Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ALBERT LEA › MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

NPI: 1346258100 · ALBERT LEA, MN 56007 · General Acute Care Hospital · NPI assigned 08/04/2006

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

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

$37.49M
Total Medicaid Paid
555,577
Total Claims
509,340
Beneficiaries
216
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEKALA, PRAVEEN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: MEKALA, PRAVEEN

ProviderCityStateTotal Paid
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 OWATONNA MN $13.72M
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 75,639 $1.76M
2019 81,209 $5.21M
2020 70,110 $4.31M
2021 89,204 $5.91M
2022 100,358 $7.27M
2023 87,711 $7.34M
2024 51,346 $5.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 197,133 179,563 $13.73M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,110 19,076 $8.10M
99283 Emergency department visit for the evaluation and management, moderate severity 28,266 26,288 $5.30M
99284 Emergency department visit for the evaluation and management, high severity 19,508 17,107 $4.49M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,452 6,370 $565K
36415 Collection of venous blood by venipuncture 72,623 66,341 $432K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,645 2,506 $428K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,204 3,116 $399K
90460 Immunization administration through 18 years of age via any route, first or only component 14,658 13,985 $368K
90837 Psychotherapy, 53 minutes with patient 3,368 2,379 $319K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15,432 14,912 $293K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,643 2,607 $231K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,746 7,979 $196K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,711 1,665 $177K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 765 512 $172K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,282 29,125 $126K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,766 9,375 $117K
71045 Radiologic examination, chest; single view 2,067 1,978 $107K
90834 Psychotherapy, 45 minutes with patient 988 783 $104K
11721 3,255 3,114 $100K
41899 Unlisted procedure, dentoalveolar structures 222 217 $100K
67028 Intravitreal injection of a pharmacologic agent 391 298 $76K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,354 1,308 $65K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 460 448 $62K
90461 5,100 4,631 $61K
20553 343 333 $61K
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 977 919 $60K
96361 Intravenous infusion, hydration; each additional hour 1,241 1,154 $58K
80053 Comprehensive metabolic panel 13,457 12,683 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,273 2,130 $55K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,273 2,130 $55K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 175 171 $49K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,150 1,127 $49K
71046 Radiologic examination, chest; 2 views 1,065 1,028 $44K
90791 Psychiatric diagnostic evaluation 346 330 $40K
90670 4,865 4,630 $36K
96375 Therapeutic injection; each additional sequential IV push 638 594 $36K
T1013 Sign language or oral interpretive services, per 15 minutes 1,511 1,414 $32K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 185 163 $32K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 563 179 $31K
80048 Basic metabolic panel (calcium, ionized) 4,719 4,398 $29K
0002A 770 769 $28K
74177 Computed tomography, abdomen and pelvis; with contrast material 284 274 $28K
90832 Psychotherapy, 30 minutes with patient 481 407 $28K
83605 2,424 2,253 $24K
87631 639 627 $23K
90686 8,998 8,870 $22K
96127 636 563 $20K
73630 471 396 $19K
99233 Prolong inpt eval add15 m 263 100 $16K
83655 741 730 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 379 355 $16K
87086 Culture, bacterial; quantitative colony count, urine 1,525 1,422 $15K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 167 157 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 201 174 $14K
Q3014 Telehealth originating site facility fee 546 379 $14K
0001A 391 389 $14K
86780 997 918 $12K
83036 Hemoglobin; glycosylated (A1C) 1,215 1,149 $12K
80061 Lipid panel 987 940 $12K
77067 Screening mammography, bilateral, including computer-aided detection 473 465 $12K
84443 Thyroid stimulating hormone (TSH) 779 750 $11K
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 553 530 $11K
99177 638 637 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 88 79 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 214 199 $10K
99223 Prolong inpt eval add15 m 82 56 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 189 172 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 381 173 $9K
