1,466 864 $51K
90837 Psychotherapy, 53 minutes with patient 531 387 $40K
92015 Determination of refractive state 5,020 4,798 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,042 960 $36K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 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 337 324 $32K
87631 216 201 $24K
90686 2,219 2,139 $19K
0002A 507 501 $18K
0001A 533 521 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 667 631 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 225 219 $13K
99215 Prolong outpt/office vis 209 188 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 200 197 $11K
99283 Emergency department visit for the evaluation and management, moderate severity 354 329 $10K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 141 119 $7K
0004A 193 175 $7K
71046 Radiologic examination, chest; 2 views 555 483 $5K
0071A 166 143 $5K
0072A 98 96 $4K
0054A 94 93 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 39 38 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 36 26 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 40 $2K
71045 Radiologic examination, chest; single view 359 289 $2K
90847 Family psychotherapy with the patient present, 50 minutes 60 25 $1K
92567 101 92 $1K
91322 14 13 $1K
0064A 29 29 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 25 25 $842.16
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $801.89
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $775.47
99239 Hospital discharge day management, more than 30 minutes 14 13 $504.46
93000 36 25 $489.52
83655 38 38 $460.18
99442 22 22 $445.41
0051A 16 13 $428.96
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 12 $413.40
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $324.12
99308 Subsequent nursing facility care, per day, straightforward 97 93 $289.77
99309 Subsequent nursing facility care, per day, low to moderate complexity 12 12 $201.60
99232 Subsequent hospital care, per day, moderate complexity 36 24 $182.03
92583 14 12 $169.84
86780 13 12 $107.70
90670 30 25 $87.93
90698 17 12 $47.19
91300 1,284 1,123 $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 65 64 $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) 55 55 $0.00
91305 165 157 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 144 133 $0.00
91307 316 270 $0.00
91306 29 29 $0.00
G8432 Depression screening not documented, reason not given 15 14 $0.00
3074F 16 12 $0.00