Medicaid Provider Spending

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

CENTRACARE HEALTH-PAYNESVILLE LLC

NPI: 1144653734 · RICHMOND, MN 56368 · Critical Access Hospital Clinic/Center · NPI assigned 08/19/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BLAIR, MICHAEL controls 20+ related entities in our dataset. Read more

$718K
Total Medicaid Paid
7,838
Total Claims
5,906
Beneficiaries
11
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR. VICE PRESIDENT AND CFO)
NPI Enumeration Date08/19/2013

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 168 $386.74
2019 729 $52K
2020 1,157 $65K
2021 1,554 $137K
2022 1,468 $140K
2023 1,694 $188K
2024 1,068 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,361 3,065 $503K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,738 1,408 $211K
X5622 25 25 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 40 25 $430.20
90686 287 243 $117.17
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 538 460 $53.96
90472 Immunization administration, each additional vaccine (list separately) 27 26 $41.33
96127 328 264 $5.71
36415 Collection of venous blood by venipuncture 386 306 $0.09
99173 54 42 $0.01
92551 54 42 $0.01