Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

NPI: 1275060030 · OWATONNA, MN 55060 · Multi-Specialty Clinic/Center · NPI assigned 05/11/2017

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

Authorized official MEKALA, PRAVEEN controls 14+ related entities in our dataset. Read more

$13.72M
Total Medicaid Paid
591,494
Total Claims
545,953
Beneficiaries
241
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEKALA, PRAVEEN (CHEIF FINANCIAL OFFICER)
NPI Enumeration Date05/11/2017

Related Entities

Other providers sharing the same authorized official: MEKALA, PRAVEEN

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA MN $37.49M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN $28.51M
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA MN $21.76M
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA MN $12.58M
MAYO CLINIC HEALTH SYSTEM-FAIRMONT FAIRMONT MN $9.04M
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION RED WING MN $6.56M
MAYO CLINIC HEALTH SYSTEM-FAIRMONT FAIRMONT MN $4.71M
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION RED WING MN $4.42M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION WASECA MN $2.72M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION NEW PRAGUE MN $1.41M
MAYO CLINIC HEALTH SYSTEM-LAKE CITY LAKE CITY MN $653K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION CANNON FALLS MN $520K
MAYO CLINIC HEALTH SYSTEM-LAKE CITY LAKE CITY MN $265K
MAYO CLINIC HEALTH SYSTEM-LAKE CITY LAKE CITY MN $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,145 $774K
2019 85,311 $2.78M
2020 74,579 $2.26M
2021 118,415 $2.67M
2022 95,586 $2.26M
2023 72,244 $1.68M
2024 56,214 $1.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,742 56,987 $2.66M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,945 39,466 $2.61M
99284 Emergency department visit for the evaluation and management, high severity 17,241 16,201 $1.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,157 7,605 $737K
99215 Prolong outpt/office vis 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) 11,264 11,041 $329K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,878 4,761 $311K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20,581 18,043 $304K
99283 Emergency department visit for the evaluation and management, moderate severity 8,101 7,750 $283K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,297 3,256 $223K
90460 Immunization administration through 18 years of age via any route, first or only component 9,695 9,454 $211K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,079 3,951 $210K
36415 Collection of venous blood by venipuncture 56,017 49,284 $207K
X5622 5,027 4,412 $207K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,898 2,872 $196K
77067 Screening mammography, bilateral, including computer-aided detection 2,342 2,311 $168K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,688 4,569 $156K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,572 2,498 $141K
84443 Thyroid stimulating hormone (TSH) 10,377 10,096 $133K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,374 12,011 $122K
87631 836 811 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,219 16,302 $104K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,304 1,270 $103K
80061 Lipid panel 9,854 9,720 $100K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,286 1,268 $92K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,177 1,155 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,155 3,058 $88K
83036 Hemoglobin; glycosylated (A1C) 11,425 11,262 $83K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,146 1,133 $83K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,429 1,370 $78K
99232 Subsequent hospital care, per day, moderate complexity 2,367 851 $77K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,011 1,968 $72K
99223 Prolong inpt eval add15 m 655 611 $66K
80048 Basic metabolic panel (calcium, ionized) 10,447 9,819 $64K
77063 Screening digital breast tomosynthesis, bilateral 1,777 1,766 $59K
92015 Determination of refractive state 5,260 5,142 $57K
90686 9,375 9,190 $56K
87660 3,257 3,133 $56K
87480 3,257 3,133 $56K
87510 3,252 3,129 $56K
92340 Fitting of spectacles, except for aphakia; monofocal 2,258 2,177 $49K
80053 Comprehensive metabolic panel 6,114 5,840 $49K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 354 347 $48K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 43 42 $48K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 365 360 $47K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 455 447 $42K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 566 524 $38K
J1050 Injection, medroxyprogesterone acetate, 1 mg 561 557 $37K
71046 Radiologic examination, chest; 2 views 3,866 3,626 $35K
82728 2,715 2,654 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity 770 724 $31K
99239 Hospital discharge day management, more than 30 minutes 635 597 $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 445 435 $31K
90715 1,940 1,918 $30K
90472 Immunization administration, each additional vaccine (list separately) 3,300 3,069 $30K
90651 1,384 1,374 $28K
70450 Computed tomography, head or brain; without contrast material 1,338 1,247 $28K
85027 4,807 4,647 $27K
0002A 852 843 $27K
80050 General health panel 570 565 $26K
0001A 833 811 $24K
20610 761 616 $24K
90670 3,454 3,368 $23K
