Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ST CLOUD › CENTRACARE CLINIC

CENTRACARE CLINIC

NPI: 1043212665 · ST CLOUD, MN 56303 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/12/2005

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

Authorized official BLAIR, MICHAEL controls 20+ related entities in our dataset. Read more

$19.28M
Total Medicaid Paid
422,718
Total Claims
297,889
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR VP & CFO)
Parent OrganizationCENTRACARE CLINIC
NPI Enumeration Date08/12/2005

Related Entities

Other providers sharing the same authorized official: BLAIR, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 40,145 $2.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,942 38,705 $2.43M
99233 Prolong inpt eval add15 m 45,613 14,731 $2.08M
99232 Subsequent hospital care, per day, moderate complexity 61,355 18,937 $2.00M
99223 Prolong inpt eval add15 m 19,348 15,291 $1.67M
J0585 Injection, onabotulinumtoxina, 1 unit 3,158 1,477 $1.33M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,782 2,422 $924K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 22,723 21,654 $856K
99239 Hospital discharge day management, more than 30 minutes 15,371 14,101 $761K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,426 17,887 $683K
99215 Prolong outpt/office vis 5,868 5,631 $528K
99238 Hospital discharge day management, 30 minutes or less 10,120 9,464 $417K
99244 Office or other outpatient consultation, moderate to high complexity 3,627 3,495 $386K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,329 4,010 $350K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,035 4,769 $348K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 270 263 $348K
97803 9,336 8,617 $322K
99222 Initial hospital care, per day, moderate complexity 6,199 5,256 $321K
99220 2,829 2,626 $291K
99460 4,246 4,004 $240K
99479 Subsequent intensive care, per day, very low birth weight infant 2,419 375 $189K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42,663 34,740 $177K
93294 7,962 7,632 $151K
90961 2,251 2,125 $148K
99480 Subsequent intensive care, per day, low birth weight infant 2,168 353 $146K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,049 3,223 $134K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 561 81 $123K
59025 Fetal non-stress test 7,396 4,809 $121K
99217 2,730 2,494 $114K
99336 1,078 992 $111K
20553 3,265 3,003 $103K
99349 1,082 1,038 $98K
99243 1,352 1,263 $95K
99205 Prolong outpt/office vis 695 655 $81K
93793 10,646 5,066 $80K
99462 3,114 2,408 $74K
99221 1,313 1,144 $69K
99254 625 576 $65K
93298 3,378 3,159 $61K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,164 1,095 $51K
93295 2,318 2,238 $50K
64615 751 732 $50K
99219 545 503 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,009 917 $47K
97802 550 535 $47K
99309 Subsequent nursing facility care, per day, low to moderate complexity 621 335 $42K
99607 1,338 1,128 $39K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 830 806 $35K
64616 373 359 $35K
99605 510 502 $25K
99225 509 340 $25K
99606 850 785 $24K
99442 595 541 $19K
59514 109 99 $19K
95874 430 410 $17K
99226 252 189 $17K
99443 334 284 $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 173 162 $16K
99468 51 42 $15K
64405 283 229 $15K
99255 105 99 $14K
93320 1,138 1,074 $14K
93227 1,073 1,024 $14K
94690 387 364 $12K
54150 2,014 1,773 $11K
99417 Prolong home eval add 15m 263 254 $10K
76825 180 174 $10K
93325 3,890 3,580 $8K
T1013 Sign language or oral interpretive services, per 15 minutes 315 292 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 380 347 $8K
99335 90 83 $7K
93018 730 699 $6K
99477 31 29 $5K
93016 444 425 $5K
93297 381 342 $4K
99152 653 573 $4K
99245 25 25 $4K
76827 179 173 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 123 60 $3K
36415 Collection of venous blood by venipuncture 1,805 1,610 $3K
93280 150 134 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 24 $3K
71046 Radiologic examination, chest; 2 views 158 115 $3K
90686 231 228 $2K
94729 400 391 $2K
94726 286 284 $2K
95886 27 26 $2K
99153 Mod sedat endo service >5yrs 232 151 $2K
64643 41 39 $2K
99441 89 79 $2K
97161 26 25 $2K
64646 45 42 $2K
64642 41 39 $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) 1,216 1,210 $2K
90966 48 48 $1K
99242 27 26 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 70 50 $1K
99464 27 26 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 39 39 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 71 70 $1K
99253 12 12 $1K
99356 18 13 $1K
80048 Basic metabolic panel (calcium, ionized) 146 140 $1K
94060 127 124 $891.71
93321 182 170 $885.05
95717 17 12 $758.23
90935 Hemodialysis procedure with single evaluation by a physician 27 14 $733.95
83970 14 14 $633.90
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 105 64 $466.93
76937 45 40 $451.14
0124A 13 13 $409.23
98967 27 14 $382.16
93244 24 24 $375.04
95816 14 12 $326.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $211.93
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 26 $203.07
J3490 Unclassified drugs 114 82 $163.19
G0008 Administration of influenza virus vaccine 106 106 $139.10
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 12 $119.08
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 237 179 $77.11
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 13 $68.48
S0020 Injection, bupivicaine hydrochloride, 30 ml 31 26 $43.72
J1885 Injection, ketorolac tromethamine, per 15 mg 18 12 $17.16