Fairview Clinics
Fairview Clinics was paid $1.05M by Medicaid between Jan 2018 and Dec 2020, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
COLUMBIA HEIGHTS, MN 55421
Next to other Multi-Specialty Clinic/Center 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 | 17,105 | $120K | |
| 2019 | 16,929 | $538K | |
| 2020 | 11,583 | $392K |
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 | 42% | 8,887 | 7,780 | $446K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,758 | 7,019 | $279K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.5% | 1,870 | 1,850 | $78K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 3,082 | 2,952 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 380 | 377 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 364 | 363 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 182 | 182 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 1,149 | 1,123 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 261 | 256 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,320 | 4,911 | $10K |
| X5622 | <1% | 1,458 | 1,428 | $10K | |
| 80061 | Lipid panel | <1% | 859 | 848 | $9K |
55 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 786 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,113 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 101 | $6K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 362 | $6K |
| 90686 | <1% | 1,147 | $6K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 857 | $5K |
| 92551 | <1% | 1,277 | $5K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 254 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 711 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 239 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 240 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 919 | $4K |
| 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 | <1% | 44 | $4K |
| 96127 | <1% | 1,241 | $4K | |
| 99442 | <1% | 140 | $3K | |
| 99188 | <1% | 385 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 315 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $3K |
| 90682 | <1% | 66 | $3K | |
| 85027 | <1% | 587 | $3K | |
| 80050 | General health panel | <1% | 27 | $1K |
| 90651 | <1% | 74 | $1K | |
| 99173 | <1% | 1,271 | $987.56 | |
| 90670 | <1% | 132 | $927.74 | |
| 81001 | <1% | 407 | $925.20 | |
| 87081 | <1% | 167 | $709.71 | |
| 90662 | <1% | 14 | $671.06 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 59 | $648.08 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 40 | $500.05 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 20 | $485.78 |
| 99443 | <1% | 19 | $483.05 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 56 | $373.41 |
| 90715 | <1% | 75 | $368.13 | |
| 99441 | <1% | 36 | $359.80 | |
| 87210 | <1% | 144 | $350.29 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 68 | $312.28 |
| 86803 | <1% | 44 | $300.71 | |
| G0008 | Administration of influenza virus vaccine | <1% | 111 | $280.35 |
| 82607 | <1% | 14 | $241.10 | |
| 86780 | <1% | 24 | $194.37 | |
| 83655 | <1% | 13 | $172.34 | |
| 84439 | <1% | 12 | $112.66 | |
| 36416 | <1% | 19 | $56.39 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 27 | $41.11 |
| 85018 | <1% | 12 | $31.96 | |
| 98967 | 0% | 34 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 84703 | 0% | 42 | $0.00 | |
| 82043 | 0% | 15 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90685 | 0% | 18 | $0.00 | |
| 90734 | 0% | 72 | $0.00 | |
| 90633 | 0% | 57 | $0.00 | |
| 98966 | 0% | 41 | $0.00 | |
| 99421 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Fairview Health Services | Minneapolis, MN | $90.41M |
| Fairview Health Services | Saint Paul, MN | $48.52M |
| Fairview Health Services | Burnsville, MN | $29.98M |
| Fairview Health Services | Minneapolis, MN | $26.56M |
| Healtheast ST. John's Hospital | Maplewood, MN | $17.91M |
| Fairview Health Services | Edina, MN | $17.24M |
| Healtheast Medical Research Institute | Saint Paul, MN | $11.37M |
| Fairview Clinics | Bloomington, MN | $9.40M |
| Fairview Health Services | Princeton, MN | $9.36M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.76M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.29M |
| Fairview Clinics | Brooklyn Park, MN | $8.06M |
| Fairview Health Services | Wyoming, MN | $7.71M |
| Healtheast Medical Research Institute | Maplewood, MN | $7.44M |
| Healtheast Woodwinds Hospital | Woodbury, MN | $6.17M |
| Fairview Clinics | Burnsville, MN | $4.75M |
| Fairview Clinics | Minneapolis, MN | $4.75M |
| Fairview Express Care | Saint Paul, MN | $4.57M |
| Fairview Clinics | Saint Paul, MN | $4.37M |
| Healtheast Medical Research Institute | Woodbury, MN | $4.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.