Medicaid Provider Spending

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

ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC

NPI: 1346204385 · EAGLE RIVER, WI 54521 · Hospitalist Physician · NPI assigned 04/14/2006

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

Authorized official YANG, JERRY controls 20+ related entities in our dataset. Read more

$3.72M
Total Medicaid Paid
55,171
Total Claims
39,923
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/14/2006

Related Entities

Other providers sharing the same authorized official: YANG, JERRY

ProviderCityStateTotal Paid
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN ANTIGO WI $19.58M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $16.31M
ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. STEVENS POINT WI $15.59M
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $11.83M
ASPIRUS MERRILL HOSPITAL & CLINICS, INC MERRILL WI $11.12M
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. WISCONSIN RAPIDS WI $10.85M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. RHINELANDER WI $10.23M
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. IRONWOOD MI $9.31M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $6.93M
ASPIRUS KEWEENAW LAURIUM MI $6.03M
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. IRON RIVER MI $5.76M
ASPIRUS STANLEY HOSPITAL & CLINICS, INC STANLEY WI $4.81M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. TOMAHAWK WI $3.60M
ASPIRUS VNA HOME HEALTH INC WAUSAU WI $3.22M
THE HOWARD YOUNG MEDICAL CENTER, INC. WOODRUFF WI $2.91M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $2.71M
ASPIRUS MEDICAL GROUP, INC. WESTON WI $2.50M
ASPIRUS KEWEENAW HOUGHTON MI $1.98M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $1.86M
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $1.85M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,658 $496K
2019 7,357 $373K
2020 6,513 $439K
2021 10,022 $517K
2022 9,053 $715K
2023 8,516 $733K
2024 6,052 $448K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,909 3,278 $883K
99284 Emergency department visit for the evaluation and management, high severity 3,043 2,559 $711K
96361 Intravenous infusion, hydration; each additional hour 1,863 1,184 $666K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,505 2,014 $476K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,802 1,554 $394K
70450 Computed tomography, head or brain; without contrast material 407 342 $122K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,329 1,095 $88K
74177 Computed tomography, abdomen and pelvis; with contrast material 220 187 $73K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 373 259 $65K
80053 Comprehensive metabolic panel 4,895 3,729 $32K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 239 220 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 124 88 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,409 3,367 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 831 321 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 157 148 $15K
71046 Radiologic examination, chest; 2 views 661 532 $14K
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 297 242 $12K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 661 575 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 339 295 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,828 1,419 $8K
99001 1,148 890 $6K
84484 1,212 835 $6K
83735 2,109 1,332 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 78 64 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 22 12 $5K
81001 2,651 1,629 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 220 79 $5K
85610 1,590 1,222 $3K
83690 667 538 $3K
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 54 37 $2K
72125 Computed tomography, cervical spine; without contrast material 13 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 617 466 $2K
96375 Therapeutic injection; each additional sequential IV push 1,213 926 $2K
71045 Radiologic examination, chest; single view 847 710 $2K
85651 659 495 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 39 27 $1K
83605 223 185 $972.96
84443 Thyroid stimulating hormone (TSH) 87 71 $940.74
85730 364 313 $885.94
80306 69 62 $850.95
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 56 54 $846.87
80048 Basic metabolic panel (calcium, ionized) 151 100 $741.77
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,286 1,733 $718.24
36415 Collection of venous blood by venipuncture 3,512 2,596 $654.97
80061 Lipid panel 46 44 $647.56
97162 13 13 $631.64
87040 156 88 $602.87
84145 67 54 $543.08
87070 51 48 $423.02
73630 17 12 $304.60
83880 15 12 $204.09
81003 137 103 $176.14
87086 Culture, bacterial; quantitative colony count, urine 30 25 $160.14
83036 Hemoglobin; glycosylated (A1C) 13 12 $135.72
81025 14 13 $115.79
87186 17 12 $99.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,003 710 $91.91
85027 13 13 $66.90
82550 13 12 $60.70
85379 13 13 $42.61
J1885 Injection, ketorolac tromethamine, per 15 mg 441 339 $30.93
85652 13 13 $25.31
J1170 Injection, hydromorphone, up to 4 mg 120 66 $2.36
J2405 Injection, ondansetron hydrochloride, per 1 mg 499 335 $1.15
A9270 Non-covered item or service 701 189 $0.00