Hospital
Centracare Health-Paynesville LLC
Centracare Health-Paynesville LLC was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99283, emergency room visit (moderate) — 46% of everything it billed.
33Billing provider infoCENTRACARE HEALTH-PAYNESVILLE LLC
PAYNESVILLE, MN 56362
PAYNESVILLE, MN 56362
33aNPI1205269941assigned 08/16/2013
33bProvider typeCritical Access Hospital
28Total paid$1.03M
24GClaims18,518
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#31 of 68
Median peer was paid$798K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 7,374 | $126K | |
| 2019 | 2,853 | $166K | |
| 2020 | 1,324 | $96K | |
| 2021 | 1,538 | $135K | |
| 2022 | 1,576 | $150K | |
| 2023 | 2,281 | $206K | |
| 2024incomplete | 1,572 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 46% | 2,242 | 1,799 | $470K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 16% | 3,932 | 3,489 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 3,659 | 3,207 | $74K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.5% | 375 | 348 | $67K |
| 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 | 6.4% | 974 | 610 | $66K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.1% | 384 | 339 | $42K |
| 36415 | Collection of venous blood by venipuncture | 3.5% | 2,492 | 2,281 | $36K |
| 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 | 2.5% | 528 | 483 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 913 | 859 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 573 | 530 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 488 | 477 | $14K |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | <1% | 556 | 476 | $9K |
25 more codes
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 16 | $5K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 45 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 168 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 59 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 68 | $2K |
| 87070 | <1% | 43 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 43 | $2K |
| J3490 | Unclassified drugs | <1% | 130 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 42 | $1K |
| 90686 | <1% | 190 | $826.95 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $746.58 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 44 | $530.43 |
| 83735 | <1% | 26 | $448.35 | |
| 92551 | <1% | 75 | $420.29 | |
| 85610 | <1% | 18 | $344.42 | |
| 96127 | <1% | 82 | $218.71 | |
| 87430 | <1% | 21 | $180.84 | |
| 99173 | <1% | 96 | $75.82 | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | <1% | 31 | $55.65 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 54 | $48.56 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 34 | $34.61 |
| X5622 | 0% | 37 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| A9270 | Non-covered item or service | 0% | 13 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 30 | $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 (SR. VICE PRESIDENT AND 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.