Aspirus Wausau Hospital, INC.
Aspirus Wausau Hospital, INC. was paid $255K by Medicaid between Jan 2018 and Nov 2021, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
STEVENS POINT, WI 54482
Next to other Family Medicine Physician providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,844 | $75K | |
| 2019 | 3,747 | $104K | |
| 2020 | 3,170 | $73K | |
| 2021 | 598 | $4K |
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 | 48% | 5,189 | 4,696 | $123K |
| 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 | 28% | 2,050 | 1,876 | $73K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 352 | 344 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.8% | 1,364 | 975 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 183 | 161 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 102 | 90 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 77 | 77 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 135 | 130 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 113 | 106 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 140 | 133 | $2K |
| 90686 | <1% | 225 | 216 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 16 | 15 | $1K |
10 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 71 | $679.61 |
| 99173 | <1% | 27 | $441.18 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 41 | $353.97 |
| 90670 | <1% | 96 | $281.02 | |
| 80061 | Lipid panel | <1% | 15 | $215.17 |
| 90723 | <1% | 64 | $187.93 | |
| 80053 | Comprehensive metabolic panel | <1% | 14 | $169.50 |
| 90685 | <1% | 41 | $119.92 | |
| 90647 | <1% | 31 | $99.68 | |
| 81001 | <1% | 13 | $50.98 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.