92341 918 889 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 216 215 $23K
90750 225 221 $23K
0240U 151 147 $20K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 200 198 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,410 2,047 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,851 3,841 $18K
99238 Hospital discharge day management, 30 minutes or less 415 407 $17K
99243 262 256 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,391 2,296 $16K
99188 1,251 1,243 $16K
99442 370 359 $15K
90461 2,951 2,866 $15K
76801 194 188 $15K
99177 287 287 $14K
82565 3,626 3,269 $13K
81001 5,389 5,133 $13K
82570 2,961 2,816 $13K
99443 216 204 $12K
99460 235 232 $12K
71275 Computed tomographic angiography, chest, with contrast material 209 199 $12K
76830 Ultrasound, transvaginal 218 211 $12K
81025 1,609 1,550 $12K
84702 860 669 $12K
93000 1,326 1,299 $12K
82043 2,616 2,571 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 210 204 $11K
17110 221 210 $11K
85610 3,849 2,268 $11K
71045 Radiologic examination, chest; single view 1,853 1,588 $10K
86140 1,907 1,847 $9K
84439 1,100 1,070 $9K
59025 Fetal non-stress test 575 355 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 66 66 $8K
0004A 236 236 $8K
81003 4,105 3,984 $8K
90662 303 302 $8K
82947 2,424 2,352 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 162 160 $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 356 348 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 131 115 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 132 130 $7K
90732 93 93 $7K
84460 1,559 1,465 $7K
90677 35 35 $6K
84450 1,623 1,548 $6K
92567 687 679 $6K
0064A 245 243 $6K
84153 328 323 $6K
99308 Subsequent nursing facility care, per day, straightforward 225 203 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 653 576 $5K
73630 536 484 $5K
36416 2,302 1,950 $5K
73030 429 382 $5K
0012A 187 187 $5K
99310 Prolong nursin fac eval 15m 68 65 $5K
85018 2,223 2,186 $5K
0072A 118 118 $4K
0071A 110 110 $4K
0124A 143 139 $4K
0054A 130 130 $4K
73610 476 446 $4K
99496 39 37 $4K
73562 228 185 $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) 1,610 1,539 $4K
84132 1,102 1,005 $4K
92557 173 170 $4K
99242 65 63 $4K
92551 484 480 $3K
0011A 163 163 $3K
G0008 Administration of influenza virus vaccine 1,040 1,021 $3K
72125 Computed tomography, cervical spine; without contrast material 112 105 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity 112 112 $3K
90734 1,040 1,030 $3K
82950 615 609 $3K
73130 196 165 $2K
91322 46 46 $2K
83735 545 429 $2K
99441 79 79 $2K
90656 361 361 $2K
0134A 79 79 $2K
73564 115 93 $2K
83880 61 59 $2K
83690 314 307 $2K
82040 389 373 $1K
72100 98 97 $1K
73110 99 89 $1K
97803 33 25 $1K
99462 51 39 $1K
90480 47 47 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 246 235 $1K
73502 97 95 $1K
A9585 Injection, gadobutrol, 0.1 ml 58 37 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 18 12 $1K
90707 486 478 $1K
90716 505 497 $1K
76642 16 14 $958.74
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 34 24 $920.09
87070 204 195 $893.54
93976 12 12 $834.82
51798 170 165 $822.17
80076 116 111 $815.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 138 107 $776.39
67028 Intravitreal injection of a pharmacologic agent 14 13 $737.81
95886 12 12 $689.11
92134 33 32 $680.74
84156 207 193 $635.95
90710 554 551 $578.70
82248 134 120 $519.30
93971 12 12 $468.36
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $426.16
99173 261 260 $388.73
90620 12 12 $372.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 12 12 $366.96
71250 15 14 $354.66
90697 193 193 $353.25
0003A 13 13 $346.05
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $314.96
82247 67 62 $299.75
90474 33 33 $284.83
84295 73 70 $276.07
95251 12 12 $249.09
73140 14 12 $235.67
82310 69 67 $217.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 33 29 $165.15
85652 79 78 $154.70
69209 13 12 $127.04
90696 446 443 $126.90
J1885 Injection, ketorolac tromethamine, per 15 mg 112 103 $112.47
80051 12 12 $96.87
99201 29 29 $68.42
96127 26 25 $39.04
90698 3,099 3,025 $11.70
J1030 Injection, methylprednisolone acetate, 40 mg 15 12 $6.47
3074F 25,982 23,746 $0.00
3079F 5,089 4,814 $0.00
91306 109 107 $0.00
90744 1,330 1,308 $0.00
90680 1,921 1,889 $0.00
G8432 Depression screening not documented, reason not given 357 317 $0.00
3052F 451 318 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,704 1,666 $0.00
91305 197 195 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 9,485 7,299 $0.00
97802 39 38 $0.00
3044F 1,425 1,119 $0.00
3075F 2,958 2,797 $0.00
3080F 869 819 $0.00
91301 282 260 $0.00
91307 281 260 $0.00
1123F 532 364 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 218 165 $0.00
74019 26 24 $0.00
1111F 81 66 $0.00
V5008 Hearing screening 12 12 $0.00
90619 25 25 $0.00
99024 17 12 $0.00
99493 24 24 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 13 12 $0.00
3078F 22,379 20,346 $0.00
1159F 51 50 $0.00
91300 2,034 1,891 $0.00
3077F 1,571 1,461 $0.00
90633 1,508 1,493 $0.00
0502F 2,185 1,645 $0.00
90685 602 554 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 88 67 $0.00
3046F 464 333 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 13 13 $0.00
3051F 463 349 $0.00
74018 18 18 $0.00
99354 18 12 $0.00
82374 12 12 $0.00
91312 88 86 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $0.00
91313 37 37 $0.00
1160F 14 14 $0.00
84520 14 13 $0.00