Mayo Clinic Health System-Southwest Wisconsin Region, INC.
Mayo Clinic Health System-Southwest Wisconsin Region, INC. was paid $469K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
SPARTA, WI 54656
Next to other Rural Health Clinic/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 | |
|---|---|---|---|
| 2018 | 1,905 | $94K | |
| 2019 | 2,280 | $107K | |
| 2020 | 1,038 | $55K | |
| 2021 | 1,719 | $63K | |
| 2022 | 1,241 | $60K | |
| 2023 | 858 | $45K | |
| 2024incomplete | 767 | $44K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 5,528 | 4,944 | $310K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 3,398 | 2,972 | $149K |
| 90686 | <1% | 404 | 378 | $4K | |
| 0002A | <1% | 67 | 64 | $2K | |
| 0001A | <1% | 47 | 46 | $2K | |
| 11721 | <1% | 13 | 13 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | 15 | $484.04 |
| 90656 | <1% | 25 | 25 | $446.50 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 12 | 12 | $238.22 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 15 | 15 | $129.48 |
| 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) | <1% | 13 | 13 | $10.64 |
| 91300 | 0% | 159 | 148 | $0.00 |
1 more codes
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 112 | $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.