Clinic
ST. Cloud Hospital
ST. Cloud Hospital was paid $53.43M by Medicaid between Jan 2018 and Dec 2024, across 213 billing codes. Its largest line is 99283, emergency room visit (moderate) — 17% of everything it billed.
33Billing provider infoST. CLOUD HOSPITAL
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1043269798assigned 05/09/2006
33bProvider typeRehabilitation Clinic/Center
28Total paid$53.43M
24GClaims858,935
24DCodes billed213
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in Minnesota
Rank by total paid#2 of 17
Median peer was paid$433K
This provider vs. median123×
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 | 113,428 | $3.03M | |
| 2019 | 125,452 | $8.33M | |
| 2020 | 106,485 | $6.77M | |
| 2021 | 139,979 | $9.08M | |
| 2022 | 144,678 | $10.16M | |
| 2023 | 141,993 | $10.14M | |
| 2024incomplete | 86,920 | $5.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 53,557 | 51,512 | $9.18M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 15% | 24,777 | 2,200 | $8.24M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 11% | 43,315 | 41,960 | $5.80M |
| 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 | 8.6% | 61,571 | 50,824 | $4.60M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.9% | 40,700 | 12,555 | $2.07M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.5% | 43,362 | 13,485 | $1.87M |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.6% | 8,506 | 7,993 | $1.39M |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.3% | 11,951 | 9,627 | $1.24M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 19,102 | 10,728 | $1.19M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.1% | 17,782 | 13,998 | $1.14M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.7% | 32,406 | 13,773 | $921K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 9,500 | 8,320 | $896K |
201 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.5% | 9,579 | $817K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.4% | 6,903 | $767K |
| 59025 | Fetal non-stress test | 1.4% | 4,384 | $760K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.3% | 8,579 | $714K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 11,155 | $703K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 73,658 | $678K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 15,032 | $621K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.0% | 9,130 | $543K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 5,212 | $507K |
| 99284 | Emergency room visit (serious) | <1% | 1,975 | $474K |
| 76825 | <1% | 2,958 | $425K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 1,924 | $401K |
| 93296 | <1% | 12,303 | $391K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,615 | $356K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 10,481 | $350K |
| 90837 | Psychotherapy session, about an hour | <1% | 3,423 | $340K |
| 93325 | <1% | 3,743 | $263K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 19,230 | $262K |
| G0378 | Hospital observation service, per hour | <1% | 1,158 | $257K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 64,875 | $256K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,704 | $251K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 491 | $179K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 3,260 | $171K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,423 | $170K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 350 | $159K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,683 | $159K |
| 80053 | Comprehensive metabolic panel | <1% | 25,869 | $150K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 848 | $147K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 4,419 | $146K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 25,742 | $140K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,244 | $138K |
| 97161 | <1% | 2,268 | $137K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,422 | $135K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,931 | $128K |
| 99285 | Emergency room visit (most serious) | <1% | 291 | $124K |
| 76820 | <1% | 3,717 | $109K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 4,273 | $109K |
| H0001 | Alcohol and/or drug assessment | <1% | 589 | $100K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,071 | $100K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 2,814 | $99K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,068 | $93K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 14,420 | $90K |
| 76827 | <1% | 2,944 | $88K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,839 | $84K |
| 96040 | <1% | 2,478 | $81K | |
| 76801 | <1% | 1,007 | $78K | |
| 99243 | <1% | 953 | $78K | |
| 90870 | <1% | 566 | $76K | |
| 99443 | <1% | 1,501 | $64K | |
| 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% | 717 | $58K |
| 96131 | <1% | 167 | $50K | |
| 92523 | <1% | 350 | $47K | |
| 99205 | Prolong outpt/office vis | <1% | 347 | $46K |
| 97162 | <1% | 696 | $44K | |
| 99442 | <1% | 1,212 | $44K | |
| 76818 | <1% | 625 | $42K | |
| 93320 | <1% | 492 | $40K | |
| 95886 | <1% | 542 | $39K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,612 | $38K |
| 93299 | <1% | 1,010 | $34K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,363 | $34K |
| 99245 | <1% | 222 | $34K | |
| 76813 | <1% | 833 | $33K | |
| 90839 | <1% | 411 | $33K | |
| 84484 | <1% | 8,433 | $31K | |
| 76821 | <1% | 836 | $31K | |
| 97164 | <1% | 736 | $31K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,340 | $28K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 107 | $27K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 700 | $25K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 152 | $24K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 181 | $23K |
