Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC.
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, INC. was paid $580K by Medicaid between Dec 2021 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
STEVENS POINT, WI 54482
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) 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 | |
|---|---|---|---|
| 2021 | 367 | $7K | |
| 2022 | 7,449 | $168K | |
| 2023 | 6,987 | $186K | |
| 2024incomplete | 4,758 | $218K |
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 | 65% | 12,342 | 11,232 | $374K |
| 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 | 14% | 1,928 | 1,755 | $83K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 656 | 607 | $28K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.1% | 178 | 169 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 326 | 306 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 956 | 889 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 159 | 141 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 151 | 146 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 646 | 544 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 67 | 62 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 518 | 437 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 351 | 305 | $3K |
15 more codes
| 90686 | <1% | 176 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 112 | $1K |
| 81001 | <1% | 419 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 116 | $985.12 |
| 80061 | Lipid panel | <1% | 65 | $560.26 |
| 0064A | <1% | 20 | $463.26 | |
| 90677 | <1% | 13 | $408.58 | |
| 85027 | <1% | 47 | $257.66 | |
| 99173 | <1% | 15 | $231.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $220.58 |
| 90656 | <1% | 12 | $220.52 | |
| 90670 | <1% | 12 | $181.65 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $94.86 |
| 36415 | Collection of venous blood by venipuncture | <1% | 211 | $39.27 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.