Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

NPI: 1841278637 · SPARTA, WI 54656 · Critical Access Hospital · NPI assigned 01/03/2006

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

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

$8.41M
Total Medicaid Paid
103,617
Total Claims
86,408
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORTNEM, MARK (CHIEF FINANCIAL OFFICER)
Parent OrganizationMAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
NPI Enumeration Date01/03/2006

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-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 11,278 $851K
2019 11,616 $846K
2020 10,390 $754K
2021 16,583 $1.25M
2022 19,998 $1.56M
2023 18,759 $1.89M
2024 14,993 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 11,316 9,459 $2.73M
99284 Emergency department visit for the evaluation and management, high severity 6,766 5,138 $1.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,648 4,210 $1.17M
96361 Intravenous infusion, hydration; each additional hour 1,902 1,601 $1.08M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,508 3,134 $645K
74177 Computed tomography, abdomen and pelvis; with contrast material 870 770 $312K
70450 Computed tomography, head or brain; without contrast material 765 685 $242K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,466 1,489 $109K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 192 150 $60K
80053 Comprehensive metabolic panel 5,890 5,097 $55K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,790 1,631 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,113 1,025 $50K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,448 1,356 $47K
87631 436 400 $45K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,380 7,049 $45K
71046 Radiologic examination, chest; 2 views 2,223 1,985 $42K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,236 2,016 $41K
84443 Thyroid stimulating hormone (TSH) 2,857 2,676 $40K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 280 239 $36K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 436 395 $26K
80048 Basic metabolic panel (calcium, ionized) 3,187 2,839 $25K
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 398 363 $23K
74176 Computed tomography, abdomen and pelvis; without contrast material 57 51 $20K
84484 1,804 1,568 $17K
80061 Lipid panel 1,073 1,020 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 510 229 $12K
81025 1,452 1,293 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,758 2,278 $10K
83036 Hemoglobin; glycosylated (A1C) 1,151 1,096 $8K
81001 3,057 2,725 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,496 2,945 $7K
83690 1,409 1,237 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 138 110 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 372 341 $6K
80306 451 398 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 219 94 $6K
97162 159 146 $6K
71275 Computed tomographic angiography, chest, with contrast material 12 12 $6K
83880 290 261 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 16 13 $5K
85610 1,536 1,079 $5K
83605 676 601 $5K
82077 258 225 $5K
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 299 270 $5K
85379 621 560 $4K
87086 Culture, bacterial; quantitative colony count, urine 698 636 $4K
81003 1,522 1,358 $3K
77067 Screening mammography, bilateral, including computer-aided detection 37 37 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,889 1,568 $3K
83735 621 540 $3K
73630 115 92 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 78 49 $2K
86140 416 378 $2K
77063 Screening digital breast tomosynthesis, bilateral 12 12 $1K
71045 Radiologic examination, chest; single view 1,062 959 $1K
82947 393 308 $1K
73610 68 60 $1K
85027 223 203 $952.02
82570 162 158 $744.18
36415 Collection of venous blood by venipuncture 3,085 2,523 $690.96
84702 48 41 $668.04
96375 Therapeutic injection; each additional sequential IV push 1,572 1,336 $647.76
82043 111 108 $598.28
82248 203 180 $587.50
80050 General health panel 20 18 $402.75
87103 25 25 $364.13
97161 14 12 $354.83
87040 49 26 $284.34
80143 26 24 $258.27
82948 62 37 $228.70
J1885 Injection, ketorolac tromethamine, per 15 mg 1,799 1,532 $166.49
80179 14 12 $135.99
87077 13 13 $78.66
87186 13 13 $74.76
86850 14 14 $62.86
73110 12 12 $53.47
86900 12 12 $37.42
86901 12 12 $37.42
J7030 Infusion, normal saline solution , 1000 cc 638 546 $27.79
J2405 Injection, ondansetron hydrochloride, per 1 mg 551 447 $26.86
0764T 28 28 $17.62
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19 16 $10.93
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 248 136 $6.86
J7050 Infusion, normal saline solution, 250 cc 111 78 $6.33
J1200 Injection, diphenhydramine hcl, up to 50 mg 34 33 $4.42
J8499 Prescription drug, oral, non chemotherapeutic, nos 41 29 $0.00
A9270 Non-covered item or service 507 437 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 14 14 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 91 64 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 14 13 $0.00