Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-ST JAMES

NPI: 1023177730 · SAINT JAMES, MN 56081 · Multi-Specialty Clinic/Center · NPI assigned 12/08/2006

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

Authorized official MILLER, MORRIS controls 20+ related entities in our dataset. Read more

$867K
Total Medicaid Paid
23,811
Total Claims
21,871
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, MORRIS (CFO)
NPI Enumeration Date12/08/2006

Related Entities

Other providers sharing the same authorized official: MILLER, MORRIS

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN $24.38M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION NEW PRAGUE MN $1.50M
PALM GARDEN OF WINTER HAVEN LLC WINTER HAVEN FL $1.34M
MAYO CLINIC HEALTH SYSTEM-ST JAMES SAINT JAMES MN $1.09M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION WASECA MN $1.04M
PALM GARDEN OF PINELLAS LLC LARGO FL $887K
PALM GARDEN OF ORLANDO LLC ORLANDO FL $615K
PALM GARDEN OF VERO BEACH LLC VERO BEACH FL $567K
PALM GARDEN OF AVENTURA LLC AVENTURA FL $524K
PALM GARDEN OF GAINESVILLE LLC GAINESVILLE FL $502K
PALM GARDEN OF OCALA LLC OCALA FL $489K
PALM GARDEN OF PORT ST LUCIE LLC PORT ST LUCIE FL $444K
PALM GARDEN OF WEST PALM BEACH LLC WEST PALM BEACH FL $369K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION AUSTIN MN $349K
PALM GARDEN OF LARGO LLC LARGO FL $298K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION CANNON FALLS MN $225K
PALM GARDEN OF SUN CITY CENTER LLC RUSKIN FL $197K
PALM GARDEN OF CLEARWATER LLC CLEARWATER FL $88K
PALM GARDEN OF TAMPA LLC TAMPA FL $25K
PALM GARDEN OF JACKSONVILLE LLC JACKSONVILLE FL $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,226 $34K
2019 3,246 $158K
2020 2,760 $139K
2021 5,308 $153K
2022 4,264 $150K
2023 3,845 $166K
2024 1,162 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,208 4,810 $299K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,456 6,784 $257K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,410 1,179 $94K
99284 Emergency department visit for the evaluation and management, high severity 1,307 1,228 $94K
99310 Prolong nursin fac eval 15m 495 387 $45K
99283 Emergency department visit for the evaluation and management, moderate severity 634 597 $22K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 136 127 $19K
99306 Prolong nursin fac eval 15m 133 126 $14K
99308 Subsequent nursing facility care, per day, straightforward 141 110 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 86 86 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 63 62 $3K
99442 53 49 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 41 40 $1K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 21 21 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 45 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 153 141 $800.31
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $257.11
71046 Radiologic examination, chest; 2 views 43 40 $200.26
3078F 2,060 1,959 $71.19
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) 52 51 $0.00
3075F 290 270 $0.00
3074F 2,367 2,236 $0.00
3044F 93 87 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 516 464 $0.00
3079F 696 666 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 238 234 $0.00
90656 14 14 $0.00
G8432 Depression screening not documented, reason not given 22 20 $0.00