Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › WILLMAR › CENTRACARE CLINIC SOUTHWEST LLC

CENTRACARE CLINIC SOUTHWEST LLC

NPI: 1174106264 · WILLMAR, MN 56201 · Multi-Specialty Clinic/Center · NPI assigned 05/05/2021

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

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

$11.63M
Total Medicaid Paid
329,072
Total Claims
303,741
Beneficiaries
226
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (CFO)
NPI Enumeration Date05/05/2021

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
2022 132,922 $4.80M
2023 111,020 $3.84M
2024 85,130 $2.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,843 54,398 $3.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,311 37,386 $3.19M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,490 3,432 $286K
90837 Psychotherapy, 53 minutes with patient 2,416 1,699 $222K
J0585 Injection, onabotulinumtoxina, 1 unit 310 236 $220K
36415 Collection of venous blood by venipuncture 38,026 34,178 $216K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,845 2,437 $208K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 10,385 10,043 $195K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,896 1,858 $178K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,732 3,414 $175K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,085 2,062 $161K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,007 1,894 $132K
99215 Prolong outpt/office vis 1,179 1,127 $128K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3,776 1,877 $122K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,632 1,616 $119K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,319 3,226 $114K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,439 6,278 $108K
V2020 Frames, purchases 2,604 2,545 $94K
90460 Immunization administration through 18 years of age via any route, first or only component 2,762 2,712 $88K
0202U Oncology (prostate), multianalyte, gene expression profiling 198 197 $85K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,188 1,153 $83K
92015 Determination of refractive state 5,954 5,853 $79K
92340 Fitting of spectacles, except for aphakia; monofocal 2,802 2,750 $71K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,093 2,031 $67K
X5622 305 271 $66K
95911 509 458 $64K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 613 585 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 780 766 $63K
95886 502 450 $59K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,391 2,279 $59K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,315 8,505 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,681 1,576 $50K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,078 944 $49K
96127 13,538 13,254 $48K
80053 Comprehensive metabolic panel 5,897 5,546 $47K
90472 Immunization administration, each additional vaccine (list separately) 2,432 2,381 $45K
90677 557 547 $37K
84443 Thyroid stimulating hormone (TSH) 2,608 2,439 $33K
80061 Lipid panel 3,126 2,970 $33K
92551 4,686 4,575 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,922 1,890 $31K
77067 Screening mammography, bilateral, including computer-aided detection 470 355 $31K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 356 350 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,956 2,640 $30K
83036 Hemoglobin; glycosylated (A1C) 3,881 3,700 $30K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 293 292 $28K
95251 1,447 1,301 $28K
97161 410 397 $27K
90686 3,823 3,728 $23K
80050 General health panel 436 431 $22K
90691 163 163 $21K
71046 Radiologic examination, chest; 2 views 1,026 870 $20K
T1013 Sign language or oral interpretive services, per 15 minutes 703 594 $20K
74019 881 788 $20K
80048 Basic metabolic panel (calcium, ionized) 2,818 2,634 $20K
99188 3,022 2,996 $19K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,971 3,552 $19K
91322 147 141 $17K
76801 229 179 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 669 640 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 181 173 $15K
92567 1,310 1,287 $15K
11721 615 595 $15K
90834 Psychotherapy, 45 minutes with patient 237 183 $14K
92593 580 550 $14K
99243 168 166 $14K
81001 5,032 4,753 $14K
76819 Fetal biophysical profile; without non-stress testing 223 99 $14K
90791 Psychiatric diagnostic evaluation 109 106 $13K
99232 Subsequent hospital care, per day, moderate complexity 287 136 $13K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 160 140 $13K
83970 418 411 $13K
90717 86 86 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 666 301 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,558 1,359 $12K
