Supplier
Centracare Clinic
Centracare Clinic was paid $19.28M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
33Billing provider infoCENTRACARE CLINIC
ST CLOUD, MN 56303
ST CLOUD, MN 56303
33aNPI1043212665assigned 08/12/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$19.28M
24GClaims422,718
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#9 of 319
Median peer was paid$23K
This provider vs. median832×
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 BLAIR, MICHAEL 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 | 63,773 | $1.04M | |
| 2019 | 71,953 | $3.35M | |
| 2020 | 65,163 | $3.28M | |
| 2021 | 72,895 | $3.89M | |
| 2022 | 56,445 | $3.13M | |
| 2023 | 52,344 | $2.44M | |
| 2024incomplete | 40,145 | $2.14M |
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 | 13% | 41,942 | 38,705 | $2.43M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 45,613 | 14,731 | $2.08M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 61,355 | 18,937 | $2.00M |
| 99223 | Prolong inpt eval add15 m | 8.6% | 19,348 | 15,291 | $1.67M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 6.9% | 3,158 | 1,477 | $1.33M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.8% | 7,782 | 2,422 | $924K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.4% | 22,723 | 21,654 | $856K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.9% | 15,371 | 14,101 | $761K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 19,426 | 17,887 | $683K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 5,868 | 5,631 | $528K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 10,120 | 9,464 | $417K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 3,627 | 3,495 | $386K |
110 more codes
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.8% | 4,329 | $350K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 5,035 | $348K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.8% | 270 | $348K |
| 97803 | 1.7% | 9,336 | $322K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.7% | 6,199 | $321K |
| 99220 | 1.5% | 2,829 | $291K | |
| 99460 | 1.2% | 4,246 | $240K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 2,419 | $189K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 42,663 | $177K |
| 93294 | <1% | 7,962 | $151K | |
| 90961 | <1% | 2,251 | $148K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 2,168 | $146K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 7,049 | $134K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 561 | $123K |
| 59025 | Fetal non-stress test | <1% | 7,396 | $121K |
| 99217 | <1% | 2,730 | $114K | |
| 99336 | <1% | 1,078 | $111K | |
| 20553 | <1% | 3,265 | $103K | |
| 99349 | <1% | 1,082 | $98K | |
| 99243 | <1% | 1,352 | $95K | |
| 99205 | Prolong outpt/office vis | <1% | 695 | $81K |
| 93793 | <1% | 10,646 | $80K | |
| 99462 | <1% | 3,114 | $74K | |
| 99221 | <1% | 1,313 | $69K | |
| 99254 | <1% | 625 | $65K | |
| 93298 | <1% | 3,378 | $61K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 1,164 | $51K |
| 93295 | <1% | 2,318 | $50K | |
| 64615 | <1% | 751 | $50K | |
| 99219 | <1% | 545 | $48K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,009 | $47K |
| 97802 | <1% | 550 | $47K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 621 | $42K |
| 99607 | <1% | 1,338 | $39K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 830 | $35K |
| 64616 | <1% | 373 | $35K | |
| 99605 | <1% | 510 | $25K | |
| 99225 | <1% | 509 | $25K | |
| 99606 | <1% | 850 | $24K | |
| 99442 | <1% | 595 | $19K | |
| 59514 | <1% | 109 | $19K | |
| 95874 | <1% | 430 | $17K | |
| 99226 | <1% | 252 | $17K | |
| 99443 | <1% | 334 | $16K | |
| 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 | <1% | 173 | $16K |
| 99468 | <1% | 51 | $15K | |
| 64405 | <1% | 283 | $15K | |
| 99255 | <1% | 105 | $14K | |
| 93320 | <1% | 1,138 | $14K | |
| 93227 | <1% | 1,073 | $14K | |
