Centracare Health System-Nr LLC
Centracare Health System-Nr LLC was paid $6.73M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99282, Emergency department visit for the evaluation and management, low to moderate severity — 40% of everything it billed.
MONTICELLO, MN 55362
Next to other Critical Access Hospital providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,056 | $341K | |
| 2019 | 7,178 | $1.05M | |
| 2020 | 6,205 | $662K | |
| 2021 | 12,769 | $1.29M | |
| 2022 | 12,573 | $1.50M | |
| 2023 | 10,756 | $1.29M | |
| 2024incomplete | 4,921 | $596K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 40% | 14,455 | 13,581 | $2.72M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 31% | 14,078 | 12,764 | $2.08M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.5% | 6,606 | 6,156 | $505K |
| 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 | 3.8% | 4,637 | 1,972 | $257K |
| A0425 | Ground mileage, per statute mile | 3.2% | 1,076 | 900 | $218K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | 2.7% | 603 | 516 | $184K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.0% | 1,133 | 1,062 | $131K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 2,875 | 2,362 | $103K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 6,873 | 6,048 | $96K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.2% | 695 | 653 | $82K |
| A0427 | Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1.1% | 196 | 182 | $74K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 676 | 508 | $61K |
39 more codes
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 329 | $45K |
| 80053 | Comprehensive metabolic panel | <1% | 1,937 | $26K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 181 | $20K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 110 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 719 | $14K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 164 | $10K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 135 | $9K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 287 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 164 | $8K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 313 | $8K |
| J3490 | Unclassified drugs | <1% | 755 | $7K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 37 | $6K |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 15 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,111 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 357 | $4K |
| 97602 | <1% | 127 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 82 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 53 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 43 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $2K |
| 81001 | <1% | 195 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 541 | $2K |
| 36592 | <1% | 27 | $1K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 67 | $1K |
| 83605 | <1% | 108 | $1K | |
| 84484 | <1% | 42 | $635.86 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | $624.07 |
| 86140 | <1% | 62 | $600.08 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 98 | $303.77 |
| J2704 | Injection, propofol, 10 mg | <1% | 41 | $300.51 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 34 | $265.20 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 13 | $240.32 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 56 | $182.59 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 42 | $152.64 |
| 81003 | <1% | 46 | $105.98 | |
| 81025 | <1% | 29 | $88.54 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 26 | $42.32 |
| A9270 | Non-covered item or service | <1% | 65 | $28.06 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 17 | $20.88 |
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.
Who's on the registration
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.