Clinic
Mayo Clinic Health System-Northwest Wisconsin Region, INC.
Mayo Clinic Health System-Northwest Wisconsin Region, INC. was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
BLOOMER, WI 54724
BLOOMER, WI 54724
33aNPI1548796444assigned 05/11/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$234K
24GClaims9,542
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#22 of 40
Median peer was paid$333K
This provider vs. median0.7×
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 | 824 | $17K | |
| 2019 | 535 | $12K | |
| 2020 | 644 | $13K | |
| 2021 | 2,307 | $52K | |
| 2022 | 2,092 | $51K | |
| 2023 | 2,005 | $48K | |
| 2024incomplete | 1,135 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 4,060 | 3,721 | $113K |
| 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 | 16% | 719 | 682 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 292 | 286 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 282 | 269 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 249 | 245 | $15K |
| 80061 | Lipid panel | 3.8% | 767 | 738 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.3% | 1,149 | 1,046 | $8K |
| 90686 | 1.6% | 473 | 462 | $4K | |
| 0002A | 1.5% | 98 | 97 | $4K | |
| 0001A | 1.4% | 95 | 92 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.0% | 314 | 285 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 68 | 56 | $1K |
25 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $993.63 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 80 | $595.83 |
| 0004A | <1% | 15 | $581.60 | |
| 92551 | <1% | 42 | $499.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $408.00 |
| 80053 | Comprehensive metabolic panel | <1% | 25 | $243.06 |
| 90677 | <1% | 26 | $233.32 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 42 | $196.20 |
| 90698 | <1% | 57 | $184.43 | |
| 90670 | <1% | 56 | $181.12 | |
| 90651 | <1% | 12 | $168.00 | |
| 99188 | <1% | 15 | $154.68 | |
| 90656 | <1% | 12 | $146.00 | |
| 90697 | <1% | 13 | $121.50 | |
| 81001 | <1% | 26 | $76.36 | |
| 90680 | <1% | 13 | $43.71 | |
| 3074F | 0% | 38 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 33 | $0.00 |
| 91307 | 0% | 16 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 18 | $0.00 |
| 91305 | 0% | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $0.00 |
| 91300 | 0% | 290 | $0.00 | |
| 3078F | 0% | 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) | 0% | 27 | $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.