ST. Paul Family Medical Center

ST. Paul Family Medical Center was paid $2.81M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoST. PAUL FAMILY MEDICAL CENTER
SAINT PAUL, MN 55130

33aNPI1346302981assigned 12/13/2006

33bProvider typeClinic/Center

28Total paid$2.81M

24GClaims84,677

24DCodes billed79

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Minnesota

Rank by total paid#28 of 250

Median peer was paid$274K

This provider vs. median10×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	11,223	$68K
2019	8,866	$279K
2020	7,367	$247K
2021	12,353	$360K
2022	13,355	$534K
2023	19,478	$802K
2024incomplete	12,035	$523K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	31%	10,817	9,043	$870K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	7,149	6,301	$414K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	14%	3,335	3,024	$385K
99490	Ccm add 20min	7.5%	6,884	6,594	$212K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	5.5%	3,092	2,796	$155K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3.3%	7,071	6,878	$92K
90460	Immunization administration through 18 years of age via any route, first or only component	1.7%	2,338	2,024	$49K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	1.7%	1,415	1,399	$47K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.5%	2,484	2,379	$43K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.5%	457	424	$41K
36415	Collection of venous blood by venipuncture	1.5%	9,242	8,214	$41K
80053	Comprehensive metabolic panel	1.2%	2,983	2,914	$35K

67 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.1%	455	$30K
83036	Hemoglobin; glycosylated (A1C)	1.1%	2,727	$30K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1.1%	320	$30K
84443	Thyroid stimulating hormone (TSH)	1.0%	1,507	$28K
80061	Lipid panel	<1%	1,837	$28K
99397		<1%	184	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	195	$20K
90649		<1%	157	$18K
92551		<1%	2,530	$18K
0013A		<1%	358	$15K
90686		<1%	960	$13K
0012A		<1%	520	$12K
87428		<1%	77	$12K
85027		<1%	1,576	$11K
99401		<1%	369	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	795	$10K
99204	Doctor's office visit, new patient (more involved)	<1%	77	$10K
0011A		<1%	609	$9K
90461		<1%	436	$8K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	<1%	488	$7K
99203	Doctor's office visit, new patient (routine)	<1%	87	$7K
96127		<1%	1,802	$7K
T1013	Sign language or oral interpretive services, per 15 minutes	<1%	292	$6K
99173		<1%	2,486	$5K
90688		<1%	553	$4K
90619		<1%	98	$4K
90691		<1%	28	$4K
90656		<1%	165	$3K
86803		<1%	203	$3K
86762		<1%	190	$3K
86735		<1%	192	$3K
86787		<1%	191	$3K
86765		<1%	193	$3K
99496		<1%	12	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	25	$3K
X5622		<1%	996	$2K
90734		<1%	42	$2K
86708		<1%	174	$2K
86706		<1%	195	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	545	$2K
87340		<1%	193	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	77	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	87	$2K
99384		<1%	14	$2K
99487	Ccm add 20min	<1%	15	$2K
99383		<1%	15	$1K
99439		<1%	46	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	135	$1K
90715		<1%	64	$1K
G0008	Administration of influenza virus vaccine	<1%	44	$1K
99188		<1%	131	$969.78
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	$756.35
0064A		<1%	17	$664.40
90633		<1%	65	$540.19
87807		<1%	13	$415.56
82607		<1%	29	$401.40
82746		<1%	29	$391.88
82043		<1%	41	$256.50
82570		<1%	41	$229.88
84439		<1%	12	$118.16
85018		<1%	29	$82.11
91301		0%	1,550	$0.00
M1069	Patient screened for future fall risk	0%	28	$0.00
91306		0%	17	$0.00
81003		0%	30	$0.00
82274		0%	14	$0.00
90670		0%	13	$0.00

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.

From NPPES

Who's on the registration

Authorized officialXIONG, PHUA (PRESIDENT)