Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mayo Clinic Health System-Southwest Minnesota Region

Mayo Clinic Health System-Southwest Minnesota Region was paid $24.38M by Medicaid between Jan 2018 and Dec 2024, across 275 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.

33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
MANKATO, MN 56001
33aNPI1578545422assigned 11/16/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$24.38M
24GClaims771,818
24DCodes billed275
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Minnesota

Rank by total paid#2 of 87
Median peer was paid$1.04M
This provider vs. median23×

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.

Entity ProliferationAuthorized official MILLER, MORRIS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018118,977$1.38M
2019130,605$5.12M
2020119,445$4.77M
2021166,705$5.61M
2022101,547$3.29M
202374,808$2.30M
2024incomplete59,731$1.92M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 19% 74,861 66,669 $4.56M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 73,298 65,898 $3.19M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.4% 20,778 18,902 $1.81M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.7% 26,296 24,063 $1.64M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.1% 19,772 5,563 $997K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.5% 12,071 11,133 $850K
88305 Level IV - Surgical pathology, gross and microscopic examination 3.0% 16,963 13,089 $723K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.8% 21,963 6,466 $671K
99223 Prolong inpt eval add15 m 1.9% 5,542 4,308 $466K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 13,480 6,075 $445K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1.7% 12,391 12,072 $406K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.6% 3,579 1,896 $393K
263 more codes
99203 Doctor's office visit, new patient (routine) 1.5% 7,037 $367K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 5,212 $362K
99283 Emergency room visit (moderate) 1.4% 10,498 $348K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 6,086 $331K
99204 Doctor's office visit, new patient (more involved) 1.1% 3,340 $274K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 22,170 $270K
X5622 1.0% 5,072 $249K
99239 Hospital discharge day management, more than 30 minutes 1.0% 4,843 $248K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 7,674 $232K
99310 Prolong nursin fac eval 15m <1% 3,247 $224K
00170 Anesthesia for intraoral procedures, including biopsy <1% 2,167 $223K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 4,778 $212K
36415 Collection of venous blood by venipuncture <1% 55,767 $187K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,998 $165K
87631 <1% 1,164 $155K
99205 Prolong outpt/office vis <1% 1,523 $154K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 36,233 $149K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,097 $146K
99238 Hospital discharge day management, 30 minutes or less <1% 3,728 $139K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,147 $134K
99243 <1% 2,343 $132K
99244 Office or other outpatient consultation, moderate to high complexity <1% 1,360 $129K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 1,582 $122K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,705 $122K
70450 Computed tomography, head or brain; without contrast material <1% 5,826 $114K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,546 $110K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,390 $108K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,467 $94K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,756 $92K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 14,791 $87K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,223 $83K
97161 <1% 1,527 $82K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,066 $79K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,386 $78K
99222 Initial hospital care, per day, moderate complexity <1% 1,367 $77K
71046 Radiologic examination, chest; 2 views <1% 9,108 $76K
90837 Psychotherapy session, about an hour <1% 807 $73K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,472 $69K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 497 $66K
99220 <1% 646 $64K
71045 Radiologic examination, chest; single view <1% 14,810 $64K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,348 $62K
90839 <1% 747 $62K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,517 $59K
99308 Subsequent nursing facility care, per day, straightforward <1% 1,602 $59K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 782 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,116 $54K
99460 <1% 866 $46K
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician <1% 1,937 $46K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 790 $43K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 570 $43K
88307 <1% 583 $40K
90791 Psychiatric diagnostic evaluation <1% 553 $39K
90686 <1% 6,509 $37K
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% 439 $31K
99217 <1% 902 $30K
77063 Screening digital breast tomosynthesis, bilateral <1% 888 $30K
90472 Immunization administration, each additional vaccine (list separately) <1% 2,665 $28K
0002A <1% 1,406 $27K
90651 <1% 647 $26K
96158 <1% 671 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 3,361 $25K
0001A <1% 1,421 $25K
87510 <1% 1,302 $24K
87660 <1% 1,303 $24K
87480 <1% 1,306 $24K
90670 <1% 3,075 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 792 $21K
D1206 Topical application of fluoride varnish <1% 1,027 $21K
