Clinic
Mayo Clinic Health System-Southeast Minnesota Region
Mayo Clinic Health System-Southeast Minnesota Region was paid $4.42M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
RED WING, MN 55066
RED WING, MN 55066
33aNPI1114453883assigned 05/02/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.42M
24GClaims150,345
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#21 of 87
Median peer was paid$1.04M
This provider vs. median4.3×
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 MEKALA, PRAVEEN controls 14+ 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 | 22,593 | $251K | |
| 2019 | 20,085 | $1.03M | |
| 2020 | 17,238 | $755K | |
| 2021 | 38,266 | $888K | |
| 2022 | 27,349 | $695K | |
| 2023 | 15,054 | $482K | |
| 2024incomplete | 9,760 | $317K |
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 | 24% | 21,016 | 19,127 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 29,424 | 26,703 | $981K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 9,611 | 8,764 | $628K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.2% | 3,780 | 3,516 | $363K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.4% | 5,481 | 5,400 | $150K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.0% | 3,819 | 3,596 | $132K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 1,960 | 1,933 | $102K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.3% | 1,136 | 717 | $100K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,732 | 1,682 | $82K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 978 | 938 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 1,523 | 1,487 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,107 | 1,102 | $59K |
86 more codes
| X5622 | 1.3% | 1,987 | $57K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 615 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,457 | $49K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 759 | $43K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,288 | $41K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 710 | $37K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,459 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,739 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 505 | $30K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,564 | $26K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 349 | $25K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,248 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 290 | $18K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 805 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 240 | $13K |
| 20610 | <1% | 448 | $13K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 536 | $12K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,107 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 142 | $9K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 465 | $9K |
| 99443 | <1% | 168 | $9K | |
| 92015 | Determination of refractive state | <1% | 707 | $7K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,288 | $7K |
| 11721 | <1% | 676 | $6K | |
| 99442 | <1% | 196 | $6K | |
| 87631 | <1% | 45 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 112 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 34 | $4K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 55 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 627 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 832 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 92 | $2K |
| 99243 | <1% | 49 | $2K | |
| 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% | 26 | $2K |
| 99188 | <1% | 145 | $2K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 25 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 45 | $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% | 544 | $1K |
| 73630 | <1% | 237 | $982.70 | |
| 99441 | <1% | 65 | $972.21 | |
| 73610 | <1% | 175 | $929.88 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 47 | $870.00 |
| 73562 | <1% | 153 | $831.29 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 101 | $804.77 |
| 0002A | <1% | 22 | $734.24 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 19 | $714.83 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $611.35 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 26 | $589.05 |
| 73030 | <1% | 108 | $587.27 | |
| 69210 | <1% | 25 | $577.23 | |
| 92551 | <1% | 62 | $571.36 | |
| 0001A | <1% | 16 | $533.50 | |
| 74018 | <1% | 89 | $456.98 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 16 | $451.17 |
| 99201 | <1% | 14 | $445.85 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 114 | $420.23 |
| 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% | 12 | $225.04 |
| 80053 | Comprehensive metabolic panel | <1% | 29 | $136.56 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 15 | $133.98 |
| 99152 | <1% | 14 | $118.12 | |
| 73502 | <1% | 14 | $114.72 | |
| 73130 | <1% | 17 | $106.00 | |
| 72100 | <1% | 12 | $98.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $97.24 |
| 73110 | <1% | 15 | $68.01 | |
| 99173 | <1% | 14 | $46.07 | |
| 0502F | 0% | 621 | $0.00 | |
| 3078F | 0% | 9,756 | $0.00 | |
| 3046F | 0% | 137 | $0.00 | |
| 3077F | 0% | 1,258 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 225 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 40 | $0.00 |
| 0764T | 0% | 57 | $0.00 | |
| 3051F | 0% | 127 | $0.00 | |
| 91300 | 0% | 52 | $0.00 | |
| 3074F | 0% | 10,756 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 5,824 | $0.00 |
| 3080F | 0% | 637 | $0.00 | |
| 3079F | 0% | 2,411 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 811 | $0.00 |
| 1123F | 0% | 703 | $0.00 | |
| 3044F | 0% | 537 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 29 | $0.00 |
| 3075F | 0% | 1,537 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 148 | $0.00 |
| 1111F | 0% | 275 | $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 officialMEKALA, PRAVEEN (CHEIF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $37.49M |
| Mayo Clinic Health System-Southwest Minnesota Region | Mankato, MN | $28.51M |
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $21.76M |
| Mayo Clinic Health System-Southeast Minnesota Region | Owatonna, MN | $13.72M |
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $12.58M |
| Mayo Clinic Health System-Fairmont | Fairmont, MN | $9.04M |
| Mayo Clinic Health System-Southeast Minnesota Region | Red Wing, MN | $6.56M |
| Mayo Clinic Health System-Fairmont | Fairmont, MN | $4.71M |
| Mayo Clinic Health System-Southwest Minnesota Region | Waseca, MN | $2.72M |
| Mayo Clinic Health System-Southwest Minnesota Region | New Prague, MN | $1.41M |
| Mayo Clinic Health System-Lake City | Lake City, MN | $653K |
| Mayo Clinic Health System-Southeast Minnesota Region | Cannon Falls, MN | $520K |
| Mayo Clinic Health System-Lake City | Lake City, MN | $265K |
| Mayo Clinic Health System-Lake City | Lake City, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.