Medicaid Provider Spending

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

ASPIRUS MEDICAL GROUP, INC.

NPI: 1720177371 · WESTON, WI 54476 · Family Medicine Physician · NPI assigned 10/12/2006

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

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

$2.50M
Total Medicaid Paid
78,730
Total Claims
69,334
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYANG, JERRY (SVP & CHIEF FINANCIAL OFFICER)
Parent OrganizationASPIRUS MEDICAL GROUP, INC.
NPI Enumeration Date10/12/2006

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 MEDFORD HOSPITAL & CLINICS, INC. MEDFORD WI $11.83M
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 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 9,552 $305K
2019 11,812 $315K
2020 9,101 $291K
2021 13,369 $351K
2022 15,067 $465K
2023 12,666 $420K
2024 7,163 $354K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,225 21,486 $936K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,750 15,733 $483K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 9,693 8,590 $479K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,068 996 $133K
Q3014 Telehealth originating site facility fee 5,793 5,033 $97K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,878 6,886 $91K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 423 390 $53K
90837 Psychotherapy, 53 minutes with patient 670 420 $39K
90792 Psychiatric diagnostic evaluation with medical services 445 382 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,630 2,411 $36K
90834 Psychotherapy, 45 minutes with patient 434 247 $16K
96116 414 348 $14K
90836 179 147 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 245 220 $11K
80053 Comprehensive metabolic panel 1,239 1,087 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,482 1,353 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,191 1,006 $7K
80061 Lipid panel 387 357 $5K
77067 Screening mammography, bilateral, including computer-aided detection 67 66 $5K
90686 416 370 $4K
96132 68 39 $3K
96118 16 16 $2K
83036 Hemoglobin; glycosylated (A1C) 289 262 $2K
81001 669 602 $2K
99215 Prolong outpt/office vis 36 30 $2K
99443 108 80 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 93 45 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $1K
99442 106 81 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 12 $1K
0012A 17 17 $657.12
80048 Basic metabolic panel (calcium, ionized) 91 76 $512.18
85027 98 89 $508.12
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30 27 $480.62
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $458.10
0011A 17 17 $239.88
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $209.35
71046 Radiologic examination, chest; 2 views 18 12 $180.06
90785 14 14 $166.53
87210 34 31 $165.21
82947 43 40 $161.64
81025 12 12 $103.92
36415 Collection of venous blood by venipuncture 237 218 $62.89
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) 40 37 $30.88