Clinic
NPI deactivated
Centracare Health System - Sauk Centre
Centracare Health System - Sauk Centre was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoCENTRACARE HEALTH SYSTEM - SAUK CENTRE
SAUK CENTRE, MN 56378
SAUK CENTRE, MN 56378
33aNPI1578813762assigned 09/14/2012
33bProvider typeRural Health Clinic/Center
28Total paid$4.19M
24GClaims49,449
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Minnesota
Rank by total paid#11 of 69
Median peer was paid$763K
This provider vs. median5.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BLAIR, MICHAEL controls 20+ related entities in our dataset. Read more
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 | 9,730 | $836K | |
| 2019 | 7,887 | $588K | |
| 2020 | 5,784 | $403K | |
| 2021 | 8,913 | $642K | |
| 2022 | 6,891 | $598K | |
| 2023 | 6,188 | $672K | |
| 2024incomplete | 4,056 | $449K |
Box 24 · Service lines
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 | 68% | 21,753 | 16,096 | $2.86M |
| 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 | 25% | 8,092 | 6,586 | $1.03M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 771 | 714 | $89K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 379 | 184 | $52K |
| X5622 | 1.2% | 360 | 323 | $50K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 606 | 479 | $33K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 254 | 244 | $28K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 137 | 132 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 207 | 178 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 82 | 79 | $9K |
| 99188 | <1% | 644 | 531 | $7K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 569 | 425 | $1K |
16 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 57 | $788.88 |
| 90686 | <1% | 2,347 | $655.43 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,075 | $198.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,450 | $50.59 |
| 90656 | <1% | 43 | $43.00 | |
| 99173 | 0% | 1,468 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 643 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 695 | $0.00 |
| 90670 | 0% | 53 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 149 | $0.00 |
| 90685 | 0% | 27 | $0.00 | |
| 96127 | 0% | 2,890 | $0.00 | |
| 85018 | 0% | 28 | $0.00 | |
| 92551 | 0% | 1,593 | $0.00 | |
| 0001A | 0% | 63 | $0.00 | |
| 90651 | 0% | 14 | $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 officialBLAIR, MICHAEL (SR. VICE PRESIDENT AND CFO)
| Provider | Location | Paid |
|---|---|---|
| ST. Cloud Hospital | Saint Cloud, MN | $53.43M |
| Centracare Clinic | St Cloud, MN | $20.93M |
| Centracare Clinic | St Cloud, MN | $19.28M |
| Centracare Health System | Big Lake, MN | $12.82M |
| Carris Health LLC | Willmar, MN | $12.39M |
| Centracare Health Systems | Saint Cloud, MN | $9.41M |
| Centracare Health System | Saint Cloud, MN | $9.06M |
| Carris Health LLC | Willmar, MN | $8.27M |
| Centracare Clinic | Saint Cloud, MN | $6.96M |
| Centracare Health System - Long Prairie | Long Prairie, MN | $6.86M |
| Centracare Health System-Nr LLC | Monticello, MN | $6.73M |
| Centracare Clinic | Sartell, MN | $6.11M |
| ST. Cloud Hospital | Saint Cloud, MN | $5.16M |
| Carris Health - Redwood LLC | Redwood Falls, MN | $4.74M |
| ST. Cloud Hospital | St Cloud, MN | $4.44M |
| Centracare Health System - Melrose | Melrose, MN | $4.05M |
| Centracare Clinic | Saint Cloud, MN | $3.58M |
| Centracare Clinic | Saint Cloud, MN | $2.83M |
| Carris Health, LLC | Willmar, MN | $2.82M |
| ST. Cloud Hospital | Sauk Rapids, MN | $2.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.