NPI: 1700837812 · BLOOMER, WI 54724 · Critical Access Hospital · NPI assigned 05/13/2006
Authorized official BORTNEM, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | BORTNEM, MARK (CFO) |
| NPI Enumeration Date | 05/13/2006 |
Other providers sharing the same authorized official: BORTNEM, MARK
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |