Hospital
Mayo Clinic Health System-Southwest Minnesota Region
Mayo Clinic Health System-Southwest Minnesota Region was paid $1.41M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
NEW PRAGUE, MN 56071
NEW PRAGUE, MN 56071
33aNPI1124035282assigned 08/02/2006
33bProvider typeCritical Access Hospital
28Total paid$1.41M
24GClaims13,446
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#26 of 68
Median peer was paid$798K
This provider vs. median1.8×
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 | 797 | $91K | |
| 2019 | 1,315 | $165K | |
| 2020 | 877 | $87K | |
| 2021 | 2,745 | $257K | |
| 2022 | 2,861 | $283K | |
| 2023 | 3,617 | $401K | |
| 2024incomplete | 1,234 | $123K |
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 | 30% | 2,351 | 2,064 | $424K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 1,784 | 1,429 | $371K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 22% | 778 | 609 | $303K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 11% | 4,140 | 3,987 | $158K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 1,309 | 1,215 | $31K |
| 87631 | 1.7% | 169 | 168 | $24K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 309 | 306 | $24K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 1,091 | 995 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 325 | 320 | $14K |
| 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% | 565 | 553 | $11K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 53 | 53 | $6K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 65 | 63 | $5K |
11 more codes
| 80053 | Comprehensive metabolic panel | <1% | 145 | $5K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 63 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 109 | $3K |
| 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% | 30 | $2K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 43 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 25 | $947.89 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 26 | $478.44 |
| 81001 | <1% | 27 | $413.17 | |
| 83690 | <1% | 12 | $338.24 | |
| 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% | 15 | $274.58 |
| 81003 | <1% | 12 | $125.76 |
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 (CFO)
| 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-Southeast Minnesota Region | Red Wing, MN | $4.42M |
| Mayo Clinic Health System-Southwest Minnesota Region | Waseca, MN | $2.72M |
| 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.