Medicaid Provider Spending

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

ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.

NPI: 1619079597 · MEDFORD, WI 54451 · Critical Access Hospital · NPI assigned 09/02/2006

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

Authorized official YANG, JERRY controls 20+ related entities in our dataset. Read more

$11.83M
Total Medicaid Paid
229,994
Total Claims
181,131
Beneficiaries
158
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/02/2006

Related Entities

Other providers sharing the same authorized official: YANG, JERRY

ProviderCityStateTotal Paid
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN ANTIGO WI $19.58M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $16.31M
ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. STEVENS POINT WI $15.59M
ASPIRUS MERRILL HOSPITAL & CLINICS, INC MERRILL WI $11.12M
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. WISCONSIN RAPIDS WI $10.85M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. RHINELANDER WI $10.23M
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC. IRONWOOD MI $9.31M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $6.93M
ASPIRUS KEWEENAW LAURIUM MI $6.03M
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC. IRON RIVER MI $5.76M
ASPIRUS STANLEY HOSPITAL & CLINICS, INC STANLEY WI $4.81M
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC EAGLE RIVER WI $3.72M
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. TOMAHAWK WI $3.60M
ASPIRUS VNA HOME HEALTH INC WAUSAU WI $3.22M
THE HOWARD YOUNG MEDICAL CENTER, INC. WOODRUFF WI $2.91M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $2.71M
ASPIRUS MEDICAL GROUP, INC. WESTON WI $2.50M
ASPIRUS KEWEENAW HOUGHTON MI $1.98M
ASPIRUS WAUSAU HOSPITAL, INC WAUSAU WI $1.86M
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $1.85M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,977 $946K
2019 29,274 $1.17M
2020 26,805 $1.40M
2021 36,817 $1.47M
2022 36,360 $1.95M
2023 39,251 $2.39M
2024 36,510 $2.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,883 15,069 $2.73M
99284 Emergency department visit for the evaluation and management, high severity 11,871 9,747 $1.83M
96361 Intravenous infusion, hydration; each additional hour 2,977 2,399 $1.50M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,106 6,134 $1.38M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,713 3,006 $822K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,960 1,347 $473K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,189 900 $316K
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 3,006 2,391 $278K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,840 2,455 $270K
70450 Computed tomography, head or brain; without contrast material 1,137 769 $246K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,043 794 $180K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,371 813 $125K
80053 Comprehensive metabolic panel 13,203 10,495 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 479 378 $101K
93976 468 380 $78K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,703 11,429 $76K
71046 Radiologic examination, chest; 2 views 3,822 2,969 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,657 4,180 $64K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,782 1,512 $64K
84443 Thyroid stimulating hormone (TSH) 4,776 4,210 $61K
77067 Screening mammography, bilateral, including computer-aided detection 874 722 $55K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 152 124 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 333 311 $46K
80061 Lipid panel 3,738 3,396 $43K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,271 1,964 $42K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 362 224 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 310 248 $36K
87070 3,655 3,241 $35K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 385 335 $35K
80048 Basic metabolic panel (calcium, ionized) 4,378 3,692 $33K
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 758 628 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 542 453 $27K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 72 53 $27K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 173 152 $26K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,658 4,573 $25K
81025 2,668 2,314 $25K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,017 924 $23K
81001 8,360 6,912 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,626 713 $23K
87086 Culture, bacterial; quantitative colony count, urine 3,287 2,801 $22K
84484 3,385 2,004 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 717 612 $20K
83036 Hemoglobin; glycosylated (A1C) 2,554 2,279 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 694 596 $19K
85027 3,174 2,641 $15K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,942 1,466 $15K
76801 107 91 $14K
87088 2,153 1,828 $13K
83690 2,485 2,123 $12K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,178 322 $12K
80306 944 777 $12K
83735 3,236 2,686 $12K
71045 Radiologic examination, chest; single view 5,094 3,423 $11K
74019 452 366 $10K
87077 1,296 1,076 $9K
84439 1,267 1,136 $9K
86140 2,314 1,986 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,339 1,807 $7K
85610 2,408 1,616 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,198 343 $7K
83880 396 343 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,577 3,725 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 36 28 $6K
96367 18 14 $6K
87186 955 798 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 39 25 $6K
84703 831 734 $6K
G0378 Hospital observation service, per hour 75 24 $5K
86850 818 642 $5K
71275 Computed tomographic angiography, chest, with contrast material 17 12 $5K
73630 156 132 $5K
76830 Ultrasound, transvaginal 32 25 $4K
85379 717 624 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 157 121 $4K
83605 720 517 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 423 120 $4K
74018 66 54 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 361 229 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 64 47 $3K
36415 Collection of venous blood by venipuncture 5,768 4,234 $3K
87210 455 395 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 22 18 $3K
83655 216 201 $3K
87807 122 108 $3K
82948 1,057 543 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 268 82 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 133 104 $2K
87806 105 79 $2K
84145 147 124 $2K
73610 62 49 $2K
86900 865 676 $2K
86901 864 676 $2K
96375 Therapeutic injection; each additional sequential IV push 4,291 3,279 $1K
73030 32 25 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 173 141 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 103 57 $1K
84702 95 42 $1K
84153 82 73 $1K
87340 128 93 $1K
86592 290 216 $947.45
82805 51 38 $933.98
85018 428 377 $900.28
82728 94 83 $849.58
36592 508 428 $849.17
82043 126 116 $792.31
86762 73 53 $775.39
72100 16 14 $740.06
82962 328 173 $703.32
73130 20 16 $702.07
82607 49 47 $587.59
85652 295 261 $583.54
A9577 Injection, gadobenate dimeglumine (multihance), per ml 115 64 $579.05
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 804 640 $556.93
86618 15 13 $543.02
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 15 15 $525.45
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 46 41 $520.43
87653 12 12 $520.28
86803 64 45 $437.53
85730 163 129 $411.48
83540 101 90 $409.11
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,361 3,088 $390.33
83550 74 65 $384.75
82950 61 54 $279.92
85007 111 90 $258.04
87040 49 28 $239.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,379 2,123 $235.85
96376 967 713 $172.80
97162 31 24 $157.19
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 96 84 $139.07
82746 12 12 $137.34
82550 17 14 $120.48
J0780 Injection, prochlorperazine, up to 10 mg 17 14 $114.04
82947 12 12 $86.83
87205 34 25 $76.98
J2704 Injection, propofol, 10 mg 1,236 939 $62.80
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) 37 34 $59.91
82150 14 12 $56.54
82553 12 12 $51.96
J1885 Injection, ketorolac tromethamine, per 15 mg 3,686 2,406 $51.18
A0425 Ground mileage, per statute mile 67 57 $50.66
J1170 Injection, hydromorphone, up to 4 mg 1,617 1,101 $38.52
82570 14 14 $37.72
84156 16 12 $30.51
J1200 Injection, diphenhydramine hcl, up to 50 mg 256 189 $23.46
G0008 Administration of influenza virus vaccine 13 13 $17.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,530 1,799 $17.91
77063 Screening digital breast tomosynthesis, bilateral 21 13 $17.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $13.08
J3010 Injection, fentanyl citrate, 0.1 mg 1,555 1,110 $9.40
J2270 Injection, morphine sulfate, up to 10 mg 44 34 $8.93
J2250 Injection, midazolam hydrochloride, per 1 mg 350 271 $3.48
A9270 Non-covered item or service 475 163 $0.79
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 56 54 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 13 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 77 55 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 38 27 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 16 13 $0.00
Q3014 Telehealth originating site facility fee 14 12 $0.00