Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION

NPI: 1477089407 · NEW PRAGUE, MN 56071 · Multi-Specialty Clinic/Center · NPI assigned 05/11/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MILLER, MORRIS controls 20+ related entities in our dataset. Read more

$1.50M
Total Medicaid Paid
48,536
Total Claims
44,544
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, MORRIS (CFO)
NPI Enumeration Date05/11/2017

Related Entities

Other providers sharing the same authorized official: MILLER, MORRIS

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN $24.38M
PALM GARDEN OF WINTER HAVEN LLC WINTER HAVEN FL $1.34M
MAYO CLINIC HEALTH SYSTEM-ST JAMES SAINT JAMES MN $1.09M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION WASECA MN $1.04M
PALM GARDEN OF PINELLAS LLC LARGO FL $887K
MAYO CLINIC HEALTH SYSTEM-ST JAMES SAINT JAMES MN $867K
PALM GARDEN OF ORLANDO LLC ORLANDO FL $615K
PALM GARDEN OF VERO BEACH LLC VERO BEACH FL $567K
PALM GARDEN OF AVENTURA LLC AVENTURA FL $524K
PALM GARDEN OF GAINESVILLE LLC GAINESVILLE FL $502K
PALM GARDEN OF OCALA LLC OCALA FL $489K
PALM GARDEN OF PORT ST LUCIE LLC PORT ST LUCIE FL $444K
PALM GARDEN OF WEST PALM BEACH LLC WEST PALM BEACH FL $369K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION AUSTIN MN $349K
PALM GARDEN OF LARGO LLC LARGO FL $298K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION CANNON FALLS MN $225K
PALM GARDEN OF SUN CITY CENTER LLC RUSKIN FL $197K
PALM GARDEN OF CLEARWATER LLC CLEARWATER FL $88K
PALM GARDEN OF TAMPA LLC TAMPA FL $25K
PALM GARDEN OF JACKSONVILLE LLC JACKSONVILLE FL $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,684 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,804 10,722 $497K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,011 6,410 $472K
99284 Emergency department visit for the evaluation and management, high severity 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) 1,771 1,754 $74K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,924 2,611 $46K
99283 Emergency department visit for the evaluation and management, moderate severity 977 925 $32K
99309 Subsequent nursing facility care, per day, low to moderate complexity 491 409 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 927 912 $29K
36415 Collection of venous blood by venipuncture 7,047 6,450 $27K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 235 212 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 247 246 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,217 1,179 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 235 230 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 89 88 $6K
90686 968 949 $6K
99215 Prolong outpt/office vis 44 42 $5K
99310 Prolong nursin fac eval 15m 60 51 $5K
99308 Subsequent nursing facility care, per day, straightforward 130 95 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 122 116 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 64 62 $4K
71046 Radiologic examination, chest; 2 views 331 305 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 50 47 $3K
90837 Psychotherapy, 53 minutes with patient 21 13 $2K
X5622 441 397 $2K
0004A 62 61 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 337 299 $2K
87631 13 13 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 277 265 $1K
90472 Immunization administration, each additional vaccine (list separately) 91 88 $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 12 12 $990.00
0001A 39 39 $919.68
0002A 27 27 $695.70
99188 54 54 $674.23
90832 Psychotherapy, 30 minutes with patient 12 12 $642.98
0054A 12 12 $466.23
70450 Computed tomography, head or brain; without contrast material 13 13 $454.13
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 24 $326.02
90461 160 152 $284.38
90670 81 77 $215.49
81001 95 87 $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) 44 40 $188.46
92551 12 12 $105.03
96127 25 25 $74.14
G0008 Administration of influenza virus vaccine 72 71 $70.00
81003 27 27 $47.75
99177 14 14 $45.24
96161 28 28 $42.56
90656 14 14 $24.91
3074F 2,629 2,409 $0.00
3079F 624 582 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 994 794 $0.00
90680 14 14 $0.00
G8432 Depression screening not documented, reason not given 57 52 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 158 152 $0.00
3075F 272 258 $0.00
91301 24 24 $0.00
90698 29 28 $0.00
90651 29 26 $0.00
3078F 2,070 1,884 $0.00
91300 304 277 $0.00
3077F 96 87 $0.00
90715 17 14 $0.00
90734 27 24 $0.00
90633 15 15 $0.00
0502F 16 12 $0.00