80053 Comprehensive metabolic panel <1% 2,163 $20K
93000 <1% 2,359 $20K
76830 Ultrasound, transvaginal <1% 646 $18K
90834 Psychotherapy session, about 45 minutes <1% 300 $18K
85610 <1% 6,644 $18K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 425 $17K
78815 Positron emission tomography (PET) for limited area imaging <1% 30 $17K
99443 <1% 406 $17K
62326 <1% 342 $15K
73564 <1% 1,100 $15K
D1120 Dental cleaning, child <1% 462 $15K
80048 Basic metabolic panel (calcium, ionized) <1% 1,943 $14K
36416 <1% 3,435 $14K
73630 <1% 1,836 $13K
99188 <1% 1,061 $13K
98940 <1% 1,208 $13K
0004A <1% 436 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 350 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 748 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,478 $11K
99219 <1% 158 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 412 $11K
90461 <1% 2,494 $11K
D1330 <1% 504 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 72 $10K
0054A <1% 257 $10K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 164 $9K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 227 $9K
99462 <1% 391 $9K
90715 <1% 769 $9K
81025 <1% 1,184 $9K
99358 Prolong nursin fac eval 15m <1% 120 $9K
81003 <1% 4,334 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,143 $9K
88312 <1% 380 $8K
88304 <1% 774 $8K
99177 <1% 154 $8K
76801 <1% 174 $8K
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% 3,166 $8K
0764T <1% 488 $7K
90677 <1% 465 $7K
99442 <1% 262 $7K
81001 <1% 2,892 $7K
73130 <1% 837 $7K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 303 $6K
85027 <1% 1,135 $6K
00840 <1% 32 $6K
73610 <1% 741 $6K
20610 <1% 250 $6K
99245 <1% 39 $6K
97535 Self-care/home management training, each 15 minutes <1% 279 $6K
95251 <1% 338 $5K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 112 $5K
73030 <1% 711 $5K
74018 <1% 721 $5K
88141 <1% 187 $4K
99221 <1% 149 $4K
96156 <1% 48 $4K
95886 <1% 130 $4K
88342 <1% 84 $3K
95813 <1% 14 $3K
99253 <1% 59 $3K
99152 <1% 664 $3K
92551 <1% 414 $3K
99242 <1% 97 $3K
99477 <1% 15 $3K
99607 <1% 68 $3K
0071A <1% 77 $3K
92567 <1% 423 $3K
0072A <1% 74 $3K
90662 <1% 107 $3K
D0120 Dental checkup, returning patient <1% 93 $3K
82947 <1% 833 $3K
90732 <1% 41 $3K
73502 <1% 308 $2K
99441 <1% 130 $2K
99225 <1% 55 $2K
93971 <1% 208 $2K
80051 <1% 331 $2K
82565 <1% 428 $2K
88142 <1% 100 $2K
86140 <1% 417 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 94 $2K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 15 $2K
00731 <1% 15 $2K
59025 Fetal non-stress test <1% 90 $2K
85018 <1% 771 $2K
73110 <1% 245 $2K
99356 <1% 29 $2K
90680 <1% 1,765 $2K
99024 <1% 75 $1K
96159 <1% 69 $1K
0124A <1% 43 $1K
91322 <1% 12 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 94 $1K
90697 <1% 502 $1K
84520 <1% 331 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 14 $1K
99254 <1% 17 $1K
99464 <1% 28 $1K
G0008 Administration of influenza virus vaccine <1% 686 $1K
93970 <1% 43 $1K
90734 <1% 311 $1K
17110 <1% 14 $1K
94060 <1% 224 $944.24
90698 <1% 2,394 $941.96
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 47 $885.99
94010 <1% 128 $875.61
99292 <1% 13 $872.93
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $862.05
90853 Group psychotherapy (other than of a multiple-family group) <1% 36 $848.04
31575 <1% 25 $847.82
97802 <1% 12 $836.94
97165 <1% 14 $819.06
99173 <1% 429 $788.64
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 27 $783.82
99252 <1% 35 $755.67
97162 <1% 14 $737.31
76770 <1% 28 $712.56
90716 <1% 194 $698.92
96161 <1% 345 $659.87
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 25 $636.67
94726 <1% 119 $633.03
90656 <1% 144 $605.77
92557 <1% 40 $602.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 130 $599.73
90480 <1% 20 $565.81
94729 <1% 148 $554.28
71250 <1% 16 $506.20
93976 <1% 13 $471.01
97803 <1% 16 $466.27
11721 <1% 38 $436.92
96150 <1% 12 $435.40
99307 <1% 21 $429.59
A9585 Injection, gadobutrol, 0.1 ml <1% 18 $428.43
99406 <1% 41 $412.66
90832 Psychotherapy session, about 30 minutes <1% 48 $409.33
0003A <1% 18 $400.00
99451 <1% 15 $363.15
0011A <1% 29 $330.36
96127 <1% 81 $325.99
84460 <1% 71 $322.18
0012A <1% 29 $319.68
93294 <1% 12 $273.24
77080 <1% 12 $271.46
88108 <1% 13 $263.82
72100 <1% 12 $237.29
0031A <1% 16 $232.08
97597 <1% 15 $230.82
77091 <1% 14 $223.67
96380 <1% 14 $193.92
84450 <1% 45 $187.96
90633 <1% 990 $179.82
92504 <1% 40 $178.97
88302 <1% 13 $140.37
90707 <1% 107 $139.20
80076 <1% 13 $86.55
90744 <1% 900 $78.40
87070 <1% 42 $74.41
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 3,295 $72.00
86308 <1% 12 $61.42
82248 <1% 12 $53.60
83690 <1% 15 $51.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 70 $17.27
90696 <1% 80 $10.80
3077F 0% 1,672 $0.00
3078F 0% 19,486 $0.00
0502F 0% 1,895 $0.00
90710 0% 30 $0.00
91300 0% 2,828 $0.00
90836 0% 40 $0.00
3051F 0% 353 $0.00
91312 0% 15 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 0% 127 $0.00
90685 0% 462 $0.00
54150 0% 31 $0.00
3046F 0% 61 $0.00
3079F 0% 6,413 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 12,927 $0.00
3074F 0% 24,460 $0.00
3075F 0% 2,750 $0.00
1123F 0% 291 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,308 $0.00
3044F 0% 805 $0.00
3080F 0% 922 $0.00
91305 0% 279 $0.00
G8432 Depression screening not documented, reason not given 0% 655 $0.00
91307 0% 186 $0.00
3052F 0% 84 $0.00
1111F 0% 611 $0.00
91303 0% 14 $0.00
99318 0% 15 $0.00
99384 0% 12 $0.00
91301 0% 29 $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 officialMILLER, MORRIS (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under MILLER, MORRIS

