Medicaid Provider Spending

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

CENTRACARE CLINIC

NPI: 1225030844 · ST CLOUD, MN 56303 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/12/2005

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

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

$20.93M
Total Medicaid Paid
693,062
Total Claims
647,056
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR VP & CFO)
Parent OrganizationCENTRACARE CLINIC
NPI Enumeration Date08/12/2005

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 $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
ST. CLOUD HOSPITAL SAUK RAPIDS MN $2.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100,742 $1.31M
2019 110,164 $3.75M
2020 94,972 $2.96M
2021 95,044 $3.65M
2022 102,666 $3.44M
2023 99,378 $3.03M
2024 90,096 $2.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,463 66,071 $3.69M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,587 37,397 $2.83M
X5622 20,780 19,392 $1.79M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22,474 22,074 $1.48M
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 64,845 61,809 $1.46M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25,693 22,919 $1.29M
T1013 Sign language or oral interpretive services, per 15 minutes 29,382 25,629 $1.14M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,044 13,774 $877K
90460 Immunization administration through 18 years of age via any route, first or only component 23,605 23,013 $752K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 728 710 $649K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,145 30,193 $481K
76819 Fetal biophysical profile; without non-stress testing 12,732 5,522 $470K
90472 Immunization administration, each additional vaccine (list separately) 20,337 19,742 $382K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,137 5,325 $366K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,521 4,416 $295K
99188 31,031 30,444 $240K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,651 3,465 $222K
92551 28,925 28,338 $162K
96127 42,007 41,130 $144K
99244 Office or other outpatient consultation, moderate to high complexity 1,153 1,139 $138K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,967 1,916 $121K
H1001 Prenatal care, at-risk enhanced service; antepartum management 2,209 2,131 $121K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,325 13,072 $101K
99215 Prolong outpt/office vis 877 838 $94K
99243 1,069 1,053 $91K
76830 Ultrasound, transvaginal 1,894 1,135 $86K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,857 1,825 $83K
90715 4,028 3,848 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,373 2,211 $69K
97803 1,781 1,690 $66K
90834 Psychotherapy, 45 minutes with patient 920 576 $62K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 898 870 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 576 566 $61K
90832 Psychotherapy, 30 minutes with patient 1,181 956 $58K
59425 165 154 $58K
90686 24,251 23,774 $54K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 66 64 $44K
76801 874 532 $42K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,396 656 $37K
59510 43 40 $36K
91322 354 351 $33K
99173 27,443 26,944 $32K
71046 Radiologic examination, chest; 2 views 1,985 1,680 $31K
90480 1,055 1,025 $31K
90473 2,626 2,492 $31K
96161 17,403 16,581 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 713 636 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,423 1,688 $26K
J1050 Injection, medroxyprogesterone acetate, 1 mg 381 364 $23K
59025 Fetal non-stress test 668 400 $20K
90847 Family psychotherapy with the patient present, 50 minutes 299 275 $19K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 437 247 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 585 522 $19K
90651 1,764 1,717 $18K
0072A 388 388 $16K
94010 950 922 $15K
99245 102 101 $14K
97802 197 196 $13K
76818 206 114 $13K
58300 202 192 $13K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 24 24 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 504 478 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 498 472 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 741 568 $11K
74018 695 664 $11K
0071A 242 235 $10K
0002A 238 237 $10K
99417 Prolong home eval add 15m 155 153 $9K
96040 163 159 $7K
90677 2,248 2,177 $7K
0001A 143 142 $6K
76857 306 180 $5K
87480 437 409 $5K
87510 437 409 $5K
87660 437 409 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 444 429 $5K
99383 58 57 $5K
90656 1,814 1,804 $5K
99382 53 50 $4K
0052A 97 97 $4K
36415 Collection of venous blood by venipuncture 2,145 1,863 $4K
86780 330 322 $3K
90694 56 56 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 152 118 $3K
77080 154 152 $3K
99242 42 41 $3K
G0008 Administration of influenza virus vaccine 313 313 $3K
59514 31 29 $2K
83655 301 293 $2K
87070 343 332 $2K
90653 24 24 $2K
0081A 50 49 $2K
58301 25 25 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 227 196 $2K
87086 Culture, bacterial; quantitative colony count, urine 291 275 $2K
59430 16 12 $2K
11981 39 37 $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 15 15 $2K
87150 42 40 $1K
96380 90 85 $1K
85018 694 678 $1K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 57 56 $1K
11982 12 12 $1K
91321 329 319 $992.49
90670 12,959 12,553 $933.04
90620 77 75 $906.94
94060 54 52 $875.76
36416 428 404 $686.48
84443 Thyroid stimulating hormone (TSH) 57 56 $656.73
98968 23 13 $605.46
90707 1,352 1,270 $558.85
0051A 13 13 $530.50
82950 129 128 $497.11
0124A 12 12 $448.71
69210 12 12 $412.71
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15 12 $390.62
85025 Blood count; complete (CBC), automated, and automated differential WBC count 44 43 $367.22
69209 27 26 $345.75
H1000 Prenatal care, at-risk assessment 69 67 $340.52
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12 12 $285.36
84702 18 12 $267.48
90681 5,642 5,377 $239.84
90723 11,301 10,870 $230.56
85027 24 24 $162.09
81001 46 44 $162.07
90716 1,819 1,733 $132.88
90734 1,277 1,240 $126.51
86850 12 12 $106.37
90647 10,638 10,268 $87.58
90633 5,739 5,572 $67.78
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 254 242 $17.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg 20 12 $14.14
90696 1,105 1,084 $0.27
90700 1,347 1,320 $0.24
90710 866 850 $0.24
90381 45 42 $0.00
88142 63 58 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 14 12 $0.00
95117 25 12 $0.00
87430 49 45 $0.00
90685 1,717 1,665 $0.00
90672 35 35 $0.00
90713 28 28 $0.00
17110 12 12 $0.00