Physician
Central Medical Clinic PLLC
Central Medical Clinic PLLC was paid $212K by Medicaid between Jan 2018 and Sep 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoCENTRAL MEDICAL CLINIC PLLC
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
33aNPI1174876643assigned 10/22/2012
33bProvider typePain Medicine Physician
28Total paid$212K
24GClaims13,164
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pain Medicine Physician providers in Minnesota
Rank by total paid#2 of 5
Median peer was paid$26K
This provider vs. median8.2×
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.
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 | 8,610 | $78K | |
| 2019 | 4,554 | $135K |
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 | 58% | 5,393 | 4,211 | $124K |
| 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 | 18% | 714 | 621 | $38K |
| 80305 | 12% | 5,551 | 4,014 | $26K | |
| 96136 | 3.9% | 308 | 259 | $8K | |
| 96102 | 2.7% | 407 | 390 | $6K | |
| 99408 | 2.5% | 358 | 315 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 134 | 127 | $3K |
| 96120 | <1% | 57 | 54 | $933.67 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 63 | 57 | $739.15 |
| 96101 | <1% | 42 | 42 | $631.35 | |
| 99409 | <1% | 137 | 126 | $53.82 |
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 officialMORALES-UTRILLA, ALFONSO (MEDICAL DIRECTOR)