Southern Cities Clinic

Southern Cities Clinic was paid $1.40M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoSOUTHERN CITIES CLINIC
FARIBAULT, MN 55021

33aNPI1437218740assigned 12/06/2006

33bProvider typeGeneral Practice Physician

28Total paid$1.40M

24GClaims68,934

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in Minnesota

Rank by total paid#10 of 23

Median peer was paid$636K

This provider vs. median2.2×

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.

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	8,091	$151K
2019	9,280	$204K
2020	8,645	$170K
2021	12,161	$243K
2022	10,446	$202K
2023	12,157	$229K
2024incomplete	8,154	$206K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	17,368	16,204	$408K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	18%	4,011	3,881	$259K
D9920		18%	12,506	10,097	$246K
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	14%	5,606	5,356	$203K
D1206	Topical application of fluoride varnish	7.6%	9,900	8,889	$106K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.9%	8,111	6,661	$69K
D0274	Bitewings - four radiographic images	3.2%	3,978	3,180	$45K
D2150	Silver amalgam - two surfaces, primary or permanent	1.2%	441	302	$17K
99335		<1%	369	361	$12K
D0230	Intraoral - periapical each additional radiographic image	<1%	3,539	1,024	$10K
D0220	Intraoral - periapical first radiographic image	<1%	2,233	1,781	$10K
D0140	Limited oral evaluation - problem focused	<1%	249	241	$4K

9 more codes

99443		<1%	71	$3K
99213	Doctor's office visit, returning patient (routine)	<1%	107	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	176	$2K
99442		<1%	103	$2K
99348		<1%	45	$2K
D2140		<1%	35	$1K
99334		<1%	39	$388.40
D0272	Bitewings - two radiographic images	<1%	18	$142.70
D0210	Intraoral - complete series of radiographic images	<1%	29	$137.72

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 officialELLS, MELISSA (AMBULATORY CARE EXECUTIVE DIRECTOR)