Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

NPI: 1629056049 · LACROSSE, WI 54601 · Multi-Specialty Clinic/Center · NPI assigned 01/05/2006

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

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

$8.76M
Total Medicaid Paid
363,613
Total Claims
322,505
Beneficiaries
201
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/05/2006

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. 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. 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 62,961 $1.17M
2019 53,388 $1.29M
2020 43,069 $1.02M
2021 68,988 $1.51M
2022 51,761 $1.32M
2023 50,311 $1.35M
2024 33,135 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,261 50,330 $2.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64,293 58,149 $1.62M
99284 Emergency department visit for the evaluation and management, high severity 23,400 21,557 $1.02M
90834 Psychotherapy, 45 minutes with patient 11,761 7,180 $542K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12,896 12,325 $454K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,769 6,292 $256K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,472 5,480 $251K
99283 Emergency department visit for the evaluation and management, moderate severity 9,071 8,423 $246K
99215 Prolong outpt/office vis 3,903 3,434 $202K
92015 Determination of refractive state 19,451 18,508 $153K
90837 Psychotherapy, 53 minutes with patient 1,938 1,091 $116K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,917 8,993 $114K
77067 Screening mammography, bilateral, including computer-aided detection 1,778 1,705 $103K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,485 2,332 $95K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,530 14,508 $86K
67028 Intravitreal injection of a pharmacologic agent 1,310 1,187 $84K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,523 2,360 $75K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,535 1,252 $66K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,420 7,597 $55K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1,128 1,109 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 910 872 $51K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 771 703 $43K
80061 Lipid panel 3,648 3,439 $41K
87660 2,452 2,265 $39K
87510 2,445 2,254 $39K
87480 2,458 2,269 $39K
71046 Radiologic examination, chest; 2 views 5,265 4,841 $36K
87631 681 589 $36K
90686 4,272 3,963 $35K
80053 Comprehensive metabolic panel 4,127 3,806 $34K
0002A 1,012 992 $32K
74177 Computed tomography, abdomen and pelvis; with contrast material 759 706 $30K
90847 Family psychotherapy with the patient present, 50 minutes 519 325 $27K
0001A 1,010 984 $27K
83036 Hemoglobin; glycosylated (A1C) 3,490 3,315 $27K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,673 1,271 $25K
64615 552 521 $23K
92340 Fitting of spectacles, except for aphakia; monofocal 1,019 936 $21K
97530 Therapeutic activities, direct patient contact, each 15 minutes 589 350 $21K
92134 1,763 1,609 $21K
80048 Basic metabolic panel (calcium, ionized) 2,813 2,594 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 328 309 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 658 605 $18K
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 335 280 $18K
70450 Computed tomography, head or brain; without contrast material 697 645 $17K
20611 509 414 $17K
99233 Prolong inpt eval add15 m 882 321 $17K
77063 Screening digital breast tomosynthesis, bilateral 688 659 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 397 181 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,019 953 $16K
71045 Radiologic examination, chest; single view 4,057 3,551 $15K
90792 Psychiatric diagnostic evaluation with medical services 188 175 $15K
92341 598 533 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 352 335 $14K
93000 932 857 $14K
99308 Subsequent nursing facility care, per day, straightforward 1,598 1,422 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 190 177 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 251 238 $12K
J0585 Injection, onabotulinumtoxina, 1 unit 14 13 $11K
85027 1,972 1,840 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 857 802 $10K
99310 Prolong nursin fac eval 15m 757 601 $10K
81025 1,449 1,352 $10K
