Clinic
Mayo Clinic Health System-Fairmont
Mayo Clinic Health System-Fairmont was paid $4.71M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-FAIRMONT
FAIRMONT, MN 56031
FAIRMONT, MN 56031
33aNPI1366410862assigned 03/09/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.71M
24GClaims144,416
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#19 of 87
Median peer was paid$1.04M
This provider vs. median4.5×
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 MEKALA, PRAVEEN controls 14+ 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 | |
|---|---|---|---|
| 2018 | 19,728 | $231K | |
| 2019 | 21,702 | $885K | |
| 2020 | 17,566 | $749K | |
| 2021 | 31,375 | $978K | |
| 2022 | 24,371 | $803K | |
| 2023 | 17,015 | $622K | |
| 2024incomplete | 12,659 | $446K |
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 | 30% | 28,480 | 25,510 | $1.42M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 10,791 | 9,857 | $749K |
| 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% | 21,553 | 19,283 | $684K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.2% | 3,340 | 3,039 | $338K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 3,222 | 3,015 | $239K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.9% | 6,422 | 5,938 | $232K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 1,411 | 1,005 | $94K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 1,608 | 1,585 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 1,381 | 1,371 | $71K |
| V2020 | Frames, purchases | 1.3% | 1,957 | 1,832 | $61K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.2% | 1,434 | 1,420 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,786 | 2,584 | $55K |
66 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,274 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,156 | $47K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,940 | $44K |
| 99310 | Prolong nursin fac eval 15m | <1% | 462 | $44K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 710 | $42K |
| 92015 | Determination of refractive state | <1% | 3,224 | $38K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,232 | $36K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 797 | $33K |
| X5622 | <1% | 1,099 | $33K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,015 | $31K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 544 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 541 | $31K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,858 | $27K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 634 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 336 | $20K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,242 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 140 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 121 | $9K |
| 99188 | <1% | 568 | $8K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 277 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 931 | $7K |
| 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% | 1,503 | $6K |
| 92341 | <1% | 169 | $5K | |
| 90837 | Psychotherapy session, about an hour | <1% | 43 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 147 | $5K |
| 98927 | <1% | 171 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 598 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 188 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | $2K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | $2K |
| 99442 | <1% | 70 | $2K | |
| 99443 | <1% | 42 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 350 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 354 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 48 | $1K |
| 92551 | <1% | 113 | $966.00 | |
| 73630 | <1% | 169 | $864.95 | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 13 | $717.47 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 25 | $613.64 |
| 99173 | <1% | 320 | $601.73 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 16 | $543.58 |
| 99307 | <1% | 17 | $535.74 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 38 | $492.49 |
| 0764T | <1% | 30 | $460.88 | |
| 96161 | <1% | 148 | $338.95 | |
| 73564 | <1% | 30 | $250.52 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 183 | $181.89 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $33.97 |
| 3074F | 0% | 8,836 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 4,591 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 488 | $0.00 |
| 3079F | 0% | 2,586 | $0.00 | |
| 3075F | 0% | 1,104 | $0.00 | |
| 3080F | 0% | 395 | $0.00 | |
| 3044F | 0% | 517 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 221 | $0.00 |
| 1123F | 0% | 238 | $0.00 | |
| 1111F | 0% | 72 | $0.00 | |
| 3078F | 0% | 7,214 | $0.00 | |
| 0502F | 0% | 915 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 213 | $0.00 |
| 1159F | 0% | 27 | $0.00 | |
| 3077F | 0% | 612 | $0.00 | |
| 73610 | 0% | 13 | $0.00 | |
| 85610 | 0% | 33 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 16 | $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 officialMEKALA, PRAVEEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $37.49M |
| 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-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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.