Mayo Clinic Health System-Southwest Minnesota Region
Mayo Clinic Health System-Southwest Minnesota Region was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
NEW PRAGUE, MN 56071
Next to other Multi-Specialty Clinic/Center providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,006 | $81K | |
| 2019 | 6,960 | $281K | |
| 2020 | 7,312 | $263K | |
| 2021 | 11,850 | $352K | |
| 2022 | 6,427 | $204K | |
| 2023 | 5,297 | $184K | |
| 2024incomplete | 3,684 | $135K |
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 | 33% | 11,804 | 10,722 | $497K |
| 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 | 31% | 7,011 | 6,410 | $472K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 2,408 | 2,201 | $168K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.0% | 1,771 | 1,754 | $74K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 2,924 | 2,611 | $46K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 977 | 925 | $32K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.1% | 491 | 409 | $32K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 927 | 912 | $29K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 7,047 | 6,450 | $27K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.7% | 235 | 212 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 247 | 246 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,217 | 1,179 | $13K |
53 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 235 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | $6K |
| 90686 | <1% | 968 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $5K |
| 99310 | Prolong nursin fac eval 15m | <1% | 60 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 130 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 122 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 64 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 331 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 50 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 21 | $2K |
| X5622 | <1% | 441 | $2K | |
| 0004A | <1% | 62 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 337 | $2K |
| 87631 | <1% | 13 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 277 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 91 | $1K |
| 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% | 12 | $990.00 |
| 0001A | <1% | 39 | $919.68 | |
| 0002A | <1% | 27 | $695.70 | |
| 99188 | <1% | 54 | $674.23 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $642.98 |
| 0054A | <1% | 12 | $466.23 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 13 | $454.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $326.02 |
| 90461 | <1% | 160 | $284.38 | |
| 90670 | <1% | 81 | $215.49 | |
| 81001 | <1% | 95 | $208.14 | |
| 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% | 44 | $188.46 |
| 92551 | <1% | 12 | $105.03 | |
| 96127 | <1% | 25 | $74.14 | |
| G0008 | Administration of influenza virus vaccine | <1% | 72 | $70.00 |
| 81003 | <1% | 27 | $47.75 | |
| 99177 | <1% | 14 | $45.24 | |
| 96161 | <1% | 28 | $42.56 | |
| 90656 | <1% | 14 | $24.91 | |
| 3074F | 0% | 2,629 | $0.00 | |
| 3079F | 0% | 624 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 994 | $0.00 |
| 90680 | 0% | 14 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 57 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 158 | $0.00 |
| 3075F | 0% | 272 | $0.00 | |
| 91301 | 0% | 24 | $0.00 | |
| 90698 | 0% | 29 | $0.00 | |
| 90651 | 0% | 29 | $0.00 | |
| 3078F | 0% | 2,070 | $0.00 | |
| 91300 | 0% | 304 | $0.00 | |
| 3077F | 0% | 96 | $0.00 | |
| 90715 | 0% | 17 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 0502F | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.