Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MN › Fergus Falls › NPI 1093713372
Hospital

Lake Region Healthcare Corporation

Lake Region Healthcare Corporation was paid $25.34M by Medicaid between Jan 2018 and Dec 2024, across 240 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 41% of everything it billed.

33Billing provider infoLAKE REGION HEALTHCARE CORPORATION
FERGUS FALLS, MN 56537
33aNPI1093713372assigned 07/12/2005
28Total paid$25.34M
24GClaims509,759
24DCodes billed240
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Minnesota

Rank by total paid#12 of 36
Median peer was paid$11.46M
This provider vs. median2.2×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201866,422$1.01M
201987,252$3.74M
202067,984$3.22M
202183,492$4.55M
202276,158$4.53M
202371,390$4.57M
2024incomplete57,061$3.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 41% 105,754 93,557 $10.46M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.2% 72,229 60,503 $2.33M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.5% 19,508 16,853 $2.16M
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 8.3% 40,538 34,655 $2.10M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.6% 8,955 7,654 $903K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.9% 9,525 1,681 $743K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.0% 8,439 1,431 $495K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.9% 6,815 5,328 $494K
36415 Collection of venous blood by venipuncture 1.6% 30,802 26,233 $413K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.1% 6,629 5,844 $278K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 2,785 2,422 $229K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,705 3,085 $219K
228 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,907 $205K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,177 $194K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,192 $185K
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% 2,758 $185K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 2,771 $179K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,458 $176K
99285 Emergency room visit (most serious) <1% 1,137 $174K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 3,030 $156K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,435 $135K
99203 Doctor's office visit, new patient (routine) <1% 2,737 $130K
96361 Intravenous infusion, hydration; each additional hour <1% 1,074 $127K
80053 Comprehensive metabolic panel <1% 14,584 $122K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,969 $109K
64450 <1% 478 $101K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,093 $97K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 6,761 $97K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,238 $93K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,297 $76K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,072 $73K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,695 $73K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 4,713 $72K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,872 $68K
V2020 Frames, purchases <1% 2,515 $68K
92015 Determination of refractive state <1% 5,455 $61K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,018 $58K
64405 <1% 478 $56K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 674 $55K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 158 $55K
70450 Computed tomography, head or brain; without contrast material <1% 1,569 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 15,941 $53K
99204 Doctor's office visit, new patient (more involved) <1% 657 $50K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 2,889 $49K
X5622 <1% 1,972 $47K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 846 $46K
20553 <1% 617 $44K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 7,777 $41K
97535 Self-care/home management training, each 15 minutes <1% 729 $41K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 2,131 $40K
59025 Fetal non-stress test <1% 508 $39K
99308 Subsequent nursing facility care, per day, straightforward <1% 948 $39K
90472 Immunization administration, each additional vaccine (list separately) <1% 4,303 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 558 $35K
71046 Radiologic examination, chest; 2 views <1% 5,092 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,139 $31K
90792 Psychiatric diagnostic evaluation with medical services <1% 208 $31K
99310 Prolong nursin fac eval 15m <1% 395 $29K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,153 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 255 $26K
99232 Hospital visit by a doctor, follow-up day <1% 525 $26K
71045 Radiologic examination, chest; single view <1% 2,866 $23K
94010 <1% 200 $21K
99239 Hospital discharge day management, more than 30 minutes <1% 295 $21K
92551 <1% 3,024 $18K
96127 <1% 845 $18K
Q3014 Telehealth originating site facility fee <1% 1,486 $18K
20610 <1% 370 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 968 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 808 $15K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 112 $14K
77063 Screening digital breast tomosynthesis, bilateral <1% 635 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 326 $12K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 263 $12K
90662 <1% 250 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 64 $10K
80061 Lipid panel <1% 1,109 $10K
95117 <1% 353 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 412 $9K
99223 Prolong inpt eval add15 m <1% 99 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 390 $8K
99188 <1% 1,782 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 64 $8K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 386 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 911 $7K
