Medicaid Provider Spending

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

ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.

NPI: 1497750830 · IRON RIVER, MI 49935 · Critical Access Hospital · NPI assigned 06/14/2005

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

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

$5.76M
Total Medicaid Paid
161,773
Total Claims
127,612
Beneficiaries
118
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/14/2005

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 STANLEY HOSPITAL & CLINICS, INC STANLEY WI $4.81M
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC EAGLE RIVER WI $3.72M
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 25,553 $729K
2019 23,534 $572K
2020 18,811 $648K
2021 24,901 $937K
2022 23,419 $907K
2023 25,188 $1.00M
2024 20,367 $964K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,063 9,143 $1.30M
99284 Emergency department visit for the evaluation and management, high severity 8,135 5,511 $1.26M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,215 6,330 $665K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,634 1,322 $397K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,778 2,232 $314K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,158 2,077 $229K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,351 711 $175K
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 1,642 1,558 $111K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 957 762 $105K
96375 Therapeutic injection; each additional sequential IV push 2,281 1,847 $91K
70450 Computed tomography, head or brain; without contrast material 587 314 $87K
96361 Intravenous infusion, hydration; each additional hour 2,151 1,872 $87K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 786 771 $81K
71046 Radiologic examination, chest; 2 views 2,977 1,499 $77K
71045 Radiologic examination, chest; single view 2,745 1,409 $71K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,606 1,518 $59K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 984 773 $53K
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 1,967 1,734 $52K
80053 Comprehensive metabolic panel 11,750 10,051 $44K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,055 978 $42K
80061 Lipid panel 3,762 3,723 $39K
84443 Thyroid stimulating hormone (TSH) 4,176 4,057 $38K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,313 10,393 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 559 477 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 780 701 $25K
77067 Screening mammography, bilateral, including computer-aided detection 642 327 $25K
36415 Collection of venous blood by venipuncture 14,385 12,088 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,352 1,337 $24K
93976 543 289 $23K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 949 902 $19K
83036 Hemoglobin; glycosylated (A1C) 2,379 2,346 $14K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 710 301 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,043 2,631 $13K
99281 Emergency department visit for the evaluation and management, self-limited or minor 208 200 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 99 97 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,673 1,508 $8K
82607 797 793 $7K
77063 Screening digital breast tomosynthesis, bilateral 448 229 $7K
97162 83 81 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 227 219 $6K
83735 2,854 2,454 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 242 237 $5K
72110 179 94 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 228 222 $5K
80048 Basic metabolic panel (calcium, ionized) 1,511 1,381 $4K
84439 794 775 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 25 24 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,207 1,129 $4K
80306 1,112 930 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,377 1,985 $3K
73564 115 54 $3K
87070 1,559 1,505 $3K
85610 1,973 1,367 $3K
73610 232 102 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 51 51 $3K
81001 4,541 4,032 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 800 373 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 27 $2K
73030 137 67 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,499 1,425 $2K
73630 169 83 $2K
83690 1,965 1,753 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 80 37 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 844 824 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 25 12 $1K
97161 39 38 $1K
84484 1,554 1,051 $1K
86140 578 533 $1K
87088 352 332 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 36 12 $925.22
73130 75 37 $862.64
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 13 13 $796.94
97035 90 39 $761.56
73110 33 16 $744.37
83605 956 735 $720.61
87077 319 286 $715.09
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 19 $650.36
81025 1,153 1,053 $619.25
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 25 25 $616.12
82043 150 150 $559.15
84481 42 40 $481.57
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 25 25 $426.20
87186 128 124 $378.65
85651 202 190 $355.34
86803 37 36 $291.62
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 15 15 $273.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $235.60
82746 27 27 $227.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 103 88 $225.76
82728 28 25 $223.52
84153 12 12 $152.57
84703 162 155 $107.24
85027 27 27 $80.85
83550 12 12 $58.05
83880 14 12 $57.94
83540 12 12 $42.93
85730 44 42 $39.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 20 12 $36.21
82948 122 91 $35.33
87807 27 26 $29.16
82550 31 25 $27.79
87040 26 13 $26.32
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,484 1,344 $24.25
J1885 Injection, ketorolac tromethamine, per 15 mg 2,650 2,175 $13.71
82962 23 12 $3.30
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,958 1,496 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 29 26 $0.00
94664 123 107 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 40 25 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 37 27 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 940 658 $0.00
96376 28 24 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 35 26 $0.00
J2704 Injection, propofol, 10 mg 268 164 $0.00
J2060 Injection, lorazepam, 2 mg 43 25 $0.00
J1170 Injection, hydromorphone, up to 4 mg 55 50 $0.00
94760 14 12 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 14 13 $0.00