Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

NPI: 1366420788 · SPARTA, WI 54656 · Rural Health Clinic/Center · NPI assigned 01/05/2006

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

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

$469K
Total Medicaid Paid
9,808
Total Claims
8,747
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CHIEF FINANICIAL OFFICER)
NPI Enumeration Date01/05/2006

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. MENOMONIE WI $1.66M
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-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 1,905 $94K
2019 2,280 $107K
2020 1,038 $55K
2021 1,719 $63K
2022 1,241 $60K
2023 858 $45K
2024 767 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,528 4,944 $310K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,398 2,972 $149K
90686 404 378 $4K
0002A 67 64 $2K
0001A 47 46 $2K
11721 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 15 15 $484.04
90656 25 25 $446.50
G0127 Trimming of dystrophic nails, any number 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 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) 13 13 $10.64
91300 159 148 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 112 102 $0.00