88342 <1% 204 $7K
84484 <1% 1,870 $7K
90686 <1% 2,101 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 101 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 882 $5K
76830 Ultrasound, transvaginal <1% 238 $5K
99380 <1% 440 $5K
73564 <1% 771 $5K
99379 <1% 237 $5K
G0008 Administration of influenza virus vaccine <1% 391 $5K
0001A <1% 216 $5K
0002A <1% 203 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 137 $5K
84443 Thyroid stimulating hormone (TSH) <1% 368 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 66 $4K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 143 $4K
72125 Computed tomography, cervical spine; without contrast material <1% 100 $3K
82728 <1% 295 $3K
73630 <1% 664 $3K
99173 <1% 2,820 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 259 $3K
88307 <1% 45 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 546 $3K
11721 <1% 153 $3K
88304 <1% 284 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 21 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 103 $3K
91322 <1% 43 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 111 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 67 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 79 $3K
11719 <1% 304 $3K
92557 <1% 35 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 72 $2K
17110 <1% 52 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 540 $2K
11102 <1% 26 $2K
85060 <1% 96 $2K
90474 <1% 577 $2K
83550 <1% 278 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 32 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 287 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 112 $2K
83540 <1% 278 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 13 $2K
73610 <1% 358 $2K
85018 <1% 186 $1K
99217 <1% 29 $1K
92593 <1% 31 $1K
99442 <1% 79 $1K
83655 <1% 127 $1K
11720 <1% 114 $1K
90480 <1% 51 $1K
93975 <1% 42 $1K
90715 <1% 316 $1K
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% 187 $1K
86003 <1% 13 $1K
81001 <1% 1,224 $1K
92567 <1% 68 $1K
84703 <1% 384 $1K
90670 <1% 1,126 $1K
36591 <1% 54 $1K
86592 <1% 107 $993.14
73030 <1% 189 $992.17
87086 Culture, bacterial; quantitative colony count, urine <1% 312 $963.06
80306 <1% 244 $942.13
87634 <1% 43 $928.32
76801 <1% 28 $918.19
99383 <1% 14 $887.90
99238 Hospital discharge day management, 30 minutes or less <1% 16 $885.15
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 79 $856.43
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 113 $852.45
73110 <1% 157 $777.19
92002 <1% 12 $736.44
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 101 $712.60
99443 <1% 55 $669.26
0124A <1% 31 $668.79
41899 Unlisted procedure, dentoalveolar structures <1% 24 $667.16
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 38 $656.48
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 22 $655.71
A9270 Non-covered item or service <1% 1,699 $588.87
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 13 $575.01
76642 <1% 29 $571.22
P3000 Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision <1% 52 $553.76
G0148 Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening <1% 25 $522.30
85610 <1% 154 $512.48
J2704 Injection, propofol, 10 mg <1% 106 $494.61
90673 <1% 13 $471.86
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 369 $464.98
83690 <1% 318 $463.52
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 100 $384.39
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 14 $364.63
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 16 $350.25
90656 <1% 67 $322.50
86850 <1% 13 $312.46
87581 <1% 112 $292.55
87486 <1% 112 $286.44
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 442 $270.57
83605 <1% 58 $265.14
74019 <1% 63 $262.39
85027 <1% 232 $260.80
G0127 Trimming of dystrophic nails, any number <1% 17 $254.12
82077 <1% 26 $245.85
86900 <1% 12 $245.41
81003 <1% 540 $229.42
90682 <1% 13 $222.44
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 65 $219.96
93971 <1% 14 $218.94
86901 <1% 12 $197.35
93016 <1% 14 $193.34
86738 <1% 25 $167.60
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 13 $147.41
82607 <1% 13 $146.36
99490 Ccm add 20min <1% 12 $134.88
91312 <1% 21 $130.05
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 14 $123.62
90734 <1% 210 $118.64
93018 <1% 14 $118.36
81025 <1% 13 $117.36
91300 <1% 14 $104.04
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13 $96.74
90680 <1% 495 $91.65
90648 <1% 1,186 $90.30
90707 <1% 78 $76.54
90723 <1% 731 $76.06
85007 <1% 101 $69.04
J1170 Injection, hydromorphone, up to 4 mg <1% 56 $66.46
90633 <1% 666 $63.79
86308 <1% 12 $63.24
74018 <1% 12 $62.16
73562 <1% 13 $55.70
51741 <1% 16 $54.31
51798 <1% 29 $52.25
86803 <1% 27 $43.05
85651 <1% 16 $31.64
83735 <1% 12 $25.23
36416 <1% 38 $15.68
J3010 Injection, fentanyl citrate, 0.1 mg <1% 28 $13.08
87186 0% 27 $0.00
90710 0% 145 $0.00
90685 0% 122 $0.00
90700 0% 70 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 15 $0.00
99201 0% 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 16 $0.00
92341 0% 13 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 0% 15 $0.00
12001 0% 13 $0.00
90716 0% 73 $0.00
90677 0% 52 $0.00
1157F 0% 27 $0.00
90696 0% 78 $0.00
90651 0% 136 $0.00
87077 0% 27 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 25 $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 officialMATTSON, KENT (CEO)
Same official

Other billing entities under MATTSON, KENT

Full network →
ProviderLocationPaid
Prairie Ridge Hospital and Health ServicesElbow Lake, MN$899K
Lake Region Healthcare CorporationFergus Falls, MN$63K
Lake Region Healthcare CorporationFergus Falls, MN$646.40

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.