Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1518494244 · BARRON, WI 54812 · Multi-Specialty Clinic/Center · NPI assigned 05/12/2017

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

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

$1.11M
Total Medicaid Paid
41,195
Total Claims
37,153
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/12/2017

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. EAU CLAIRE WI $928K
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. SPARTA WI $469K
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 6,039 $154K
2019 6,028 $161K
2020 6,163 $158K
2021 8,861 $200K
2022 5,958 $163K
2023 5,638 $166K
2024 2,508 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,740 6,971 $355K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,413 7,840 $233K
99284 Emergency department visit for the evaluation and management, high severity 3,110 2,854 $165K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,470 3,226 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 577 571 $35K
99283 Emergency department visit for the evaluation and management, moderate severity 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 334 315 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 532 487 $30K
99215 Prolong outpt/office vis 371 308 $22K
90834 Psychotherapy, 45 minutes with patient 536 328 $15K
87631 116 102 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,053 2,607 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,899 1,750 $12K
80061 Lipid panel 947 890 $11K
0002A 272 264 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 169 168 $10K
0001A 235 227 $8K
90686 863 847 $7K
83036 Hemoglobin; glycosylated (A1C) 791 757 $7K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 136 122 $6K
80048 Basic metabolic panel (calcium, ionized) 874 814 $6K
80053 Comprehensive metabolic panel 672 619 $6K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 376 174 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 377 333 $5K
99233 Prolong inpt eval add15 m 295 147 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 141 131 $3K
99232 Subsequent hospital care, per day, moderate complexity 424 188 $3K
99308 Subsequent nursing facility care, per day, straightforward 191 171 $2K
0004A 62 58 $2K
99239 Hospital discharge day management, more than 30 minutes 71 64 $2K
90670 284 274 $2K
99307 221 205 $2K
0071A 44 38 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25 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 14 12 $831.35
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 12 $824.20
0072A 20 20 $770.56
71046 Radiologic examination, chest; 2 views 112 100 $710.01
90677 54 53 $624.72
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $615.01
88142 29 29 $578.97
90633 64 64 $556.30
90698 182 171 $545.23
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 23 12 $539.97
99442 28 26 $520.86
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 16 $501.76
90697 33 33 $493.98
0031A 13 13 $465.28
0054A 12 12 $465.28
71045 Radiologic examination, chest; single view 118 109 $445.42
81001 180 167 $404.43
90680 39 38 $346.91
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 80 79 $333.15
99222 Initial hospital care, per day, moderate complexity 14 12 $265.50
85610 68 36 $202.04
92567 13 12 $195.87
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 81 81 $179.52
90656 12 12 $152.25
81003 57 55 $108.88
90685 31 29 $97.01
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 15 $94.43
85027 13 13 $79.24
99310 Prolong nursin fac eval 15m 15 15 $75.45
82947 12 12 $43.23
36415 Collection of venous blood by venipuncture 94 86 $0.00
84443 Thyroid stimulating hormone (TSH) 56 52 $0.00
91307 90 73 $0.00
91303 13 13 $0.00
3074F 46 41 $0.00
91305 12 12 $0.00
91300 635 557 $0.00
3078F 48 43 $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) 71 69 $0.00