Clinic
Centracare Clinic
Centracare Clinic was paid $6.96M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCENTRACARE CLINIC
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1407858020assigned 08/12/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$6.96M
24GClaims119,502
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#14 of 87
Median peer was paid$1.04M
This provider vs. median6.7×
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 BLAIR, MICHAEL 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 | |
|---|---|---|---|
| 2018 | 5,947 | $63K | |
| 2019 | 3,875 | $213K | |
| 2020 | 13,325 | $676K | |
| 2021 | 23,861 | $1.40M | |
| 2022 | 22,747 | $1.43M | |
| 2023 | 26,056 | $1.62M | |
| 2024incomplete | 23,691 | $1.56M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 60,287 | 58,146 | $3.34M |
| 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 | 35% | 33,364 | 32,082 | $2.46M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 6,076 | 5,936 | $429K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 3.3% | 4,069 | 3,508 | $228K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,119 | 1,084 | $116K |
| 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 | 1.5% | 976 | 957 | $106K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,635 | 2,562 | $41K |
| 95251 | <1% | 1,725 | 1,640 | $34K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 249 | 237 | $23K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 616 | 578 | $20K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 440 | 397 | $19K |
| 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% | 196 | 191 | $19K |
55 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,499 | $16K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 143 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 387 | $10K |
| 99205 | Prolong outpt/office vis | <1% | 59 | $8K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 37 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 161 | $6K |
| 73610 | <1% | 235 | $5K | |
| 74019 | <1% | 235 | $4K | |
| 17110 | <1% | 66 | $4K | |
| 99243 | <1% | 40 | $4K | |
| 73630 | <1% | 160 | $3K | |
| 97803 | <1% | 41 | $3K | |
| 99607 | <1% | 98 | $2K | |
| 98968 | <1% | 97 | $2K | |
| 97802 | <1% | 25 | $2K | |
| 73562 | <1% | 76 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 994 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 240 | $1K |
| 99606 | <1% | 51 | $1K | |
| 74018 | <1% | 67 | $1K | |
| 43235 | <1% | 12 | $958.34 | |
| 99417 | Prolong home eval add 15m | <1% | 14 | $921.50 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 12 | $813.75 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 540 | $772.93 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $725.29 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 85 | $646.31 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $641.65 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 63 | $619.53 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 87 | $616.29 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 663 | $579.70 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 12 | $564.13 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $490.20 |
| 90686 | <1% | 32 | $361.22 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 12 | $355.63 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $277.44 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 75 | $262.15 |
| 73140 | <1% | 12 | $258.94 | |
| 87660 | <1% | 13 | $257.40 | |
| 87480 | <1% | 13 | $257.40 | |
| 87510 | <1% | 13 | $257.40 | |
| 72100 | <1% | 12 | $244.64 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 26 | $232.03 |
| 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% | 72 | $203.95 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 157 | $196.20 |
| 81001 | <1% | 59 | $178.79 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $115.08 |
| 81025 | <1% | 13 | $110.50 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 34 | $72.48 |
| 81003 | <1% | 24 | $51.06 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | $42.18 |
| 99443 | <1% | 16 | $37.50 | |
| 11100 | 0% | 55 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 401 | $0.00 |
| 99153 | Mod sedat endo service >5yrs | 0% | 66 | $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 officialBLAIR, MICHAEL (SR VP & CFO)
Parent organizationCENTRACARE CLINIC
| Provider | Location | Paid |
|---|---|---|
| ST. Cloud Hospital | Saint Cloud, MN | $53.43M |
| Centracare Clinic | St Cloud, MN | $20.93M |
| Centracare Clinic | St Cloud, MN | $19.28M |
| Centracare Health System | Big Lake, MN | $12.82M |
| Carris Health LLC | Willmar, MN | $12.39M |
| Centracare Health Systems | Saint Cloud, MN | $9.41M |
| Centracare Health System | Saint Cloud, MN | $9.06M |
| Carris Health LLC | Willmar, MN | $8.27M |
| Centracare Health System - Long Prairie | Long Prairie, MN | $6.86M |
| Centracare Health System-Nr LLC | Monticello, MN | $6.73M |
| Centracare Clinic | Sartell, MN | $6.11M |
| ST. Cloud Hospital | Saint Cloud, MN | $5.16M |
| Carris Health - Redwood LLC | Redwood Falls, MN | $4.74M |
| ST. Cloud Hospital | St Cloud, MN | $4.44M |
| Centracare Health System - Sauk Centre | Sauk Centre, MN | $4.19M |
| Centracare Health System - Melrose | Melrose, MN | $4.05M |
| Centracare Clinic | Saint Cloud, MN | $3.58M |
| Centracare Clinic | Saint Cloud, MN | $2.83M |
| Carris Health, LLC | Willmar, MN | $2.82M |
| ST. Cloud Hospital | Sauk Rapids, MN | $2.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.