Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SAINT CLOUD › CENTRACARE HEALTH SYSTEMS

CENTRACARE HEALTH SYSTEMS

NPI: 1326097833 · SAINT CLOUD, MN 56303 · Clinical Medical Laboratory · NPI assigned 05/10/2006

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

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

$9.41M
Total Medicaid Paid
555,797
Total Claims
504,792
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (CFO)
NPI Enumeration Date05/10/2006

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 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 HEALTH SYSTEM-NR LLC MONTICELLO MN $6.73M
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 41,147 $152K
2019 49,672 $548K
2020 48,604 $920K
2021 115,620 $2.79M
2022 107,187 $2.15M
2023 109,104 $1.58M
2024 84,463 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 42,247 33,606 $2.90M
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 36,456 29,835 $799K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 18,176 17,803 $435K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,270 11,983 $401K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,241 11,980 $400K
84443 Thyroid stimulating hormone (TSH) 26,339 25,761 $359K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12,042 11,890 $277K
88142 11,002 10,914 $219K
80061 Lipid panel 19,656 19,299 $215K
80048 Basic metabolic panel (calcium, ionized) 31,234 28,644 $214K
86803 12,812 12,682 $172K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,819 4,780 $151K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,807 3,204 $150K
87506 623 615 $144K
36415 Collection of venous blood by venipuncture 39,995 34,038 $140K
80053 Comprehensive metabolic panel 17,106 16,008 $140K
83036 Hemoglobin; glycosylated (A1C) 16,565 16,299 $139K
87086 Culture, bacterial; quantitative colony count, urine 18,652 17,565 $128K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,754 18,977 $123K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,383 2,217 $116K
83970 3,019 2,953 $111K
86780 7,384 7,263 $91K
82607 6,295 6,183 $84K
82728 5,914 5,799 $73K
87070 9,840 9,470 $73K
85610 11,316 5,617 $49K
80050 General health panel 974 970 $46K
87186 5,721 5,428 $44K
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 9,346 5,148 $42K
87340 4,136 4,082 $40K
0352U 282 279 $39K
84153 2,225 2,207 $38K
83550 5,494 5,384 $38K
83735 6,949 6,187 $37K
83540 6,121 5,985 $35K
84439 4,355 4,268 $35K
82670 1,179 1,159 $31K
84702 2,067 1,689 $31K
86140 6,625 6,220 $30K
82570 6,698 6,127 $30K
84481 1,752 1,727 $27K
80306 1,748 1,690 $26K
87077 3,109 2,954 $26K
88342 341 317 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 916 834 $25K
86762 1,707 1,690 $24K
83001 1,233 1,219 $22K
86003 1,768 266 $21K
82043 3,846 3,807 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,246 1,212 $20K
87480 1,045 1,026 $20K
87660 1,045 1,026 $20K
87510 1,042 1,023 $19K
84146 1,086 1,073 $19K
82746 1,447 1,429 $19K
87493 594 580 $19K
85027 3,033 2,766 $17K
86706 1,551 1,538 $16K
81001 6,367 5,949 $16K
82248 3,411 3,016 $16K
84403 651 641 $15K
80076 2,119 1,986 $14K
84144 659 636 $13K
86850 1,436 1,414 $13K
86769 319 311 $12K
86038 1,053 1,029 $12K
83880 302 288 $12K
83655 1,036 1,027 $12K
87209 648 623 $11K
84100 3,040 2,704 $11K
82947 2,920 2,874 $11K
87625 275 274 $10K
83516 673 329 $10K
80074 209 208 $10K
82565 2,687 2,430 $10K
85018 4,695 4,374 $9K
83002 528 519 $9K
88304 298 293 $9K
87205 2,190 2,028 $8K
86200 671 657 $8K
84460 1,469 1,435 $7K
87420 479 473 $7K
87150 227 221 $6K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 1,018 998 $6K
87177 648 623 $6K
86787 421 415 $5K
82784 541 470 $5K
83690 798 789 $5K
86431 991 984 $5K
80164 583 566 $5K
84156 1,508 1,432 $5K
81003 2,464 2,379 $5K
87329 386 383 $5K
85007 1,301 1,115 $4K
85652 1,761 1,686 $4K
84450 895 873 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 98 94 $4K
84132 936 874 $4K
83721 379 371 $3K
82533 227 213 $3K
86900 1,102 1,089 $3K
86901 1,097 1,084 $3K
82785 191 187 $3K
82550 463 425 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 46 38 $2K
84550 568 556 $2K
86141 175 168 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 273 271 $2K
80069 289 260 $2K
86480 40 40 $2K
87075 227 213 $2K
86376 140 139 $2K
86705 162 161 $2K
84402 83 80 $2K
88341 16 13 $2K
82310 414 377 $1K
87338 91 91 $1K
85379 133 132 $1K
84484 104 100 $1K
80051 296 264 $1K
G0475 Hiv antigen/antibody, combination assay, screening 167 162 $997.33
81015 279 263 $789.37
81025 85 84 $703.24
86618 34 34 $629.19
82150 107 106 $597.88
86592 162 154 $525.10
87102 67 67 $519.75
86364 34 27 $500.91
80178 100 97 $471.80
88302 13 12 $422.10
82040 93 93 $414.43
85049 54 54 $227.44
83630 12 12 $203.00
87430 58 57 $183.82
84165 15 15 $178.26
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 1,233 765 $161.59
87210 27 25 $158.79
82140 16 12 $147.94
82950 28 27 $136.78
85048 59 56 $128.88
85730 24 24 $117.67
82247 29 25 $116.94
84520 98 88 $116.76
83930 14 14 $112.36
82465 44 43 $110.75
83718 30 30 $108.42
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 17 16 $0.00
86677 43 43 $0.00