Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mayo Clinic Health System-Southeast Minnesota Region

Mayo Clinic Health System-Southeast Minnesota Region was paid $13.72M by Medicaid between Jan 2018 and Dec 2024, across 241 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.

33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
OWATONNA, MN 55060
33aNPI1275060030assigned 05/11/2017
28Total paid$13.72M
24GClaims591,494
24DCodes billed241
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Minnesota

Rank by total paid#7 of 87
Median peer was paid$1.04M
This provider vs. median13×

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 MEKALA, PRAVEEN controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201889,145$774K
201985,311$2.78M
202074,579$2.26M
2021118,415$2.67M
202295,586$2.26M
202372,244$1.68M
2024incomplete56,214$1.29M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 62,742 56,987 $2.66M
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 19% 42,945 39,466 $2.61M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.0% 17,241 16,201 $1.10M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.4% 8,157 7,605 $737K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 4,164 3,959 $338K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.4% 11,264 11,041 $329K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 4,878 4,761 $311K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.2% 20,581 18,043 $304K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.1% 8,101 7,750 $283K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.6% 3,297 3,256 $223K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 9,695 9,454 $211K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 4,079 3,951 $210K
229 more codes
36415 Collection of venous blood by venipuncture 1.5% 56,017 $207K
X5622 1.5% 5,027 $207K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 2,898 $196K
77067 Screening mammography, bilateral, including computer-aided detection 1.2% 2,342 $168K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.1% 4,688 $156K
99203 Doctor's office visit, new patient (routine) 1.0% 2,572 $141K
84443 Thyroid stimulating hormone (TSH) <1% 10,377 $133K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12,374 $122K
87631 <1% 836 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,219 $104K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,304 $103K
80061 Lipid panel <1% 9,854 $100K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,286 $92K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,177 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,155 $88K
83036 Hemoglobin; glycosylated (A1C) <1% 11,425 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,146 $83K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,429 $78K
99232 Hospital visit by a doctor, follow-up day <1% 2,367 $77K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,011 $72K
99223 Prolong inpt eval add15 m <1% 655 $66K
80048 Basic metabolic panel (calcium, ionized) <1% 10,447 $64K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,777 $59K
92015 Determination of refractive state <1% 5,260 $57K
90686 <1% 9,375 $56K
87660 <1% 3,257 $56K
87480 <1% 3,257 $56K
87510 <1% 3,252 $56K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 2,258 $49K
80053 Comprehensive metabolic panel <1% 6,114 $49K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 354 $48K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 43 $48K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 365 $47K
99204 Doctor's office visit, new patient (more involved) <1% 455 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 566 $38K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 561 $37K
71046 Radiologic examination, chest; 2 views <1% 3,866 $35K
82728 <1% 2,715 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 770 $31K
99239 Hospital discharge day management, more than 30 minutes <1% 635 $31K
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 <1% 445 $31K
90715 <1% 1,940 $30K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,300 $30K
90651 <1% 1,384 $28K
70450 Computed tomography, head or brain; without contrast material <1% 1,338 $28K
85027 <1% 4,807 $27K
0002A <1% 852 $27K
80050 General health panel <1% 570 $26K
0001A <1% 833 $24K
20610 <1% 761 $24K
90670 <1% 3,454 $23K
92341 <1% 918 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 216 $23K
90750 <1% 225 $23K
0240U <1% 151 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 200 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,410 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 4,851 $18K
99238 Hospital discharge day management, 30 minutes or less <1% 415 $17K
99243 <1% 262 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,391 $16K
99188 <1% 1,251 $16K
99442 <1% 370 $15K
90461 <1% 2,951 $15K
76801 <1% 194 $15K
99177 <1% 287 $14K
82565 <1% 3,626 $13K