Full network →
ProviderLocationPaid
Mayo Clinic Health System-Southwest Minnesota RegionNew Prague, MN$1.50M
Palm Garden of Winter Haven LLCWinter Haven, FL$1.34M
Mayo Clinic Health System-St JamesSaint James, MN$1.09M
Mayo Clinic Health System-Southwest Minnesota RegionWaseca, MN$1.04M
Palm Garden of Pinellas LLCLargo, FL$887K
Mayo Clinic Health System-St JamesSaint James, MN$867K
Palm Garden of Orlando LLCOrlando, FL$615K
Palm Garden of Vero Beach LLCVero Beach, FL$567K
Palm Garden of Aventura LLCAventura, FL$524K
Palm Garden of Gainesville LLCGainesville, FL$502K
Palm Garden of Ocala LLCOcala, FL$489K
Palm Garden of Port ST Lucie LLCPort St Lucie, FL$444K
Palm Garden of West Palm Beach LLCWest Palm Beach, FL$369K
Mayo Clinic Health System-Southeast Minnesota RegionAustin, MN$349K
Palm Garden of Largo LLCLargo, FL$298K
Mayo Clinic Health System-Southeast Minnesota RegionCannon Falls, MN$225K
Palm Garden of Sun City Center LLCRuskin, FL$197K
Palm Garden of Clearwater LLCClearwater, FL$88K
Palm Garden of Tampa LLCTampa, FL$25K
Palm Garden of Jacksonville LLCJacksonville, FL$18K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.