| Q3014 | Telehealth originating site facility fee | <1% | 5,088 | $22K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 109 | $22K |
| 80305 | <1% | 1,766 | $21K | |
| 71045 | Radiologic examination, chest; single view | <1% | 626 | $20K |
| 36591 | <1% | 1,277 | $20K | |
| 93298 | <1% | 521 | $19K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 31 | $19K |
| 99417 | Prolong home eval add 15m | <1% | 380 | $19K |
| 80306 | <1% | 4,638 | $18K | |
| 96130 | <1% | 167 | $17K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 650 | $17K |
| 99358 | Prolong nursin fac eval 15m | <1% | 81 | $15K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 51 | $15K |
| 86140 | <1% | 4,147 | $15K | |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 54 | $15K |
| 99242 | <1% | 267 | $14K | |
| 97166 | <1% | 198 | $12K | |
| 99220 | <1% | 56 | $12K | |
| 83690 | <1% | 3,912 | $12K | |
| 99254 | <1% | 55 | $11K | |
| 81001 | <1% | 6,009 | $11K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,970 | $11K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 200 | $11K |
| 96137 | <1% | 50 | $11K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 855 | $10K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 5,087 | $10K |
| 90785 | <1% | 967 | $10K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 145 | $9K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 2,100 | $9K |
| 96101 | <1% | 47 | $9K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 74 | $9K |
| 80076 | <1% | 1,813 | $9K | |
| 82565 | <1% | 3,429 | $8K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 31 | $7K |
| J2704 | Injection, propofol, 10 mg | <1% | 2,518 | $7K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 922 | $6K |
| 83735 | <1% | 2,448 | $6K | |
| 85652 | <1% | 2,789 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,958 | $5K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 2,695 | $5K |
| 84450 | <1% | 2,279 | $5K | |
| 84460 | <1% | 2,149 | $4K | |
| 98968 | <1% | 156 | $4K | |
| 73630 | <1% | 65 | $4K | |
| 99219 | <1% | 28 | $4K | |
| 84703 | <1% | 1,706 | $4K | |
| 74178 | <1% | 14 | $4K | |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | <1% | 21 | $3K |
| 82248 | <1% | 1,983 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,160 | $3K |
| 82040 | <1% | 1,388 | $3K | |
| 96367 | <1% | 20 | $3K | |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 327 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 173 | $3K |
| 96136 | <1% | 62 | $2K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 14 | $2K |
| 77336 | <1% | 21 | $2K | |
| 95874 | <1% | 147 | $2K | |
| 99001 | <1% | 509 | $2K | |
| 99441 | <1% | 96 | $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% | 446 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $2K |
| 99217 | <1% | 16 | $2K | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 511 | $1K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 680 | $1K |
| 92611 | <1% | 27 | $1K | |
| 97035 | <1% | 139 | $1K | |
| 93280 | <1% | 27 | $1K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 786 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 836 | $950.91 |
| 85027 | <1% | 246 | $948.08 | |
| 97167 | <1% | 12 | $927.54 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 68 | $881.98 |
| 87420 | <1% | 49 | $808.32 | |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | <1% | 306 | $775.99 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $723.33 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 218 | $553.63 |
| 97116 | <1% | 20 | $498.61 | |
| 90686 | <1% | 31 | $455.47 | |
| 76499 | <1% | 110 | $389.15 | |
| 87510 | <1% | 38 | $354.41 | |
| 83880 | <1% | 13 | $349.66 | |
| 82077 | <1% | 64 | $347.16 | |
| 81003 | <1% | 373 | $305.85 | |
| 84145 | <1% | 64 | $289.37 | |
| 96138 | <1% | 15 | $284.76 | |
| A9270 | Non-covered item or service | <1% | 2,150 | $282.08 |
| 87660 | <1% | 38 | $266.20 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 37 | $239.08 |
| 86200 | <1% | 39 | $221.36 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 71 | $203.24 |
| 81025 | <1% | 92 | $192.99 | |
| 86160 | <1% | 15 | $191.63 | |
| J8597 | Antiemetic drug, oral, not otherwise specified | <1% | 38 | $188.37 |
| 87480 | <1% | 38 | $185.10 | |
| J1790 | Injection, droperidol, up to 5 mg | <1% | 28 | $161.20 |
| 87070 | <1% | 176 | $159.30 | |
| 99201 | <1% | 39 | $158.82 | |
| 86141 | <1% | 86 | $149.73 | |
| 86803 | <1% | 29 | $145.25 | |
| 86481 | <1% | 12 | $129.87 | |
| 85610 | <1% | 45 | $128.70 | |
| 82728 | <1% | 14 | $120.56 | |
| 83605 | <1% | 88 | $114.63 | |
| 80349 | <1% | 13 | $89.76 | |
| 82570 | <1% | 14 | $63.47 | |
| 82607 | <1% | 13 | $60.58 | |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 13 | $59.56 |
| 82746 | <1% | 13 | $56.50 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 40 | $53.43 |
| 84156 | <1% | 14 | $51.95 | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 25 | $51.24 |
| 87340 | <1% | 30 | $45.85 | |
| 85007 | <1% | 22 | $41.58 | |
| 83550 | <1% | 13 | $38.02 | |
| 83540 | <1% | 13 | $36.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $12.39 |
| 84520 | <1% | 12 | $11.30 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 477 | $0.41 |
| 87430 | 0% | 252 | $0.00 | |
| 99241 | 0% | 15 | $0.00 | |
| 99406 | 0% | 55 | $0.00 | |
| 84075 | 0% | 14 | $0.00 | |
| 82948 | 0% | 15 | $0.00 | |
| 80143 | 0% | 16 | $0.00 | |
| 80179 | 0% | 16 | $0.00 | |
| 82247 | 0% | 14 | $0.00 | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 0% | 12 | $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 officialBLAIR, MICHAEL (SR. VICE PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| Centracare Clinic | St Cloud, MN | $20.93M |
| Centracare Clinic | St Cloud, MN | $19.28M |
| 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.