Fairview Clinics
Fairview Clinics was paid $368K by Medicaid between Jan 2018 and Sep 2020, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
MINNEAPOLIS, MN 55406
Next to other Primary Care 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 | 5,550 | $56K | |
| 2019 | 4,762 | $206K | |
| 2020 | 1,454 | $106K |
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 | 48% | 4,200 | 3,548 | $177K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 33% | 553 | 505 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,471 | 1,342 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 750 | 713 | $6K |
| 80061 | Lipid panel | <1% | 378 | 368 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,952 | 1,772 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 481 | 442 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 134 | 132 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | 24 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 272 | 253 | $2K |
| 90686 | <1% | 265 | 256 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 162 | 160 | $1K |
22 more codes
| 99442 | <1% | 43 | $1K | |
| 90682 | <1% | 36 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $774.48 |
| 80050 | General health panel | <1% | 25 | $668.67 |
| 99441 | <1% | 46 | $617.17 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 264 | $539.09 |
| 96127 | <1% | 115 | $403.36 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 26 | $394.01 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $370.67 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 34 | $251.41 |
| 92551 | <1% | 85 | $243.18 | |
| 90662 | <1% | 19 | $196.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17 | $145.14 |
| G0008 | Administration of influenza virus vaccine | <1% | 50 | $142.58 |
| 85027 | <1% | 27 | $105.44 | |
| 82043 | <1% | 12 | $74.02 | |
| 99173 | <1% | 75 | $50.04 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 0% | 44 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 12 | $0.00 |
| X5622 | 0% | 132 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $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.