77063 Screening digital breast tomosynthesis, bilateral 459 452 $9K
81001 3,860 3,652 $8K
99232 Subsequent hospital care, per day, moderate complexity 251 63 $8K
90792 Psychiatric diagnostic evaluation with medical services 85 65 $8K
80050 General health panel 148 126 $8K
90472 Immunization administration, each additional vaccine (list separately) 2,272 2,194 $7K
20611 43 38 $6K
20610 30 27 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 52 48 $6K
96132 31 30 $6K
0072A 180 179 $5K
85027 656 617 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 67 65 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 248 230 $5K
87340 260 234 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material 73 73 $4K
99239 Hospital discharge day management, more than 30 minutes 58 55 $4K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 212 207 $4K
92567 174 174 $4K
86481 65 62 $4K
84146 91 90 $4K
83690 1,399 1,340 $3K
70450 Computed tomography, head or brain; without contrast material 126 119 $3K
84484 887 790 $3K
76801 25 25 $3K
87660 389 381 $3K
97161 34 34 $3K
87510 389 381 $3K
87480 389 381 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 579 564 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $2K
31575 15 15 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $2K
81003 571 549 $2K
71275 Computed tomographic angiography, chest, with contrast material 37 35 $2K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 66 64 $2K
0071A 80 80 $2K
90734 178 173 $2K
87070 392 381 $2K
17110 14 12 $2K
90697 355 354 $2K
86850 182 167 $2K
92557 13 13 $1K
92133 78 78 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 63 55 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 13 $1K
85610 1,252 1,079 $1K
84702 125 121 $1K
92134 57 53 $1K
90716 75 75 $1K
82805 115 108 $1K
86787 85 80 $1K
96136 31 30 $1K
86769 36 35 $1K
0012A 28 28 $1K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $888.74
0124A 34 34 $870.05
90473 121 94 $832.54
0004A 42 42 $818.27
71271 13 12 $816.29
90677 178 178 $802.03
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 13 13 $764.17
87653 15 15 $713.32
86762 72 68 $669.30
90480 26 26 $642.39
59025 Fetal non-stress test 20 12 $632.71
0003A 50 50 $601.94
98968 19 13 $574.47
81025 136 127 $558.78
86706 18 17 $549.25
87209 30 24 $525.05
J7030 Infusion, normal saline solution , 1000 cc 797 730 $493.24
90656 256 255 $450.92
92015 Determination of refractive state 235 230 $409.32
84439 25 25 $403.92
84460 54 53 $357.22
0052A 14 14 $337.56
0013A 16 16 $333.70
86140 256 248 $309.55
69210 13 13 $300.34
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,139 752 $277.18
90474 26 26 $267.84
87177 30 24 $259.81
90651 812 791 $256.85
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 25 17 $251.10
85730 25 25 $240.92
84450 42 41 $238.86
76705 Ultrasound, abdominal, real time with image documentation; limited 14 14 $221.37
82950 42 40 $203.28
G0008 Administration of influenza virus vaccine 14 14 $196.40
86901 71 65 $172.59
86900 71 65 $172.59
95886 32 25 $162.16
J1885 Injection, ketorolac tromethamine, per 15 mg 1,601 1,404 $150.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 438 405 $148.00
84478 27 27 $147.25
83735 198 187 $132.81
82248 305 274 $122.78
99173 237 198 $118.49
82607 15 14 $111.37
85018 26 26 $109.72
J3010 Injection, fentanyl citrate, 0.1 mg 262 205 $96.45
73130 18 15 $96.01
82947 26 26 $95.78
73610 13 12 $78.78
96137 14 13 $66.60
99188 132 108 $57.37
J2704 Injection, propofol, 10 mg 1,137 531 $51.68
90672 122 95 $31.08
90744 1,109 1,029 $29.74
A9270 Non-covered item or service 83 70 $16.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg 328 273 $8.24
J2405 Injection, ondansetron hydrochloride, per 1 mg 397 217 $6.78
36416 122 118 $3.26
90619 31 30 $2.94
J2250 Injection, midazolam hydrochloride, per 1 mg 165 141 $2.63
90698 4,170 3,929 $1.90
90633 1,043 993 $1.80
90685 636 563 $1.00
90696 81 78 $0.93
90710 70 67 $0.93
J1170 Injection, hydromorphone, up to 4 mg 13 12 $0.00
90680 2,095 1,994 $0.00
V5008 Hearing screening 66 61 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 579 480 $0.00
J1790 Injection, droperidol, up to 5 mg 25 24 $0.00
91307 314 306 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 28 14 $0.00
92551 231 181 $0.00
91305 22 22 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 26 26 $0.00
91301 25 25 $0.00
0065U 12 12 $0.00
J0690 Injection, cefazolin sodium, 500 mg 12 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 30 12 $0.00
86803 12 12 $0.00
90715 51 50 $0.00
91300 1,247 1,229 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 123 110 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 29 28 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 50 39 $0.00
90691 15 14 $0.00
90707 36 36 $0.00
86682 19 13 $0.00
86765 12 12 $0.00
91312 19 19 $0.00
86735 12 12 $0.00