Lab
Centracare Health System
Centracare Health System was paid $9.06M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 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 — 17% of everything it billed.
33Billing provider infoCENTRACARE HEALTH SYSTEM
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1598713075assigned 05/05/2006
33bProvider typeClinical Medical Laboratory
28Total paid$9.06M
24GClaims623,855
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Minnesota
Rank by total paid#9 of 69
Median peer was paid$48K
This provider vs. median188×
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 | 72,536 | $285K | |
| 2019 | 66,588 | $777K | |
| 2020 | 53,747 | $643K | |
| 2021 | 93,222 | $1.68M | |
| 2022 | 111,197 | $2.01M | |
| 2023 | 121,263 | $1.86M | |
| 2024incomplete | 105,302 | $1.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 21,104 | 20,166 | $1.57M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.1% | 23,395 | 21,222 | $647K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.7% | 40,101 | 38,794 | $611K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.6% | 10,165 | 9,962 | $510K |
| 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 | 5.4% | 20,024 | 19,140 | $488K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.4% | 12,500 | 12,079 | $397K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.4% | 12,394 | 12,017 | $394K |
| 36415 | Collection of venous blood by venipuncture | 3.7% | 85,560 | 76,131 | $333K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.9% | 10,334 | 10,081 | $263K |
| 0352U | 2.4% | 1,585 | 1,537 | $221K | |
| 87660 | 2.3% | 11,599 | 11,016 | $205K | |
| 87510 | 2.3% | 11,575 | 10,993 | $205K |
111 more codes
| 87480 | 2.3% | 11,575 | $205K | |
| 87070 | 2.3% | 25,813 | $205K | |
| 84443 | Thyroid stimulating hormone (TSH) | 2.0% | 12,816 | $179K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.9% | 24,181 | $175K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.8% | 7,377 | $163K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 26,288 | $162K |
| 87150 | 1.6% | 4,455 | $142K | |
| 86780 | 1.6% | 11,584 | $141K | |
| 87506 | 1.3% | 488 | $117K | |
| 87420 | <1% | 6,610 | $89K | |
| 84702 | <1% | 6,035 | $83K | |
| 80053 | Comprehensive metabolic panel | <1% | 8,324 | $75K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 2,431 | $72K |
| 81025 | <1% | 8,671 | $65K | |
| 86762 | <1% | 4,734 | $64K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,995 | $63K |
| 87340 | <1% | 6,489 | $61K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 9,038 | $59K |
| 80050 | General health panel | <1% | 1,188 | $57K |
| 83655 | <1% | 4,170 | $56K | |
| 85027 | <1% | 9,114 | $54K | |
| 81001 | <1% | 19,054 | $53K | |
| 80061 | Lipid panel | <1% | 4,786 | $52K |
| 86850 | <1% | 5,183 | $46K | |
| 86803 | <1% | 3,456 | $41K | |
| 84439 | <1% | 4,866 | $39K | |
| 82728 | <1% | 2,980 | $37K | |
| 36416 | <1% | 10,616 | $37K | |
| 86003 | <1% | 3,467 | $35K | |
| 85018 | <1% | 15,511 | $34K | |
| 87186 | <1% | 3,739 | $29K | |
| 80306 | <1% | 1,893 | $29K | |
| 86140 | <1% | 6,295 | $28K | |
| 82950 | <1% | 6,156 | $27K | |
| 82670 | <1% | 1,008 | $26K | |
| 80076 | <1% | 3,438 | $21K | |
| 82565 | <1% | 4,631 | $18K | |
| 87077 | <1% | 2,153 | $18K | |
| 81003 | <1% | 8,443 | $17K | |
| 82570 | <1% | 3,486 | $16K | |
| 84460 | <1% | 3,605 | $16K | |
| 83550 | <1% | 2,164 | $15K | |
| 83516 | <1% | 949 | $14K | |
| 84450 | <1% | 3,319 | $14K | |
| 83540 | <1% | 2,295 | $13K | |
| 86900 | <1% | 4,727 | $13K | |
| 86901 | <1% | 4,602 | $13K | |
| 84146 | <1% | 615 | $11K | |
| 82248 | <1% | 2,381 | $11K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 102 | $11K |
| 83001 | <1% | 605 | $10K | |
| 84403 | <1% | 420 | $9K | |
| 82947 | <1% | 2,584 | $9K | |
| 83690 | <1% | 1,489 | $9K | |
| 82784 | <1% | 935 | $9K | |
| 82951 | <1% | 728 | $9K | |
| 84481 | <1% | 567 | $9K | |
| 82785 | <1% | 523 | $8K | |
| 84484 | <1% | 655 | $8K | |
| 84156 | <1% | 1,940 | $7K | |
| 83718 | <1% | 994 | $7K | |
| 82607 | <1% | 444 | $6K | |
| 86141 | <1% | 751 | $6K | |
| 85652 | <1% | 2,579 | $6K | |
| 85007 | <1% | 1,447 | $5K | |
| 82465 | <1% | 1,312 | $5K | |
| 83970 | <1% | 114 | $4K | |
| 86706 | <1% | 383 | $4K | |
| 87800 | <1% | 84 | $4K | |
| 82043 | <1% | 748 | $4K | |
| 85610 | <1% | 961 | $4K | |
| 87430 | <1% | 1,117 | $3K | |
| 83002 | <1% | 168 | $3K | |
| 84550 | <1% | 671 | $3K | |
| 83735 | <1% | 515 | $3K | |
| 87209 | <1% | 160 | $3K | |
| 82952 | <1% | 725 | $3K | |
| 88142 | <1% | 122 | $2K | |
| 86308 | <1% | 520 | $2K | |
| 82247 | <1% | 554 | $2K | |
| 87493 | <1% | 76 | $2K | |
| 87205 | <1% | 678 | $2K | |
| 85379 | <1% | 241 | $2K | |
| 86769 | <1% | 39 | $2K | |
| 86787 | <1% | 129 | $2K | |
| 87329 | <1% | 124 | $1K | |
| 87177 | <1% | 160 | $1K | |
| 84703 | <1% | 242 | $1K | |
| 85049 | <1% | 270 | $1K | |
| 82310 | <1% | 245 | $1K | |
| 84100 | <1% | 249 | $894.94 | |
| G0475 | Hiv antigen/antibody, combination assay, screening | <1% | 27 | $818.64 |
| 82040 | <1% | 281 | $776.11 | |
| 80074 | <1% | 13 | $584.00 | |
| 87625 | <1% | 13 | $541.33 | |
| 86705 | <1% | 44 | $528.26 | |
| 83615 | <1% | 102 | $498.93 | |
| 87338 | <1% | 30 | $438.74 | |
| 84132 | <1% | 106 | $403.51 | |
| 85730 | <1% | 66 | $400.01 | |
| 87075 | <1% | 43 | $380.19 | |
| 82150 | <1% | 55 | $362.70 | |
| 84144 | <1% | 15 | $284.79 | |
| 80051 | <1% | 41 | $256.54 | |
| 87328 | <1% | 14 | $195.95 | |
| 82274 | <1% | 13 | $176.65 | |
| 83605 | <1% | 18 | $174.02 | |
| 82533 | <1% | 14 | $150.81 | |
| 82550 | <1% | 27 | $142.61 | |
| 99000 | <1% | 21 | $88.75 | |
| 86200 | 0% | 12 | $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 (CFO)
Parent organizationCENTRACARE HEALTH SYSTEMS
| 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 |
| 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 - Sauk Centre | Sauk Centre, MN | $4.19M |
| 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.