Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

NPI: 1912958026 · OSSEO, WI 54758 · 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

$2.14M
Total Medicaid Paid
67,189
Total Claims
52,750
Beneficiaries
67
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. 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 10,797 $163K
2019 10,178 $229K
2020 8,097 $247K
2021 10,694 $347K
2022 8,394 $305K
2023 9,878 $418K
2024 9,151 $427K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,761 1,882 $533K
99284 Emergency department visit for the evaluation and management, high severity 2,070 1,478 $355K
96361 Intravenous infusion, hydration; each additional hour 519 450 $321K
99283 Emergency department visit for the evaluation and management, moderate severity 951 808 $263K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 8,579 5,997 $187K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,581 3,900 $68K
87631 565 501 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 461 408 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,106 993 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,324 2,301 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,173 1,031 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,041 4,862 $24K
84443 Thyroid stimulating hormone (TSH) 2,147 1,975 $22K
80053 Comprehensive metabolic panel 3,103 2,654 $22K
80048 Basic metabolic panel (calcium, ionized) 3,663 3,211 $22K
74177 Computed tomography, abdomen and pelvis; with contrast material 65 58 $21K
80061 Lipid panel 1,914 1,752 $19K
83036 Hemoglobin; glycosylated (A1C) 1,994 1,862 $12K
71046 Radiologic examination, chest; 2 views 808 709 $12K
70450 Computed tomography, head or brain; without contrast material 36 27 $11K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,392 1,249 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,507 1,279 $6K
81001 2,086 1,846 $4K
85610 3,508 1,920 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 252 245 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,075 906 $3K
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 83 82 $3K
86140 966 832 $3K
83735 739 622 $3K
99215 Prolong outpt/office vis 80 64 $2K
83605 222 192 $942.20
84484 124 102 $929.20
81025 142 121 $896.70
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 441 318 $894.34
83690 208 180 $860.38
36415 Collection of venous blood by venipuncture 4,579 3,702 $825.42
82947 223 173 $543.60
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56 51 $542.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 41 $508.45
87086 Culture, bacterial; quantitative colony count, urine 140 133 $451.87
80306 40 36 $451.77
90662 125 124 $329.46
99443 18 18 $315.08
99442 22 20 $304.32
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 27 $246.18
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) 65 59 $223.20
96375 Therapeutic injection; each additional sequential IV push 348 293 $175.38
71045 Radiologic examination, chest; single view 59 53 $159.98
80047 35 27 $153.04
81003 91 80 $132.93
90686 85 84 $123.07
36416 723 394 $119.55
83880 13 13 $117.78
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 251 118 $90.71
87103 14 12 $89.62
87040 28 12 $85.66
85379 14 12 $82.12
82565 13 13 $46.60
82948 23 12 $36.56
82248 12 12 $29.40
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 12 12 $24.00
0764T 19 14 $16.89
85018 31 24 $15.78
J1885 Injection, ketorolac tromethamine, per 15 mg 171 150 $15.30
J7030 Infusion, normal saline solution , 1000 cc 30 26 $11.01
G0008 Administration of influenza virus vaccine 176 176 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 15 12 $0.00