Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1700837812 · BLOOMER, WI 54724 · Critical Access Hospital · NPI assigned 05/13/2006

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

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

$2.07M
Total Medicaid Paid
77,001
Total Claims
60,504
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/13/2006

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. 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. 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 9,303 $122K
2019 9,491 $185K
2020 8,669 $164K
2021 10,740 $275K
2022 11,917 $374K
2023 13,816 $496K
2024 13,065 $454K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,677 1,823 $489K
99284 Emergency department visit for the evaluation and management, high severity 2,024 1,471 $344K
96361 Intravenous infusion, hydration; each additional hour 483 425 $281K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 10,096 7,767 $244K
99283 Emergency department visit for the evaluation and management, moderate severity 769 650 $196K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,560 4,524 $75K
74177 Computed tomography, abdomen and pelvis; with contrast material 181 171 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,140 3,524 $48K
87631 481 422 $33K
70450 Computed tomography, head or brain; without contrast material 109 97 $31K
84443 Thyroid stimulating hormone (TSH) 2,578 2,400 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 841 769 $27K
99215 Prolong outpt/office vis 2,187 1,560 $25K
80053 Comprehensive metabolic panel 3,319 2,901 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 724 668 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,610 4,655 $20K
80048 Basic metabolic panel (calcium, ionized) 3,582 3,038 $15K
83036 Hemoglobin; glycosylated (A1C) 2,588 2,429 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,757 1,270 $14K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 171 147 $12K
80061 Lipid panel 1,196 1,117 $9K
71046 Radiologic examination, chest; 2 views 804 703 $8K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 45 25 $7K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 892 811 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 989 756 $5K
83735 1,253 997 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,412 1,229 $4K
85610 3,532 2,055 $3K
83605 595 522 $3K
86140 934 804 $3K
81001 1,614 1,465 $3K
84484 214 194 $2K
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 29 29 $1K
Q3014 Telehealth originating site facility fee 215 198 $1K
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) 415 368 $1K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,290 572 $1K
36415 Collection of venous blood by venipuncture 6,018 4,778 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 73 68 $883.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 193 183 $644.89
85027 208 190 $639.46
87660 42 38 $565.74
87480 42 38 $565.74
87510 42 38 $565.74
71045 Radiologic examination, chest; single view 172 156 $549.15
83880 27 25 $488.21
87086 Culture, bacterial; quantitative colony count, urine 166 150 $431.43
91322 97 91 $430.84
99443 15 14 $412.76
90686 246 242 $407.84
90662 176 167 $377.32
99308 Subsequent nursing facility care, per day, straightforward 30 29 $326.50
83690 86 74 $324.51
82248 119 114 $321.46
81025 41 40 $309.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 43 25 $305.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 26 $261.11
99442 18 18 $256.67
81003 190 173 $192.15
36416 417 238 $163.19
90480 97 91 $131.10
82077 14 12 $125.76
96375 Therapeutic injection; each additional sequential IV push 185 166 $90.03
82947 45 38 $86.54
87077 17 14 $79.58
87186 16 13 $53.38
90656 34 34 $37.70
82565 17 13 $30.72
0764T 32 26 $18.22
87103 17 13 $12.88
0124A 40 40 $11.65
87040 32 13 $10.84
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 12 $10.34
J7030 Infusion, normal saline solution , 1000 cc 80 70 $8.64
J1885 Injection, ketorolac tromethamine, per 15 mg 117 106 $2.54
J2405 Injection, ondansetron hydrochloride, per 1 mg 13 12 $0.00
J2704 Injection, propofol, 10 mg 38 13 $0.00
G0008 Administration of influenza virus vaccine 302 298 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 52 24 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 27 12 $0.00