Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRACARE CLINIC

NPI: 1134121759 · ST JOSEPH, MN 56374 · Multi-Specialty Clinic/Center · 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

$387K
Total Medicaid Paid
9,423
Total Claims
8,826
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 764 $9K
2019 777 $40K
2020 1,195 $43K
2021 1,803 $83K
2022 1,939 $90K
2023 1,854 $77K
2024 1,091 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,908 2,689 $214K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,985 2,814 $146K
36415 Collection of venous blood by venipuncture 2,449 2,277 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 405 386 $7K
90686 249 243 $3K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 108 105 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 14 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
0002A 15 15 $617.10
0001A 14 14 $575.96
90472 Immunization administration, each additional vaccine (list separately) 24 24 $500.53
96127 103 101 $322.46
92551 45 43 $285.83
80047 16 16 $197.68
83036 Hemoglobin; glycosylated (A1C) 15 15 $149.85
90656 14 14 $91.92
99173 46 44 $73.25