Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1548796444 · BLOOMER, WI 54724 · Multi-Specialty Clinic/Center · NPI assigned 05/11/2017

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

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

$234K
Total Medicaid Paid
9,542
Total Claims
8,892
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/11/2017

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. BARRON WI $1.11M
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. 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 824 $17K
2019 535 $12K
2020 644 $13K
2021 2,307 $52K
2022 2,092 $51K
2023 2,005 $48K
2024 1,135 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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