Physician
Fairview Express Care
Fairview Express Care was paid $11.43M by Medicaid between Jan 2019 and Dec 2024, across 122 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoFAIRVIEW EXPRESS CARE
SAINT PAUL, MN 55104
SAINT PAUL, MN 55104
33aNPI1346722675assigned 09/04/2018
33bProvider typeGeneral Practice Physician
28Total paid$11.43M
24GClaims194,541
24DCodes billed122
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Minnesota
Rank by total paid#2 of 23
Median peer was paid$636K
This provider vs. median18×
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.
Entity ProliferationAuthorized official RING, MAUREEN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 27,900 | $1.36M | |
| 2020 | 28,055 | $1.59M | |
| 2021 | 56,830 | $3.57M | |
| 2022 | 37,140 | $2.32M | |
| 2023 | 26,861 | $1.61M | |
| 2024incomplete | 17,755 | $979K |
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 | 21% | 32,647 | 29,344 | $2.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 25,934 | 23,786 | $1.23M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 11% | 5,827 | 5,359 | $1.22M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 15,192 | 14,404 | $954K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.2% | 9,623 | 9,179 | $939K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.6% | 12,607 | 7,432 | $757K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.6% | 6,480 | 6,237 | $637K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 3,923 | 3,668 | $424K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 4,673 | 4,550 | $397K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 2,807 | 1,671 | $237K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 1,821 | 1,750 | $229K |
| 99243 | 1.9% | 2,535 | 2,464 | $214K |
110 more codes
| 90832 | Psychotherapy session, about 30 minutes | 1.8% | 4,374 | $206K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.8% | 844 | $201K |
| 99205 | Prolong outpt/office vis | 1.4% | 1,217 | $162K |
| 92015 | Determination of refractive state | 1.4% | 12,388 | $157K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 1,321 | $138K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 903 | $99K |
| 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% | 1,091 | $83K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 848 | $57K |
| 86003 | <1% | 541 | $45K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,766 | $42K |
| 92557 | <1% | 1,451 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,053 | $33K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 589 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,246 | $31K |
| 20610 | <1% | 768 | $31K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 409 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 570 | $29K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,647 | $26K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 234 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,051 | $21K |
| 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 | <1% | 896 | $21K |
| 80053 | Comprehensive metabolic panel | <1% | 1,802 | $17K |
| 92060 | <1% | 393 | $14K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 403 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,368 | $12K |
| 99442 | <1% | 566 | $12K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 377 | $11K |
| 95117 | <1% | 1,451 | $10K | |
| 92341 | <1% | 348 | $10K | |
| 17110 | <1% | 131 | $10K | |
| 11102 | <1% | 158 | $10K | |
| V2020 | Frames, purchases | <1% | 336 | $9K |
| 99284 | Emergency room visit (serious) | <1% | 89 | $9K |
| 92550 | <1% | 571 | $8K | |
| 92567 | <1% | 746 | $8K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,825 | $8K |
| 94729 | <1% | 344 | $8K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 148 | $7K |
| 84439 | <1% | 816 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 96 | $7K |
| 99000 | <1% | 547 | $7K | |
| 99443 | <1% | 168 | $6K | |
| 80306 | <1% | 315 | $6K | |
| 94726 | <1% | 272 | $6K | |
| 82785 | <1% | 386 | $5K | |
| 80061 | Lipid panel | <1% | 405 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 174 | $5K |
| 85027 | <1% | 680 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 476 | $4K |
| 99285 | Emergency room visit (most serious) | <1% | 28 | $4K |
| 86140 | <1% | 688 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 229 | $3K |
| 82728 | <1% | 240 | $3K | |
| 94010 | <1% | 153 | $3K | |
| 90785 | <1% | 253 | $3K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 46 | $3K |
| 99441 | <1% | 187 | $3K | |
| V5266 | Battery for use in hearing device | <1% | 91 | $2K |
| 52000 | <1% | 13 | $2K | |
| 92002 | <1% | 39 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,073 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 33 | $2K |
| 85652 | <1% | 712 | $2K | |
| 11900 | <1% | 53 | $2K | |
| 80076 | <1% | 233 | $2K | |
| 86008 | <1% | 17 | $2K | |
| 73630 | <1% | 86 | $2K | |
| 81001 | <1% | 483 | $1K | |
| 88331 | <1% | 19 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $1K |
| 94375 | <1% | 60 | $1K | |
| 20611 | <1% | 14 | $1K | |
| 82565 | <1% | 217 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 155 | $1K |
| 69210 | <1% | 25 | $772.43 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 31 | $675.00 |
| 99283 | Emergency room visit (moderate) | <1% | 12 | $578.93 |
| 83550 | <1% | 68 | $532.03 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 15 | $527.70 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 20 | $526.29 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 19 | $525.31 |
| 11720 | <1% | 29 | $515.45 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 17 | $470.57 |
| 85610 | <1% | 108 | $423.99 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 18 | $388.44 |
| 51798 | <1% | 68 | $388.00 | |
| 92588 | <1% | 16 | $363.20 | |
| 94060 | <1% | 28 | $354.16 | |
| 90686 | <1% | 55 | $302.76 | |
| 95251 | <1% | 15 | $298.31 | |
| 92593 | <1% | 19 | $294.51 | |
| 92587 | <1% | 27 | $286.10 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 697 | $278.25 |
| 81025 | <1% | 31 | $260.19 | |
| 96415 | <1% | 15 | $259.78 | |
| 84460 | <1% | 50 | $255.62 | |
| 93325 | <1% | 13 | $222.48 | |
| 92133 | <1% | 13 | $189.07 | |
| 83540 | <1% | 27 | $168.07 | |
| 96127 | <1% | 18 | $134.36 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 13 | $107.05 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 82 | $104.83 |
| 84156 | <1% | 28 | $81.54 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $78.45 |
| 84450 | <1% | 13 | $65.64 | |
| 82043 | <1% | 14 | $58.02 | |
| 99188 | <1% | 12 | $45.42 | |
| 92551 | <1% | 12 | $17.82 | |
| 99173 | <1% | 12 | $3.96 | |
| 82570 | <1% | 14 | $0.10 |
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 officialRING, MAUREEN (SYS DIR GOVT REIMB & NETWK REL)
| 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.