Clinic
Centracare Clinic Southwest LLC
Centracare Clinic Southwest LLC was paid $11.63M by Medicaid between Jan 2022 and Dec 2024, across 226 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCENTRACARE CLINIC SOUTHWEST LLC
WILLMAR, MN 56201
WILLMAR, MN 56201
33aNPI1174106264assigned 05/05/2021
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$11.63M
24GClaims329,072
24DCodes billed226
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#10 of 87
Median peer was paid$1.04M
This provider vs. median11×
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 BLAIR, MICHAEL controls 20+ 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 | |
|---|---|---|---|
| 2022 | 132,922 | $4.80M | |
| 2023 | 111,020 | $3.84M | |
| 2024incomplete | 85,130 | $2.99M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 57,843 | 54,398 | $3.39M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 40,311 | 37,386 | $3.19M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.5% | 3,490 | 3,432 | $286K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 2,416 | 1,699 | $222K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.9% | 310 | 236 | $220K |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 38,026 | 34,178 | $216K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.8% | 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) | 1.7% | 10,385 | 10,043 | $195K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.5% | 1,896 | 1,858 | $178K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 3,732 | 3,414 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 2,085 | 2,062 | $161K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 2,007 | 1,894 | $132K |
214 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 1,179 | $128K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.1% | 3,776 | $122K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 1,632 | $119K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,319 | $114K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,439 | $108K |
| V2020 | Frames, purchases | <1% | 2,604 | $94K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,762 | $88K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 198 | $85K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,188 | $83K |
| 92015 | Determination of refractive state | <1% | 5,954 | $79K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,802 | $71K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,093 | $67K |
| X5622 | <1% | 305 | $66K | |
| 95911 | <1% | 509 | $64K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 613 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 780 | $63K |
| 95886 | <1% | 502 | $59K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 2,391 | $59K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,315 | $57K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,681 | $50K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,078 | $49K |
| 96127 | <1% | 13,538 | $48K | |
| 80053 | Comprehensive metabolic panel | <1% | 5,897 | $47K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,432 | $45K |
| 90677 | <1% | 557 | $37K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,608 | $33K |
| 80061 | Lipid panel | <1% | 3,126 | $33K |
| 92551 | <1% | 4,686 | $31K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,922 | $31K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 470 | $31K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 356 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,956 | $30K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,881 | $30K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 293 | $28K |
| 95251 | <1% | 1,447 | $28K | |
| 97161 | <1% | 410 | $27K | |
| 90686 | <1% | 3,823 | $23K | |
| 80050 | General health panel | <1% | 436 | $22K |
| 90691 | <1% | 163 | $21K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,026 | $20K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 703 | $20K |
| 74019 | <1% | 881 | $20K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,818 | $20K |
| 99188 | <1% | 3,022 | $19K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,971 | $19K |
| 91322 | <1% | 147 | $17K | |
| 76801 | <1% | 229 | $16K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 669 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 181 | $15K |
| 92567 | <1% | 1,310 | $15K | |
| 11721 | <1% | 615 | $15K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 237 | $14K |
| 92593 | <1% | 580 | $14K | |
| 99243 | <1% | 168 | $14K | |
| 81001 | <1% | 5,032 | $14K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 223 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 109 | $13K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 287 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 160 | $13K |
| 83970 | <1% | 418 | $13K | |
| 90717 | <1% | 86 | $13K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 666 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,558 | $12K |
| 92557 | <1% | 496 | $12K | |
| 83013 | <1% | 169 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 241 | $11K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 427 | $11K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 87 | $11K |
| 92133 | <1% | 487 | $11K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 58 | $11K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 297 | $11K |
| 0054A | <1% | 316 | $11K | |
| 92341 | <1% | 372 | $11K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 165 | $10K |
