Hospital
Allina Health System
Allina Health System was paid $5.69M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99283, emergency room visit (moderate) — 37% of everything it billed.
33Billing provider infoALLINA HEALTH SYSTEM
CAMBRIDGE, MN 55008
CAMBRIDGE, MN 55008
33aNPI1568427383assigned 04/18/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$5.69M
24GClaims50,203
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Minnesota
Rank by total paid#24 of 36
Median peer was paid$11.46M
This provider vs. median0.5×
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 | 9,533 | $415K | |
| 2019 | 8,285 | $1.23M | |
| 2020 | 5,947 | $704K | |
| 2021 | 7,954 | $886K | |
| 2022 | 5,490 | $667K | |
| 2023 | 7,710 | $1.03M | |
| 2024incomplete | 5,284 | $757K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 10,616 | 10,266 | $2.09M |
| H2035 | Alcohol and/or other drug treatment program, per hour | 31% | 17,273 | 2,022 | $1.77M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 4,583 | 4,387 | $1.27M |
| H0001 | Alcohol and/or drug assessment | 2.5% | 850 | 795 | $145K |
| H2012 | Behavioral health day treatment, per hour | 1.6% | 649 | 81 | $88K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 106 | 97 | $40K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,644 | 4,306 | $39K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,053 | 941 | $38K |
| 80053 | Comprehensive metabolic panel | <1% | 1,602 | 1,456 | $36K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 489 | 457 | $36K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 598 | 574 | $33K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,205 | 1,138 | $23K |
35 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 185 | $21K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 249 | $12K |
| 85027 | <1% | 669 | $11K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 124 | $10K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 198 | $8K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 101 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 62 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,739 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 20 | $2K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 566 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 333 | $2K |
| 84484 | <1% | 174 | $1K | |
| J2704 | Injection, propofol, 10 mg | <1% | 160 | $905.44 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 451 | $712.57 |
| 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% | 12 | $652.93 |
| 83690 | <1% | 72 | $628.90 | |
| 81001 | <1% | 121 | $627.82 | |
| 36591 | <1% | 16 | $473.84 | |
| 86140 | <1% | 70 | $389.79 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 81 | $346.58 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 13 | $328.10 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 14 | $256.27 |
| 83605 | <1% | 45 | $205.39 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 58 | $105.10 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 41 | $73.24 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 35 | $57.43 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $50.64 |
| 81025 | <1% | 16 | $44.97 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $27.59 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 12 | $20.07 |
| 87081 | <1% | 12 | $15.50 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 23 | $11.23 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 15 | $6.74 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 770 | $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 officialSHEPHERD, JOSHUA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Allina Health System | Buffalo, MN | $2.92M |
| Allina Health System | Buffalo, MN | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.