Physician
Fairview Clinics
Fairview Clinics was paid $167K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoFAIRVIEW CLINICS
EDINA, MN 55435
EDINA, MN 55435
33aNPI1013383355assigned 08/20/2015
33bProvider typeObstetrics & Gynecology Physician
28Total paid$167K
24GClaims8,656
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Minnesota
Rank by total paid#8 of 26
Median peer was paid$16K
This provider vs. median11×
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.
Entity ProliferationAuthorized official RING, MAUREEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,193 | $2K | |
| 2019 | 1,111 | $26K | |
| 2020 | 1,666 | $34K | |
| 2021 | 2,884 | $63K | |
| 2022 | 1,193 | $25K | |
| 2023 | 416 | $12K | |
| 2024incomplete | 193 | $5K |
Box 24 · Service lines
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 | 55% | 1,872 | 1,706 | $91K |
| 36415 | Collection of venous blood by venipuncture | 5.7% | 3,095 | 2,743 | $10K |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 4.6% | 352 | 343 | $8K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.5% | 245 | 238 | $8K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.2% | 233 | 225 | $7K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.1% | 118 | 111 | $7K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 3.4% | 172 | 169 | $6K |
| 85027 | 2.3% | 577 | 539 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 2.2% | 154 | 151 | $4K |
| 86780 | 1.8% | 229 | 221 | $3K | |
| 87653 | 1.5% | 69 | 68 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 28 | 28 | $2K |
21 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 71 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.0% | 234 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 96 | $2K |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | <1% | 167 | $2K |
| 99000 | <1% | 127 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 158 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $1K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12 | $1K |
| 90686 | <1% | 84 | $885.97 | |
| 86803 | <1% | 50 | $726.84 | |
| 87340 | <1% | 50 | $501.87 | |
| 81025 | <1% | 49 | $394.94 | |
| 87210 | <1% | 110 | $356.92 | |
| 81001 | <1% | 94 | $263.34 | |
| 86850 | <1% | 25 | $234.38 | |
| 87102 | <1% | 28 | $201.36 | |
| 86762 | <1% | 12 | $179.46 | |
| 87205 | <1% | 42 | $169.32 | |
| 86900 | <1% | 39 | $118.48 | |
| 86901 | <1% | 39 | $115.32 | |
| 99459 | <1% | 13 | $36.47 |
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.
From NPPES
Who's on the registration
Authorized officialRING, MAUREEN (SYS DIR GOVT REIMB & NETWK REL)
| Provider | Location | Paid |
|---|---|---|
| Fairview Health Services | Minneapolis, MN | $90.41M |
| Fairview Health Services | Saint Paul, MN | $48.52M |
| Fairview Health Services | Burnsville, MN | $29.98M |
| Fairview Health Services | Minneapolis, MN | $26.56M |
| Healtheast ST. John's Hospital | Maplewood, MN | $17.91M |
| Fairview Health Services | Edina, MN | $17.24M |
| Healtheast Medical Research Institute | Saint Paul, MN | $11.37M |
| Fairview Clinics | Bloomington, MN | $9.40M |
| Fairview Health Services | Princeton, MN | $9.36M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.76M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.29M |
| Fairview Clinics | Brooklyn Park, MN | $8.06M |
| Fairview Health Services | Wyoming, MN | $7.71M |
| Healtheast Medical Research Institute | Maplewood, MN | $7.44M |
| Healtheast Woodwinds Hospital | Woodbury, MN | $6.17M |
| Fairview Clinics | Burnsville, MN | $4.75M |
| Fairview Clinics | Minneapolis, MN | $4.75M |
| Fairview Express Care | Saint Paul, MN | $4.57M |
| Fairview Clinics | Saint Paul, MN | $4.37M |
| Healtheast Medical Research Institute | Woodbury, MN | $4.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.