Physician
Mayo Clinic Health System-Southeast Minnesota Region
Mayo Clinic Health System-Southeast Minnesota Region was paid $6.56M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 58% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
RED WING, MN 55066
RED WING, MN 55066
33aNPI1164400024assigned 01/02/2006
33bProvider typeEmergency Medicine Physician
28Total paid$6.56M
24GClaims101,133
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Minnesota
Rank by total paid#4 of 50
Median peer was paid$85K
This provider vs. median77×
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 | 12,045 | $603K | |
| 2019 | 15,466 | $1.18M | |
| 2020 | 12,878 | $722K | |
| 2021 | 19,692 | $1.06M | |
| 2022 | 16,793 | $1.17M | |
| 2023 | 16,098 | $1.19M | |
| 2024incomplete | 8,161 | $636K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 58% | 41,454 | 38,317 | $3.81M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 2,761 | 2,600 | $743K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 4,142 | 3,930 | $728K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.8% | 2,153 | 1,939 | $643K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.1% | 6,858 | 6,502 | $136K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.1% | 596 | 538 | $74K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,293 | 2,221 | $65K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 575 | 326 | $56K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 412 | 392 | $26K |
| 0002A | <1% | 632 | 627 | $18K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 393 | 349 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,970 | 6,186 | $17K |
92 more codes
| 11721 | <1% | 647 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 405 | $17K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 395 | $15K |
| 87631 | <1% | 505 | $15K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,397 | $13K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 132 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 125 | $12K |
| 0001A | <1% | 504 | $11K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 254 | $11K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 90 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 833 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 2,972 | $9K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 850 | $9K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,834 | $7K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 258 | $6K |
| 90686 | <1% | 1,507 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 83 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 454 | $4K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 26 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 176 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 101 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 130 | $3K |
| 0072A | <1% | 66 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $2K |
| 90461 | <1% | 250 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 420 | $2K |
| 0071A | <1% | 52 | $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% | 25 | $2K |
| 0004A | <1% | 53 | $2K | |
| 92557 | <1% | 12 | $1K | |
| 80061 | Lipid panel | <1% | 195 | $1K |
| 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% | 68 | $1K |
| 81001 | <1% | 924 | $1K | |
| 97161 | <1% | 18 | $1K | |
| 0064A | <1% | 28 | $907.22 | |
| 91322 | <1% | 14 | $864.02 | |
| 71045 | Radiologic examination, chest; single view | <1% | 47 | $652.97 |
| 86140 | <1% | 333 | $637.73 | |
| 90480 | <1% | 26 | $636.24 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 21 | $600.23 |
| 83605 | <1% | 237 | $600.00 | |
| 85027 | <1% | 239 | $591.29 | |
| 0031A | <1% | 19 | $511.09 | |
| 85610 | <1% | 248 | $388.57 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 150 | $336.43 |
| 87634 | <1% | 13 | $334.77 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 14 | $326.93 |
| 0124A | <1% | 12 | $326.24 | |
| 84484 | <1% | 104 | $243.49 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $165.37 |
| 83690 | <1% | 142 | $150.27 | |
| 96376 | <1% | 14 | $147.89 | |
| Q3014 | Telehealth originating site facility fee | <1% | 12 | $113.44 |
| 81025 | <1% | 71 | $104.84 | |
| 87660 | <1% | 13 | $104.79 | |
| 87510 | <1% | 13 | $103.41 | |
| 87480 | <1% | 13 | $99.75 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $88.91 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 12 | $88.91 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 422 | $88.68 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 724 | $87.13 |
| 83880 | <1% | 13 | $83.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 101 | $64.85 |
| 90656 | <1% | 105 | $44.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $42.22 |
| 82805 | <1% | 14 | $39.91 | |
| 81003 | <1% | 71 | $37.51 | |
| 82248 | <1% | 64 | $20.42 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $7.03 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 31 | $1.81 |
| 90677 | <1% | 116 | $1.68 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 367 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 0% | 183 | $0.00 |
| 91300 | 0% | 1,023 | $0.00 | |
| 90670 | 0% | 139 | $0.00 | |
| 0753T | 0% | 46 | $0.00 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 175 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 360 | $0.00 |
| 91307 | 0% | 128 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 194 | $0.00 |
| 90698 | 0% | 90 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 148 | $0.00 |
| 91306 | 0% | 26 | $0.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 286 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 184 | $0.00 |
| 90680 | 0% | 13 | $0.00 | |
| 90697 | 0% | 52 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 39 | $0.00 |
| 36416 | 0% | 21 | $0.00 | |
| 90651 | 0% | 40 | $0.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 67 | $0.00 |
| 91303 | 0% | 15 | $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-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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.