Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MANKATO › MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION

NPI: 1154302487 · MANKATO, MN 56001 · General Acute Care Hospital · NPI assigned 11/14/2005

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

Authorized official MEKALA, PRAVEEN controls 14+ related entities in our dataset. Read more

$28.51M
Total Medicaid Paid
318,501
Total Claims
287,273
Beneficiaries
175
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEKALA, PRAVEEN (CFO)
NPI Enumeration Date11/14/2005

Related Entities

Other providers sharing the same authorized official: MEKALA, PRAVEEN

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA MN $37.49M
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-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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,633 $1.02M
2019 24,203 $2.68M
2020 44,814 $4.07M
2021 90,164 $6.21M
2022 64,282 $5.70M
2023 43,252 $4.88M
2024 29,153 $3.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 29,913 25,395 $10.80M
99284 Emergency department visit for the evaluation and management, high severity 19,989 17,193 $4.74M
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 43,613 41,128 $3.14M
99283 Emergency department visit for the evaluation and management, moderate severity 16,933 15,731 $2.99M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 30,556 28,407 $2.59M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,094 5,703 $839K
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 30,102 28,291 $652K
41899 Unlisted procedure, dentoalveolar structures 664 631 $446K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 244 218 $197K
36415 Collection of venous blood by venipuncture 35,500 32,249 $192K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,447 1,414 $183K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,726 6,163 $147K
96361 Intravenous infusion, hydration; each additional hour 2,785 2,523 $145K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,105 1,953 $139K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,139 27,642 $105K
71045 Radiologic examination, chest; single view 2,212 1,916 $84K
99233 Prolong inpt eval add15 m 1,279 318 $81K
42820 Tonsillectomy and adenoidectomy; younger than age 12 32 28 $81K
96375 Therapeutic injection; each additional sequential IV push 1,241 1,146 $67K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,115 3,966 $67K
80053 Comprehensive metabolic panel 10,832 10,204 $64K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 444 436 $58K
99232 Subsequent hospital care, per day, moderate complexity 1,223 302 $54K
71046 Radiologic examination, chest; 2 views 1,151 1,092 $42K
45380 Colonoscopy, flexible; with biopsy, single or multiple 61 53 $37K
99282 Emergency department visit for the evaluation and management, low to moderate severity 337 327 $36K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 289 144 $36K
99223 Prolong inpt eval add15 m 282 197 $35K
80048 Basic metabolic panel (calcium, ionized) 7,168 6,693 $28K
70450 Computed tomography, head or brain; without contrast material 533 480 $24K
87631 317 305 $23K
93296 738 721 $23K
70310 400 378 $21K
74177 Computed tomography, abdomen and pelvis; with contrast material 254 246 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 263 256 $18K
99239 Hospital discharge day management, more than 30 minutes 263 245 $17K
83036 Hemoglobin; glycosylated (A1C) 2,171 2,141 $17K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 222 216 $14K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 51 51 $14K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 44 44 $12K
99222 Initial hospital care, per day, moderate complexity 170 133 $12K
00170 Anesthesia for intraoral procedures, including biopsy 95 46 $12K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 40 40 $11K
94060 90 78 $9K
80061 Lipid panel 792 774 $8K
84443 Thyroid stimulating hormone (TSH) 404 386 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 122 96 $7K
71275 Computed tomographic angiography, chest, with contrast material 136 126 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 189 189 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 189 189 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 14 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 140 136 $6K
81001 2,808 2,680 $6K
84484 600 540 $6K
94010 107 95 $6K
31575 39 39 $6K
99220 47 47 $5K
85610 1,304 699 $5K
74176 Computed tomography, abdomen and pelvis; without contrast material 90 87 $5K
87070 423 417 $4K
88142 233 233 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 208 93 $4K
80306 104 92 $4K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 16 15 $3K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 15 15 $3K
76801 28 28 $3K
87086 Culture, bacterial; quantitative colony count, urine 242 230 $3K
83690 540 498 $2K
88307 24 24 $2K
73630 136 109 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 49 47 $2K
99238 Hospital discharge day management, 30 minutes or less 43 41 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14 13 $2K
73610 57 52 $2K
00811 14 13 $2K
99221 30 27 $2K
J7030 Infusion, normal saline solution , 1000 cc 2,460 2,232 $2K
00731 14 12 $1K
99217 30 27 $1K
99219 17 17 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 27 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 25 25 $1K
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 39 39 $1K
94726 90 81 $1K
72125 Computed tomography, cervical spine; without contrast material 44 41 $1K
11721 44 43 $1K
85027 300 283 $1K
99215 Prolong outpt/office vis 13 12 $1K
83605 202 183 $1K
73130 36 26 $1K
81003 374 358 $1K
95249 30 30 $1K
86780 77 76 $1K
86769 27 26 $998.32
81025 226 215 $965.72
84439 75 73 $960.71
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 12 12 $942.75
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 14 14 $661.79
93970 29 27 $659.38
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14 14 $651.31
82077 33 28 $636.48
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 24 24 $619.92
86850 66 63 $605.96
93971 43 42 $553.38
86140 162 150 $512.65
76705 Ultrasound, abdominal, real time with image documentation; limited 30 28 $499.47
80179 17 13 $488.40
80143 17 13 $488.40
74018 93 68 $487.09
99152 62 58 $467.84
99406 26 25 $460.95
J1885 Injection, ketorolac tromethamine, per 15 mg 2,488 1,778 $453.76
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 14 $449.18
0764T 14 12 $449.10
0002A 33 32 $431.66
95886 212 209 $402.00
82728 26 25 $390.01
88141 13 13 $356.07
73564 50 42 $321.25
94729 96 85 $313.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $270.90
88300 13 13 $270.72
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,031 588 $253.12
87340 26 26 $252.29
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $247.56
86787 14 14 $246.72
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $241.10
73030 48 42 $239.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $219.22
82248 126 118 $208.91
88304 15 14 $198.78
82607 12 12 $186.87
87077 14 14 $185.14
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,419 1,365 $181.73
86762 14 14 $177.87
0001A 21 20 $177.10
J7120 Ringers lactate infusion, up to 1000 cc 502 461 $177.04
87660 12 12 $160.60
87510 12 12 $154.24
87480 12 12 $152.64
82043 25 25 $134.35
87186 14 14 $126.58
86900 39 39 $118.89
86901 39 39 $118.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,384 1,113 $105.85
84450 40 40 $97.44
82570 14 14 $97.15
J2704 Injection, propofol, 10 mg 1,265 590 $82.28
92567 13 13 $81.70
85652 117 110 $73.96
73110 16 12 $72.77
82565 31 27 $62.00
A9270 Non-covered item or service 55 40 $58.75
84460 25 25 $57.87
83735 96 90 $44.88
86200 12 12 $44.07
86039 42 37 $12.33
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 16 13 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 78 63 $0.00
91300 54 49 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 42 39 $0.00
92504 13 13 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 51 24 $0.00
84702 14 13 $0.00
90691 16 16 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 64 61 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 13 13 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 211 185 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 56 55 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 178 112 $0.00
85018 12 12 $0.00
V2632 Posterior chamber intraocular lens 28 24 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 24 24 $0.00
J3490 Unclassified drugs 18 12 $0.00