NPI: 1548796444 · BLOOMER, WI 54724 · Multi-Specialty Clinic/Center · NPI assigned 05/11/2017
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CFO) |
| NPI Enumeration Date | 05/11/2017 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 824 | $17K |
| 2019 | 535 | $12K |
| 2020 | 644 | $13K |
| 2021 | 2,307 | $52K |
| 2022 | 2,092 | $51K |
| 2023 | 2,005 | $48K |
| 2024 | 1,135 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,060 | 3,721 | $113K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 719 | 682 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 292 | 286 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 282 | 269 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 249 | 245 | $15K |
| 80061 | Lipid panel | 767 | 738 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1,149 | 1,046 | $8K |
| 90686 | 473 | 462 | $4K | |
| 0002A | 98 | 97 | $4K | |
| 0001A | 95 | 92 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 314 | 285 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 68 | 56 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 29 | 28 | $993.63 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 80 | 77 | $595.83 |
| 0004A | 15 | 15 | $581.60 | |
| 92551 | 42 | 39 | $499.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 39 | 39 | $408.00 |
| 80053 | Comprehensive metabolic panel | 25 | 24 | $243.06 |
| 90677 | 26 | 26 | $233.32 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 42 | 39 | $196.20 |
| 90698 | 57 | 56 | $184.43 | |
| 90670 | 56 | 55 | $181.12 | |
| 90651 | 12 | 12 | $168.00 | |
| 99188 | 15 | 15 | $154.68 | |
| 90656 | 12 | 12 | $146.00 | |
| 90697 | 13 | 13 | $121.50 | |
| 81001 | 26 | 26 | $76.36 | |
| 90680 | 13 | 13 | $43.71 | |
| 3074F | 38 | 38 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 33 | 26 | $0.00 |
| 91307 | 16 | 14 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 18 | 17 | $0.00 |
| 91305 | 13 | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 14 | 14 | $0.00 |
| 91300 | 290 | 252 | $0.00 | |
| 3078F | 25 | 25 | $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) | 27 | 26 | $0.00 |