Mayo Clinic Health System-Southwest Wisconsin Region, INC.
Mayo Clinic Health System-Southwest Wisconsin Region, INC. was paid $192K by Medicaid between Dec 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
ARCADIA, WI 54612
Next to other Rural Health Clinic/Center providers in Wisconsin
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 95 | $2K | |
| 2019 | 1,649 | $45K | |
| 2020 | 925 | $23K | |
| 2021 | 1,198 | $25K | |
| 2022 | 1,040 | $22K | |
| 2023 | 1,004 | $30K | |
| 2024incomplete | 953 | $45K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 2,754 | 2,383 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 416 | 411 | $26K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 552 | 326 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.0% | 361 | 310 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 253 | 233 | $14K |
| 90686 | 5.2% | 1,462 | 1,376 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 475 | 429 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 57 | 57 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.4% | 111 | 61 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 28 | 28 | $2K |
| 90656 | 1.0% | 127 | 127 | $2K | |
| 0002A | <1% | 12 | 12 | $470.80 |
11 more codes
| 90677 | <1% | 13 | $242.39 | |
| 96127 | <1% | 27 | $99.95 | |
| 90670 | <1% | 27 | $93.62 | |
| 90685 | <1% | 25 | $79.44 | |
| 90651 | <1% | 19 | $62.47 | |
| 90698 | <1% | 12 | $41.76 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 15 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 20 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 28 | $0.00 |
| 91307 | 0% | 19 | $0.00 | |
| 91300 | 0% | 51 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.