Clinic
Mayo Clinic Health System-St James
Mayo Clinic Health System-St James was paid $867K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-ST JAMES
SAINT JAMES, MN 56081
SAINT JAMES, MN 56081
33aNPI1023177730assigned 12/08/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$867K
24GClaims23,811
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#46 of 87
Median peer was paid$1.04M
This provider vs. median0.8×
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 MILLER, MORRIS 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 | 3,226 | $34K | |
| 2019 | 3,246 | $158K | |
| 2020 | 2,760 | $139K | |
| 2021 | 5,308 | $153K | |
| 2022 | 4,264 | $150K | |
| 2023 | 3,845 | $166K | |
| 2024incomplete | 1,162 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 5,208 | 4,810 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 7,456 | 6,784 | $257K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 1,410 | 1,179 | $94K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 1,307 | 1,228 | $94K |
| 99310 | Prolong nursin fac eval 15m | 5.2% | 495 | 387 | $45K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.5% | 634 | 597 | $22K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.2% | 136 | 127 | $19K |
| 99306 | Prolong nursin fac eval 15m | 1.6% | 133 | 126 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 141 | 110 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 86 | 86 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 63 | 62 | $3K |
| 99442 | <1% | 53 | 49 | $2K |
17 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 41 | $1K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 21 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 153 | $800.31 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $257.11 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 43 | $200.26 |
| 3078F | <1% | 2,060 | $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) | 0% | 52 | $0.00 |
| 3075F | 0% | 290 | $0.00 | |
| 3074F | 0% | 2,367 | $0.00 | |
| 3044F | 0% | 93 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 516 | $0.00 |
| 3079F | 0% | 696 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 238 | $0.00 |
| 90656 | 0% | 14 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 22 | $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.
From NPPES
Who's on the registration
Authorized officialMILLER, MORRIS (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.