Medicaid Provider Spending

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

CENTRACARE HEALTH SYSTEM-NR LLC

NPI: 1275872772 · MONTICELLO, MN 55362 · Critical Access Hospital · NPI assigned 02/05/2013

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

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

$6.73M
Total Medicaid Paid
62,458
Total Claims
53,492
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR. VICE PRESIDENT AND CFO)
NPI Enumeration Date02/05/2013

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,921 $596K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,455 13,581 $2.72M
99283 Emergency department visit for the evaluation and management, moderate severity 14,078 12,764 $2.08M
99284 Emergency department visit for the evaluation and management, high severity 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 4,637 1,972 $257K
A0425 Ground mileage, per statute mile 1,076 900 $218K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 603 516 $184K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,133 1,062 $131K
36415 Collection of venous blood by venipuncture 2,875 2,362 $103K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,873 6,048 $96K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 695 653 $82K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 196 182 $74K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 676 508 $61K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 329 119 $45K
80053 Comprehensive metabolic panel 1,937 1,672 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 181 129 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 110 103 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 719 649 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 164 108 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 135 127 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 287 259 $8K
90832 Psychotherapy, 30 minutes with patient 164 62 $8K
J7030 Infusion, normal saline solution , 1000 cc 313 284 $8K
J3490 Unclassified drugs 755 445 $7K
96361 Intravenous infusion, hydration; each additional hour 37 26 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 15 12 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,111 996 $5K
80048 Basic metabolic panel (calcium, ionized) 357 333 $4K
97602 127 62 $4K
71045 Radiologic examination, chest; single view 82 77 $4K
71046 Radiologic examination, chest; 2 views 53 53 $4K
96375 Therapeutic injection; each additional sequential IV push 43 37 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 39 $2K
81001 195 185 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 541 258 $2K
36592 27 25 $1K
J7120 Ringers lactate infusion, up to 1000 cc 67 60 $1K
83605 108 88 $1K
84484 42 36 $635.86
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 85 81 $624.07
86140 62 52 $600.08
J1885 Injection, ketorolac tromethamine, per 15 mg 98 94 $303.77
J2704 Injection, propofol, 10 mg 41 36 $300.51
J3010 Injection, fentanyl citrate, 0.1 mg 34 24 $265.20
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13 13 $240.32
J2405 Injection, ondansetron hydrochloride, per 1 mg 56 48 $182.59
J2250 Injection, midazolam hydrochloride, per 1 mg 42 36 $152.64
81003 46 41 $105.98
81025 29 28 $88.54
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26 25 $42.32
A9270 Non-covered item or service 65 53 $28.06
J7050 Infusion, normal saline solution, 250 cc 17 13 $20.88