92567 636 563 $8K
20610 295 204 $7K
90853 Group psychotherapy (other than of a multiple-family group) 737 302 $7K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 152 138 $7K
81001 2,418 2,233 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 252 245 $7K
0004A 168 164 $6K
88307 86 84 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 134 116 $5K
99442 275 252 $5K
99239 Hospital discharge day management, more than 30 minutes 118 105 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 153 51 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 187 108 $5K
91322 74 71 $4K
86140 1,009 957 $4K
81003 2,263 2,102 $4K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 31 30 $4K
99232 Subsequent hospital care, per day, moderate complexity 303 141 $4K
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) 2,018 1,886 $4K
98926 282 241 $3K
0071A 136 89 $3K
90832 Psychotherapy, 30 minutes with patient 99 82 $3K
11721 306 302 $3K
73630 209 174 $3K
99443 57 54 $2K
90791 Psychiatric diagnostic evaluation 42 40 $2K
99223 Prolong inpt eval add15 m 69 62 $2K
85018 914 864 $2K
88142 104 97 $2K
36415 Collection of venous blood by venipuncture 4,039 3,609 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 59 25 $2K
84443 Thyroid stimulating hormone (TSH) 524 492 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 24 24 $2K
99243 41 39 $2K
99238 Hospital discharge day management, 30 minutes or less 116 108 $2K
94060 98 93 $2K
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 210 177 $2K
0072A 99 82 $2K
0124A 46 46 $2K
3008F 206 205 $2K
98927 63 57 $2K
90656 84 83 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 13 12 $1K
99460 14 14 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 13 $1K
94729 92 90 $1K
90836 14 13 $1K
0064A 31 29 $1K
99188 83 81 $1K
11056 46 39 $924.92
62323 15 13 $903.02
88141 55 51 $865.51
87086 Culture, bacterial; quantitative colony count, urine 315 268 $842.83
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $826.29
73610 72 68 $752.09
99356 51 44 $750.19
95886 29 27 $749.48
90670 230 224 $719.57
0031A 26 26 $684.20
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 242 227 $681.92
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 239 224 $681.92
94726 51 50 $661.78
82947 253 236 $655.74
99441 73 68 $601.08
64493 22 13 $563.91
0012A 41 39 $522.82
88342 33 26 $520.50
76942 12 12 $515.03
95251 37 36 $513.41
76642 29 24 $510.67
90698 192 188 $506.11
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 41 34 $470.28
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $440.76
95800 25 24 $365.15
0011A 47 41 $357.30
90685 110 101 $344.24
99462 14 12 $340.34
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 110 99 $310.90
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 13 12 $300.43
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 25 24 $276.57
72100 18 16 $258.95
73030 14 14 $238.22
73502 15 14 $231.39
64494 20 12 $206.19
96164 42 14 $185.88
86780 92 85 $176.11
96165 40 13 $172.17
92133 16 14 $166.57
90785 13 12 $164.64
99173 19 18 $152.00
90680 40 38 $122.47
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 51 $82.92
90651 25 24 $78.68
74018 14 13 $71.07
86850 63 59 $57.31
84460 29 25 $46.99
90633 25 25 $46.51
93294 13 13 $44.15
82570 14 12 $43.26
85652 13 13 $36.50
87077 87 61 $35.88
0764T 129 116 $24.00
99451 16 13 $21.48
94762 53 51 $4.85
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,480 1,213 $1.31
91300 2,339 2,034 $0.00
3078F 2,294 2,022 $0.00
85610 107 65 $0.00
X5622 358 342 $0.00
87186 42 28 $0.00
0502F 15 13 $0.00
86787 27 27 $0.00
87653 36 32 $0.00
84439 16 16 $0.00
91312 46 46 $0.00
83540 14 14 $0.00
99358 Prolong nursin fac eval 15m 32 26 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 4,548 3,764 $0.00
3074F 3,166 2,782 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 97 94 $0.00
91303 26 26 $0.00
3079F 223 208 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 79 79 $0.00
G8432 Depression screening not documented, reason not given 142 125 $0.00
87070 278 207 $0.00
86803 59 58 $0.00
3075F 36 36 $0.00
82728 52 52 $0.00
91307 296 212 $0.00
V5008 Hearing screening 19 18 $0.00
91306 31 29 $0.00
87340 67 65 $0.00
82043 53 53 $0.00
91301 35 33 $0.00
82607 12 12 $0.00
86762 15 15 $0.00
83550 14 14 $0.00
82950 14 14 $0.00