81001 <1% 5,389 $13K
82570 <1% 2,961 $13K
99443 <1% 216 $12K
99460 <1% 235 $12K
71275 Computed tomographic angiography, chest, with contrast material <1% 209 $12K
76830 Ultrasound, transvaginal <1% 218 $12K
81025 <1% 1,609 $12K
84702 <1% 860 $12K
93000 <1% 1,326 $12K
82043 <1% 2,616 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 210 $11K
17110 <1% 221 $11K
85610 <1% 3,849 $11K
71045 Radiologic examination, chest; single view <1% 1,853 $10K
86140 <1% 1,907 $9K
84439 <1% 1,100 $9K
59025 Fetal non-stress test <1% 575 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 66 $8K
0004A <1% 236 $8K
81003 <1% 4,105 $8K
90662 <1% 303 $8K
82947 <1% 2,424 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 162 $8K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 356 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 131 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 132 $7K
90732 <1% 93 $7K
84460 <1% 1,559 $7K
90677 <1% 35 $6K
84450 <1% 1,623 $6K
92567 <1% 687 $6K
0064A <1% 245 $6K
84153 <1% 328 $6K
99308 Subsequent nursing facility care, per day, straightforward <1% 225 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 653 $5K
73630 <1% 536 $5K
36416 <1% 2,302 $5K
73030 <1% 429 $5K
0012A <1% 187 $5K
99310 Prolong nursin fac eval 15m <1% 68 $5K
85018 <1% 2,223 $5K
0072A <1% 118 $4K
0071A <1% 110 $4K
0124A <1% 143 $4K
0054A <1% 130 $4K
73610 <1% 476 $4K
99496 <1% 39 $4K
73562 <1% 228 $4K
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% 1,610 $4K
84132 <1% 1,102 $4K
92557 <1% 173 $4K
99242 <1% 65 $4K
92551 <1% 484 $3K
0011A <1% 163 $3K
G0008 Administration of influenza virus vaccine <1% 1,040 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 112 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 112 $3K
90734 <1% 1,040 $3K
82950 <1% 615 $3K
73130 <1% 196 $2K
91322 <1% 46 $2K
83735 <1% 545 $2K
99441 <1% 79 $2K
90656 <1% 361 $2K
0134A <1% 79 $2K
73564 <1% 115 $2K
83880 <1% 61 $2K
83690 <1% 314 $2K
82040 <1% 389 $1K
72100 <1% 98 $1K
73110 <1% 99 $1K
97803 <1% 33 $1K
99462 <1% 51 $1K
90480 <1% 47 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 246 $1K
73502 <1% 97 $1K
A9585 Injection, gadobutrol, 0.1 ml <1% 58 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 18 $1K
90707 <1% 486 $1K
90716 <1% 505 $1K
76642 <1% 16 $958.74
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 34 $920.09
87070 <1% 204 $893.54
93976 <1% 12 $834.82
51798 <1% 170 $822.17
80076 <1% 116 $815.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 138 $776.39
67028 Intravitreal injection of a pharmacologic agent <1% 14 $737.81
95886 <1% 12 $689.11
92134 <1% 33 $680.74
84156 <1% 207 $635.95
90710 <1% 554 $578.70
82248 <1% 134 $519.30
93971 <1% 12 $468.36
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $426.16
99173 <1% 261 $388.73
90620 <1% 12 $372.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 12 $366.96
71250 <1% 15 $354.66
90697 <1% 193 $353.25
0003A <1% 13 $346.05
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 12 $314.96
82247 <1% 67 $299.75
90474 <1% 33 $284.83
84295 <1% 73 $276.07
95251 <1% 12 $249.09
73140 <1% 14 $235.67
82310 <1% 69 $217.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 33 $165.15
85652 <1% 79 $154.70
69209 <1% 13 $127.04
90696 <1% 446 $126.90
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 112 $112.47
80051 <1% 12 $96.87
99201 <1% 29 $68.42
96127 <1% 26 $39.04
90698 <1% 3,099 $11.70
J1030 Injection, methylprednisolone acetate, 40 mg <1% 15 $6.47
3074F 0% 25,982 $0.00
3079F 0% 5,089 $0.00
91306 0% 109 $0.00
90744 0% 1,330 $0.00
90680 0% 1,921 $0.00
G8432 Depression screening not documented, reason not given 0% 357 $0.00
3052F 0% 451 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,704 $0.00
91305 0% 197 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 9,485 $0.00
97802 0% 39 $0.00
3044F 0% 1,425 $0.00
3075F 0% 2,958 $0.00
3080F 0% 869 $0.00
91301 0% 282 $0.00
91307 0% 281 $0.00
1123F 0% 532 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 218 $0.00
74019 0% 26 $0.00
1111F 0% 81 $0.00
V5008 Hearing screening 0% 12 $0.00
90619 0% 25 $0.00
99024 0% 17 $0.00
99493 0% 24 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 0% 13 $0.00
3078F 0% 22,379 $0.00
1159F 0% 51 $0.00
91300 0% 2,034 $0.00
3077F 0% 1,571 $0.00
90633 0% 1,508 $0.00
0502F 0% 2,185 $0.00
90685 0% 602 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 0% 88 $0.00
3046F 0% 464 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 13 $0.00
3051F 0% 463 $0.00
74018 0% 18 $0.00
99354 0% 18 $0.00
82374 0% 12 $0.00
91312 0% 88 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 0% 13 $0.00
91313 0% 37 $0.00
1160F 0% 14 $0.00
84520 0% 14 $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 officialMEKALA, PRAVEEN (CHEIF FINANCIAL OFFICER)
Same official

Other billing entities under MEKALA, PRAVEEN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.