| 94690 | <1% | 387 | $12K | |
| 54150 | <1% | 2,014 | $11K | |
| 99417 | Prolong home eval add 15m | <1% | 263 | $10K |
| 76825 | <1% | 180 | $10K | |
| 93325 | <1% | 3,890 | $8K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 315 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 380 | $8K |
| 99335 | <1% | 90 | $7K | |
| 93018 | <1% | 730 | $6K | |
| 99477 | <1% | 31 | $5K | |
| 93016 | <1% | 444 | $5K | |
| 93297 | <1% | 381 | $4K | |
| 99152 | <1% | 653 | $4K | |
| 99245 | <1% | 25 | $4K | |
| 76827 | <1% | 179 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 123 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,805 | $3K |
| 93280 | <1% | 150 | $3K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 24 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 158 | $3K |
| 90686 | <1% | 231 | $2K | |
| 94729 | <1% | 400 | $2K | |
| 94726 | <1% | 286 | $2K | |
| 95886 | <1% | 27 | $2K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 232 | $2K |
| 64643 | <1% | 41 | $2K | |
| 99441 | <1% | 89 | $2K | |
| 97161 | <1% | 26 | $2K | |
| 64646 | <1% | 45 | $2K | |
| 64642 | <1% | 41 | $2K | |
| 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) | <1% | 1,216 | $2K |
| 90966 | <1% | 48 | $1K | |
| 99242 | <1% | 27 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $1K |
| 99464 | <1% | 27 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 39 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 71 | $1K |
| 99253 | <1% | 12 | $1K | |
| 99356 | <1% | 18 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 146 | $1K |
| 94060 | <1% | 127 | $891.71 | |
| 93321 | <1% | 182 | $885.05 | |
| 95717 | <1% | 17 | $758.23 | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 27 | $733.95 |
| 83970 | <1% | 14 | $633.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 105 | $466.93 |
| 76937 | <1% | 45 | $451.14 | |
| 0124A | <1% | 13 | $409.23 | |
| 98967 | <1% | 27 | $382.16 | |
| 93244 | <1% | 24 | $375.04 | |
| 95816 | <1% | 14 | $326.69 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $211.93 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 26 | $203.07 |
| J3490 | Unclassified drugs | <1% | 114 | $163.19 |
| G0008 | Administration of influenza virus vaccine | <1% | 106 | $139.10 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $119.08 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 237 | $77.11 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $68.48 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | <1% | 31 | $43.72 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $17.16 |
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 officialBLAIR, MICHAEL (SR VP & CFO)
Parent organizationCENTRACARE CLINIC
| Provider | Location | Paid |
|---|---|---|
| ST. Cloud Hospital | Saint Cloud, MN | $53.43M |
| Centracare Clinic | St Cloud, MN | $20.93M |
| Centracare Health System | Big Lake, MN | $12.82M |
| Carris Health LLC | Willmar, MN | $12.39M |
| Centracare Health Systems | Saint Cloud, MN | $9.41M |
| Centracare Health System | Saint Cloud, MN | $9.06M |
| Carris Health LLC | Willmar, MN | $8.27M |
| Centracare Clinic | Saint Cloud, MN | $6.96M |
| Centracare Health System - Long Prairie | Long Prairie, MN | $6.86M |
| Centracare Health System-Nr LLC | Monticello, MN | $6.73M |
| Centracare Clinic | Sartell, MN | $6.11M |
| ST. Cloud Hospital | Saint Cloud, MN | $5.16M |
| Carris Health - Redwood LLC | Redwood Falls, MN | $4.74M |
| ST. Cloud Hospital | St Cloud, MN | $4.44M |
| Centracare Health System - Sauk Centre | Sauk Centre, MN | $4.19M |
| Centracare Health System - Melrose | Melrose, MN | $4.05M |
| Centracare Clinic | Saint Cloud, MN | $3.58M |
| Centracare Clinic | Saint Cloud, MN | $2.83M |
| Carris Health, LLC | Willmar, MN | $2.82M |
| ST. Cloud Hospital | Sauk Rapids, MN | $2.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.