92557 496 474 $12K
83013 169 167 $11K
99238 Hospital discharge day management, 30 minutes or less 241 235 $11K
77063 Screening digital breast tomosynthesis, bilateral 427 323 $11K
99244 Office or other outpatient consultation, moderate to high complexity 87 87 $11K
92133 487 478 $11K
J0561 Injection, penicillin g benzathine, 100,000 units 58 58 $11K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 297 294 $11K
0054A 316 315 $11K
92341 372 360 $11K
99308 Subsequent nursing facility care, per day, straightforward 165 158 $10K
90480 374 355 $10K
90715 336 327 $9K
85027 1,508 1,447 $9K
86140 2,013 1,918 $9K
86780 679 663 $9K
96161 2,135 2,074 $9K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 322 305 $8K
90656 987 976 $7K
99173 4,596 4,505 $7K
86803 495 459 $6K
92370 273 269 $6K
11056 176 155 $6K
0124A 224 216 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 76 74 $6K
99245 40 39 $5K
0072A 130 130 $5K
0004A 139 138 $5K
99460 78 72 $5K
17110 54 54 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 44 43 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,936 1,848 $4K
0071A 99 99 $4K
83690 711 692 $4K
92310 94 91 $4K
99417 Prolong home eval add 15m 219 207 $4K
90739 27 26 $4K
95811 53 51 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 16 15 $4K
99401 139 139 $4K
87653 99 99 $4K
81025 422 401 $4K
64721 15 13 $4K
0051A 82 82 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 44 44 $3K
86762 239 232 $3K
87340 331 321 $3K
93976 29 29 $3K
93000 346 324 $3K
0002A 79 79 $3K
85018 1,283 1,248 $3K
G0127 Trimming of dystrophic nails, any number 260 247 $3K
0052A 69 69 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 55 54 $3K
95874 89 79 $3K
82570 671 605 $3K
0001A 68 68 $3K
73562 94 76 $3K
20610 59 52 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 31 31 $3K
82607 198 194 $2K
73110 77 67 $2K
85610 633 372 $2K
87210 386 375 $2K
84439 285 276 $2K
99239 Hospital discharge day management, more than 30 minutes 41 39 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 14 $2K
73610 75 67 $2K
97803 47 44 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 25 24 $2K
82150 365 356 $2K
82728 146 142 $2K
99442 25 25 $2K
64405 27 25 $2K
83014 191 189 $2K
90473 95 94 $1K
97802 26 26 $1K
73630 55 48 $1K
64616 14 12 $1K
82746 120 116 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 356 348 $1K
76830 Ultrasound, transvaginal 14 14 $1K
76820 41 27 $1K
83516 98 53 $1K
99205 Prolong outpt/office vis 13 13 $1K
82784 142 97 $1K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 26 13 $1K
J8540 Dexamethasone, oral, 0.25 mg 376 365 $1K
80306 63 57 $1K
99402 24 24 $992.05
82043 183 183 $979.82
0064A 26 25 $955.95
99404 12 12 $955.68
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 95 90 $941.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 177 171 $917.83
J1040 Injection, methylprednisolone acetate, 80 mg 75 70 $907.84
92134 37 37 $896.91
76705 Ultrasound, abdominal, real time with image documentation; limited 15 14 $883.21
85379 93 89 $855.09
H1001 Prenatal care, at-risk enhanced service; antepartum management 15 14 $843.10
90832 Psychotherapy, 30 minutes with patient 16 13 $834.50
84484 71 69 $823.89
74018 32 32 $772.58
83550 101 97 $754.10
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $735.75
83540 129 125 $727.64
J1885 Injection, ketorolac tromethamine, per 15 mg 456 430 $712.17
87081 98 98 $676.21
90670 561 558 $662.91
99222 Initial hospital care, per day, moderate complexity 12 12 $615.13
95806 13 13 $605.34
90651 112 109 $585.54
95885 13 12 $518.93
36416 164 161 $509.43
84156 165 156 $464.28
84153 26 26 $443.25
80069 72 72 $425.28
73130 15 14 $422.92
73030 15 14 $410.45
82565 91 84 $383.11
82950 65 65 $320.36
97035 34 12 $300.75
93793 43 37 $292.52
84702 18 12 $283.30
51798 53 50 $257.43
84460 56 50 $253.40
20552 14 12 $196.09
82947 48 48 $191.34
85652 65 64 $175.56
86706 16 16 $172.83
20553 12 12 $167.71
84450 38 38 $163.51
81003 77 76 $160.32
88720 30 26 $147.28
97022 23 12 $142.08
J0696 Injection, ceftriaxone sodium, per 250 mg 79 54 $134.55
90734 123 122 $132.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 118 117 $127.05
82310 26 26 $118.43
G0008 Administration of influenza virus vaccine 12 12 $99.88
90633 316 308 $61.47
A9585 Injection, gadobutrol, 0.1 ml 12 12 $20.61
J2405 Injection, ondansetron hydrochloride, per 1 mg 67 66 $15.34
90723 498 495 $0.01
90647 425 420 $0.01
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 678 620 $0.00
90681 124 123 $0.00
90672 32 32 $0.00
90700 13 12 $0.00
90716 12 12 $0.00
90696 26 26 $0.00