Clinic
Gillette Children's Specialty Healthcare
Gillette Children's Specialty Healthcare was paid $5.38M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 18% of everything it billed.
33Billing provider infoGILLETTE CHILDREN'S SPECIALTY HEALTHCARE
ST. PAUL, MN 55101
ST. PAUL, MN 55101
33aNPI1225119175assigned 10/18/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$5.38M
24GClaims131,712
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#15 of 87
Median peer was paid$1.04M
This provider vs. median5.2×
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 | 22,534 | $725K | |
| 2019 | 24,827 | $977K | |
| 2020 | 21,226 | $825K | |
| 2021 | 30,930 | $1.54M | |
| 2022 | 13,489 | $592K | |
| 2023 | 12,385 | $507K | |
| 2024incomplete | 6,321 | $217K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 13,844 | 12,801 | $983K |
| 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 | 17% | 20,361 | 18,722 | $941K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 25,460 | 23,465 | $791K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 4,424 | 992 | $285K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 5,458 | 5,313 | $241K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 4,419 | 1,114 | $202K |
| 64642 | 3.6% | 4,869 | 4,671 | $191K | |
| 64643 | 3.2% | 3,729 | 3,553 | $172K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 10,264 | 9,525 | $169K |
| 99205 | Prolong outpt/office vis | 2.6% | 1,367 | 1,312 | $142K |
| 99417 | Prolong home eval add 15m | 2.0% | 2,515 | 2,356 | $110K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 3,643 | 3,551 | $101K |
50 more codes
| J0475 | Injection, baclofen, 10 mg | 1.7% | 172 | $92K |
| 95951 | 1.7% | 467 | $91K | |
| D1110 | Prophylaxis - adult | 1.4% | 2,159 | $74K |
| D0120 | Dental checkup, returning patient | 1.4% | 3,353 | $73K |
| 64640 | 1.3% | 985 | $73K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 2,860 | $70K |
| D1206 | Topical application of fluoride varnish | 1.1% | 3,231 | $60K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.0% | 2,814 | $54K |
| 99243 | <1% | 1,120 | $53K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 657 | $53K |
| 62369 | <1% | 2,078 | $40K | |
| 99242 | <1% | 879 | $35K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 338 | $31K |
| 95873 | <1% | 2,862 | $30K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 400 | $27K |
| 97803 | <1% | 760 | $26K | |
| 99354 | <1% | 338 | $23K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 354 | $22K |
| D1120 | Dental cleaning, child | <1% | 699 | $18K |
| 62370 | <1% | 563 | $14K | |
| 95874 | <1% | 1,891 | $14K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 135 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 340 | $9K |
| 99221 | <1% | 135 | $9K | |
| 95720 | <1% | 63 | $8K | |
| 96156 | <1% | 197 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 276 | $6K |
| 99245 | <1% | 53 | $6K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 108 | $4K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 165 | $3K |
| 01922 | <1% | 12 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 46 | $2K |
| 99356 | <1% | 23 | $1K | |
| 62368 | <1% | 75 | $1K | |
| 99443 | <1% | 29 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 49 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 276 | $1K |
| 51726 | <1% | 28 | $966.94 | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 12 | $897.55 |
| 76942 | <1% | 47 | $863.19 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $671.47 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 37 | $603.16 |
| 99442 | <1% | 14 | $462.51 | |
| 96150 | <1% | 28 | $209.70 | |
| 96136 | <1% | 14 | $165.86 | |
| 96132 | <1% | 14 | $90.24 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $78.48 |
| 99072 | <1% | 12 | $25.95 | |
| D9920 | 0% | 14 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 149 | $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 officialNOLAN, PATRICK (CFO)
Parent organizationGILLETTE CHILDREN'S SPECIALTY HEALTHCARE
| Provider | Location | Paid |
|---|---|---|
| Gillette Childrens Specialty Healthcare | Saint Paul, MN | $2.86M |
| Gillette Children's Specialty Healthcare | Saint Paul, MN | $2.26M |
| Gillette Children's Specialty Healthcare | Saint Paul, MN | $1.45M |
| Gillette Children's Specialty Healthcare | Minnetonka, MN | $146K |
| Gillette Children's Specialty Healthcare | Maple Grove, MN | $140K |
| Patrick M Nolan DO INC | Anchorage, AK | $47K |
| Gillette Children's Specialty Healthcare | Burnsville, MN | $14K |
| Warren Memorial Hospital INC. | Front Royal, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.