Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRACARE CLINIC

NPI: 1457405763 · SAINT CLOUD, MN 56303 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/23/2007

Deactivated NPI · This NPI was deactivated on 02/13/2020. Reactivated 09/10/2024.
$11K
Total Medicaid Paid
2,667
Total Claims
2,373
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialFELDHEGE, THOMAS (CFO/TREASURER)
NPI Enumeration Date01/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,667 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 949 846 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,098 965 $5K
T1013 Sign language or oral interpretive services, per 15 minutes 259 240 $128.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 186 156 $21.44
36415 Collection of venous blood by venipuncture 95 89 $2.71
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 18 $0.00
99173 16 16 $0.00
90472 Immunization administration, each additional vaccine (list separately) 14 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00
92551 16 16 $0.00