Physician
Aspirus Medford Hospital & Clinics, INC.
Aspirus Medford Hospital & Clinics, INC. was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
MEDFORD, WI 54451
MEDFORD, WI 54451
33aNPI1427140649assigned 09/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.85M
24GClaims46,683
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Wisconsin
Rank by total paid#14 of 359
Median peer was paid$4K
This provider vs. median475×
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.
Entity ProliferationAuthorized official YANG, JERRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,287 | $251K | |
| 2019 | 7,002 | $296K | |
| 2020 | 6,311 | $233K | |
| 2021 | 8,770 | $291K | |
| 2022 | 7,347 | $269K | |
| 2023 | 6,281 | $256K | |
| 2024incomplete | 4,685 | $250K |
Box 24 · Service lines
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 | 40% | 15,303 | 13,349 | $735K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 16,488 | 14,696 | $544K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 3,695 | 2,069 | $279K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 1,241 | 1,155 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 1,189 | 1,149 | $62K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.7% | 631 | 540 | $32K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 2,338 | 2,095 | $27K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.0% | 499 | 341 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 352 | 346 | $19K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,828 | 1,640 | $14K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 247 | 134 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 134 | 120 | $7K |
27 more codes
| 99173 | <1% | 272 | $5K | |
| 99307 | <1% | 118 | $4K | |
| 90686 | <1% | 708 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 45 | $3K |
| 92551 | <1% | 210 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 44 | $2K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 84 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 42 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 87 | $1K |
| 90670 | <1% | 395 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 20 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $993.93 |
| 90715 | <1% | 38 | $825.20 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $535.91 |
| 0011A | <1% | 12 | $458.68 | |
| 90723 | <1% | 110 | $429.79 | |
| 90647 | <1% | 131 | $398.47 | |
| 90633 | <1% | 131 | $392.34 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 13 | $386.69 |
| 99201 | <1% | 19 | $303.16 | |
| 99000 | <1% | 70 | $251.74 | |
| 90685 | <1% | 18 | $50.84 | |
| 90651 | <1% | 14 | $36.41 | |
| 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) | 0% | 43 | $0.00 |
| 0503F | 0% | 30 | $0.00 | |
| 0500F | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.