Clinic
Mayo Clinic Health System-Northwest Wisconsin Region, INC.
Mayo Clinic Health System-Northwest Wisconsin Region, INC. was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
BARRON, WI 54812
BARRON, WI 54812
33aNPI1518494244assigned 05/12/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.11M
24GClaims41,195
24DCodes billed73
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#14 of 40
Median peer was paid$333K
This provider vs. median3.3×
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 BORTNEM, MARK 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 | 6,039 | $154K | |
| 2019 | 6,028 | $161K | |
| 2020 | 6,163 | $158K | |
| 2021 | 8,861 | $200K | |
| 2022 | 5,958 | $163K | |
| 2023 | 5,638 | $166K | |
| 2024incomplete | 2,508 | $113K |
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 | 32% | 7,740 | 6,971 | $355K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 8,413 | 7,840 | $233K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 3,110 | 2,854 | $165K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.5% | 3,470 | 3,226 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 577 | 571 | $35K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 1,131 | 1,062 | $34K |
| 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 | 2.9% | 334 | 315 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 532 | 487 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 371 | 308 | $22K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 536 | 328 | $15K |
| 87631 | 1.2% | 116 | 102 | $14K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 3,053 | 2,607 | $13K |
61 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 1,899 | $12K |
| 80061 | Lipid panel | <1% | 947 | $11K |
| 0002A | <1% | 272 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 169 | $10K |
| 0001A | <1% | 235 | $8K | |
| 90686 | <1% | 863 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 791 | $7K |
| 99285 | Emergency room visit (most serious) | <1% | 136 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 874 | $6K |
| 80053 | Comprehensive metabolic panel | <1% | 672 | $6K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 376 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 377 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 295 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 424 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 191 | $2K |
| 0004A | <1% | 62 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 71 | $2K |
| 90670 | <1% | 284 | $2K | |
| 99307 | <1% | 221 | $2K | |
| 0071A | <1% | 44 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 25 | $1K |
| 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% | 14 | $831.35 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 14 | $824.20 |
| 0072A | <1% | 20 | $770.56 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 112 | $710.01 |
| 90677 | <1% | 54 | $624.72 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $615.01 |
| 88142 | <1% | 29 | $578.97 | |
| 90633 | <1% | 64 | $556.30 | |
| 90698 | <1% | 182 | $545.23 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 23 | $539.97 |
| 99442 | <1% | 28 | $520.86 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $501.76 |
| 90697 | <1% | 33 | $493.98 | |
| 0031A | <1% | 13 | $465.28 | |
| 0054A | <1% | 12 | $465.28 | |
| 71045 | Radiologic examination, chest; single view | <1% | 118 | $445.42 |
| 81001 | <1% | 180 | $404.43 | |
| 90680 | <1% | 39 | $346.91 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $333.15 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $265.50 |
| 85610 | <1% | 68 | $202.04 | |
| 92567 | <1% | 13 | $195.87 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 81 | $179.52 |
| 90656 | <1% | 12 | $152.25 | |
| 81003 | <1% | 57 | $108.88 | |
| 90685 | <1% | 31 | $97.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $94.43 |
| 85027 | <1% | 13 | $79.24 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 15 | $75.45 |
| 82947 | <1% | 12 | $43.23 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 94 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 56 | $0.00 |
| 91307 | 0% | 90 | $0.00 | |
| 91303 | 0% | 13 | $0.00 | |
| 3074F | 0% | 46 | $0.00 | |
| 91305 | 0% | 12 | $0.00 | |
| 91300 | 0% | 635 | $0.00 | |
| 3078F | 0% | 48 | $0.00 | |
| 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% | 71 | $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 officialBORTNEM, MARK (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.