| 90480 | <1% | 374 | $10K | |
| 90715 | <1% | 336 | $9K | |
| 85027 | <1% | 1,508 | $9K | |
| 86140 | <1% | 2,013 | $9K | |
| 86780 | <1% | 679 | $9K | |
| 96161 | <1% | 2,135 | $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 | <1% | 322 | $8K |
| 90656 | <1% | 987 | $7K | |
| 99173 | <1% | 4,596 | $7K | |
| 86803 | <1% | 495 | $6K | |
| 92370 | <1% | 273 | $6K | |
| 11056 | <1% | 176 | $6K | |
| 0124A | <1% | 224 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 76 | $6K |
| 99245 | <1% | 40 | $5K | |
| 0072A | <1% | 130 | $5K | |
| 0004A | <1% | 139 | $5K | |
| 99460 | <1% | 78 | $5K | |
| 17110 | <1% | 54 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 44 | $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% | 1,936 | $4K |
| 0071A | <1% | 99 | $4K | |
| 83690 | <1% | 711 | $4K | |
| 92310 | <1% | 94 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 219 | $4K |
| 90739 | <1% | 27 | $4K | |
| 95811 | <1% | 53 | $4K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 16 | $4K |
| 99401 | <1% | 139 | $4K | |
| 87653 | <1% | 99 | $4K | |
| 81025 | <1% | 422 | $4K | |
| 64721 | <1% | 15 | $4K | |
| 0051A | <1% | 82 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 44 | $3K |
| 86762 | <1% | 239 | $3K | |
| 87340 | <1% | 331 | $3K | |
| 93976 | <1% | 29 | $3K | |
| 93000 | <1% | 346 | $3K | |
| 0002A | <1% | 79 | $3K | |
| 85018 | <1% | 1,283 | $3K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 260 | $3K |
| 0052A | <1% | 69 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 55 | $3K |
| 95874 | <1% | 89 | $3K | |
| 82570 | <1% | 671 | $3K | |
| 0001A | <1% | 68 | $3K | |
| 73562 | <1% | 94 | $3K | |
| 20610 | <1% | 59 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 31 | $3K |
| 82607 | <1% | 198 | $2K | |
| 73110 | <1% | 77 | $2K | |
| 85610 | <1% | 633 | $2K | |
| 87210 | <1% | 386 | $2K | |
| 84439 | <1% | 285 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 41 | $2K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 14 | $2K |
| 73610 | <1% | 75 | $2K | |
| 97803 | <1% | 47 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 25 | $2K |
| 82150 | <1% | 365 | $2K | |
| 82728 | <1% | 146 | $2K | |
| 99442 | <1% | 25 | $2K | |
| 64405 | <1% | 27 | $2K | |
| 83014 | <1% | 191 | $2K | |
| 90473 | <1% | 95 | $1K | |
| 97802 | <1% | 26 | $1K | |
| 73630 | <1% | 55 | $1K | |
| 64616 | <1% | 14 | $1K | |
| 82746 | <1% | 120 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 356 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $1K |
| 76820 | <1% | 41 | $1K | |
| 83516 | <1% | 98 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $1K |
| 82784 | <1% | 142 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | $1K |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 376 | $1K |
| 80306 | <1% | 63 | $1K | |
| 99402 | <1% | 24 | $992.05 | |
| 82043 | <1% | 183 | $979.82 | |
| 0064A | <1% | 26 | $955.95 | |
| 99404 | <1% | 12 | $955.68 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 95 | $941.19 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 177 | $917.83 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 75 | $907.84 |
| 92134 | <1% | 37 | $896.91 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 15 | $883.21 |
| 85379 | <1% | 93 | $855.09 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 15 | $843.10 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $834.50 |
| 84484 | <1% | 71 | $823.89 | |
| 74018 | <1% | 32 | $772.58 | |
| 83550 | <1% | 101 | $754.10 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $735.75 |
| 83540 | <1% | 129 | $727.64 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 456 | $712.17 |
| 87081 | <1% | 98 | $676.21 | |
| 90670 | <1% | 561 | $662.91 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $615.13 |
| 95806 | <1% | 13 | $605.34 | |
| 90651 | <1% | 112 | $585.54 | |
| 95885 | <1% | 13 | $518.93 | |
| 36416 | <1% | 164 | $509.43 | |
| 84156 | <1% | 165 | $464.28 | |
| 84153 | <1% | 26 | $443.25 | |
| 80069 | <1% | 72 | $425.28 | |
| 73130 | <1% | 15 | $422.92 | |
| 73030 | <1% | 15 | $410.45 | |
| 82565 | <1% | 91 | $383.11 | |
| 82950 | <1% | 65 | $320.36 | |
| 97035 | <1% | 34 | $300.75 | |
| 93793 | <1% | 43 | $292.52 | |
| 84702 | <1% | 18 | $283.30 | |
| 51798 | <1% | 53 | $257.43 | |
| 84460 | <1% | 56 | $253.40 | |
| 20552 | <1% | 14 | $196.09 | |
| 82947 | <1% | 48 | $191.34 | |
| 85652 | <1% | 65 | $175.56 | |
| 86706 | <1% | 16 | $172.83 | |
| 20553 | <1% | 12 | $167.71 | |
| 84450 | <1% | 38 | $163.51 | |
| 81003 | <1% | 77 | $160.32 | |
| 88720 | <1% | 30 | $147.28 | |
| 97022 | <1% | 23 | $142.08 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 79 | $134.55 |
| 90734 | <1% | 123 | $132.81 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 118 | $127.05 |
| 82310 | <1% | 26 | $118.43 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $99.88 |
| 90633 | <1% | 316 | $61.47 | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 12 | $20.61 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 67 | $15.34 |
| 90723 | <1% | 498 | $0.01 | |
| 90647 | <1% | 425 | $0.01 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 678 | $0.00 |
| 90681 | 0% | 124 | $0.00 | |
| 90672 | 0% | 32 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90696 | 0% | 26 | $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 officialBLAIR, MICHAEL (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.