Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1740239557 · BARRON, WI 54812 · Pharmacy · NPI assigned 05/09/2006

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

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

$7.81M
Total Medicaid Paid
254,846
Total Claims
198,712
Beneficiaries
164
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CFO)
NPI Enumeration Date05/09/2006

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. 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 35,109 $682K
2019 34,661 $845K
2020 30,242 $970K
2021 39,366 $1.22M
2022 38,724 $1.46M
2023 40,964 $1.28M
2024 35,780 $1.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 7,957 6,387 $1.41M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,639 5,687 $1.07M
96361 Intravenous infusion, hydration; each additional hour 2,763 2,329 $1.06M
99284 Emergency department visit for the evaluation and management, high severity 7,639 5,446 $928K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 21,412 15,472 $490K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,108 1,861 $380K
70450 Computed tomography, head or brain; without contrast material 1,359 1,200 $325K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,588 1,399 $305K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,745 1,255 $258K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,761 9,443 $145K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 570 511 $124K
87631 1,336 1,235 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,445 6,532 $86K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 907 741 $85K
80053 Comprehensive metabolic panel 10,340 8,655 $69K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,247 13,908 $67K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 974 867 $64K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,956 1,779 $61K
84443 Thyroid stimulating hormone (TSH) 5,544 5,064 $55K
80048 Basic metabolic panel (calcium, ionized) 8,209 7,104 $41K
11721 1,091 640 $37K
99215 Prolong outpt/office vis 4,047 2,948 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,096 1,008 $34K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,374 2,128 $34K
80061 Lipid panel 3,107 2,871 $25K
71046 Radiologic examination, chest; 2 views 2,423 2,139 $25K
73630 987 769 $24K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,754 1,960 $22K
74176 Computed tomography, abdomen and pelvis; without contrast material 82 76 $22K
83036 Hemoglobin; glycosylated (A1C) 4,290 3,967 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material 103 94 $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 448 403 $17K
83605 2,792 2,386 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,085 2,518 $14K
84484 1,965 1,623 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 861 645 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 570 495 $13K
81025 1,785 1,576 $12K
83880 1,176 1,027 $11K
86140 3,752 3,232 $11K
71275 Computed tomographic angiography, chest, with contrast material 67 60 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,899 2,986 $10K
83690 2,312 1,979 $10K
81001 5,053 4,410 $10K
72125 Computed tomography, cervical spine; without contrast material 121 109 $8K
85610 7,104 4,105 $8K
87480 526 484 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,962 4,179 $8K
87660 526 484 $8K
87510 526 484 $8K
73564 354 299 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 450 267 $7K
85027 1,864 1,590 $7K
83735 2,405 2,016 $7K
80050 General health panel 276 249 $7K
87103 916 806 $7K
87040 1,711 806 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 434 410 $6K
80306 437 377 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 690 481 $5K
73030 239 204 $5K
82570 1,426 1,237 $4K
82043 1,182 1,071 $4K
20610 55 29 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 16 14 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,208 549 $4K
71045 Radiologic examination, chest; single view 2,497 2,198 $4K
36415 Collection of venous blood by venipuncture 12,834 10,335 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,218 1,103 $3K
81003 2,179 1,994 $3K
82565 1,270 1,092 $3K
82077 335 283 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 206 139 $3K
85379 503 454 $2K
86850 636 571 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 222 204 $2K
82947 810 600 $2K
84702 168 120 $2K
82248 873 738 $2K
97162 253 239 $2K
73502 77 71 $2K
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) 709 624 $2K
76801 12 12 $2K
87077 478 435 $2K
73610 72 64 $2K
84450 396 349 $1K
Q3014 Telehealth originating site facility fee 235 217 $1K
73110 50 37 $1K
91322 180 172 $1K
96375 Therapeutic injection; each additional sequential IV push 2,824 2,273 $1K
72100 51 42 $999.42
99307 86 83 $941.69
90662 505 481 $872.97
87186 328 305 $868.39
90715 48 40 $861.61
76705 Ultrasound, abdominal, real time with image documentation; limited 46 38 $845.55
82948 254 142 $788.03
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 562 517 $780.77
82803 56 51 $763.76
86900 391 350 $745.17
86901 391 350 $745.17
99443 38 34 $637.25
76830 Ultrasound, transvaginal 12 12 $613.30
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 116 48 $585.19
99442 65 55 $558.04
84153 42 39 $555.01
90686 319 307 $499.82
77063 Screening digital breast tomosynthesis, bilateral 13 12 $496.78
76376 12 12 $479.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 24 24 $478.56
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 115 93 $434.40
J1885 Injection, ketorolac tromethamine, per 15 mg 2,432 1,931 $425.09
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12 12 $401.01
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12 12 $401.01
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,831 1,490 $341.03
36416 1,821 1,016 $337.79
80143 29 25 $335.52
85018 184 162 $327.24
90480 167 160 $279.35
88142 12 12 $275.70
77067 Screening mammography, bilateral, including computer-aided detection 14 13 $234.36
85652 137 123 $220.56
83655 14 12 $181.17
84439 32 30 $161.82
99441 26 26 $150.98
80179 14 13 $139.44
J1040 Injection, methylprednisolone acetate, 80 mg 261 239 $108.97
84460 41 39 $108.34
J2704 Injection, propofol, 10 mg 664 184 $105.01
J7030 Infusion, normal saline solution , 1000 cc 953 769 $81.12
90656 48 48 $67.90
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,733 1,304 $53.54
0764T 119 106 $49.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,073 664 $39.38
J3490 Unclassified drugs 311 231 $36.67
J7050 Infusion, normal saline solution, 250 cc 619 368 $36.42
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 209 189 $34.68
88305 Level IV - Surgical pathology, gross and microscopic examination 39 26 $31.29
87070 29 28 $23.71
90677 15 14 $23.33
J7120 Ringers lactate infusion, up to 1000 cc 129 111 $22.63
J0696 Injection, ceftriaxone sodium, per 250 mg 127 103 $18.24
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 27 27 $17.80
82728 28 26 $14.08
0124A 52 51 $10.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $6.56
J3010 Injection, fentanyl citrate, 0.1 mg 82 64 $5.71
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 69 55 $3.91
J1200 Injection, diphenhydramine hcl, up to 50 mg 28 25 $3.16
0004A 46 43 $2.27
0134A 19 19 $2.02
0054A 51 45 $1.11
96376 73 61 $0.24
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 89 78 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 43 37 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 29 15 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 17 13 $0.00
A9270 Non-covered item or service 1,791 1,568 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 25 13 $0.00
G0008 Administration of influenza virus vaccine 631 621 $0.00
J1170 Injection, hydromorphone, up to 4 mg 18 14 $0.00
J0690 Injection, cefazolin sodium, 500 mg 18 13 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 16 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 17 15 $0.00