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MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
NPI: 1366420788
· SPARTA, WI 54656
· 261QR1300X
$469K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,528 |
4,944 |
$310K |
| 99213 |
|
3,398 |
2,972 |
$149K |
| 90686 |
|
404 |
378 |
$4K |
| 0002A |
|
67 |
64 |
$2K |
| 0001A |
|
47 |
46 |
$2K |
| 11721 |
|
13 |
13 |
$1K |
| G2025 |
Dis site tele svcs rhc/fqhc |
15 |
15 |
$484.04 |
| 90656 |
|
25 |
25 |
$446.50 |
| G0127 |
Trim nail(s) |
12 |
12 |
$238.22 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
15 |
15 |
$129.48 |
| G2211 |
Complex e/m visit add on |
13 |
13 |
$10.64 |
| 91300 |
|
159 |
148 |
$0.00 |
| G9717 |
Doc pt dx bipol |
112 |
102 |
$0.00 |