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

Mankato Clinic LTD

Mankato Clinic LTD was paid $39.10M by Medicaid between Jan 2018 and Dec 2024, across 307 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoMANKATO CLINIC LTD
MANKATO, MN 56001
33aNPI1629044029assigned 02/24/2006
33bProvider typePediatrics Physician
28Total paid$39.10M
24GClaims1,133,206
24DCodes billed307
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Minnesota

Rank by total paid#1 of 33
Median peer was paid$13K
This provider vs. median2,970×

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

$0$250K$500K$750K2018201920202021202220232024
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
2018176,209$1.94M
2019184,201$6.21M
2020168,279$5.86M
2021199,160$7.36M
2022166,756$6.64M
2023136,080$6.11M
2024incomplete102,521$4.99M
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 28% 153,489 136,573 $10.99M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 112,495 101,754 $5.47M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4.6% 27,135 25,752 $1.81M
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.7% 27,325 9,844 $1.46M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.0% 23,663 8,405 $1.17M
99337 3.0% 14,722 13,857 $1.17M
X5622 2.6% 12,376 11,603 $1.01M
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.3% 34,007 32,266 $891K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 8,423 7,868 $714K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 9,056 8,810 $593K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.3% 5,909 4,730 $515K
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 17,910 17,336 $493K
295 more codes
90836 1.2% 5,966 $475K
99203 Doctor's office visit, new patient (routine) 1.2% 7,388 $464K
99350 Prolong home eval add 15m 1.2% 4,668 $459K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 9,399 $449K
99244 Office or other outpatient consultation, moderate to high complexity 1.0% 3,383 $399K
90834 Psychotherapy session, about 45 minutes <1% 7,560 $381K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 7,431 $366K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,914 $363K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 5,152 $354K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 391 $320K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 7,009 $304K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,823 $292K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,999 $243K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,265 $243K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,693 $231K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,125 $228K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 8,050 $225K
36415 Collection of venous blood by venipuncture <1% 75,948 $219K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,359 $218K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 4,588 $208K
99204 Doctor's office visit, new patient (more involved) <1% 2,226 $205K
99310 Prolong nursin fac eval 15m <1% 2,112 $169K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12,598 $168K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 7,923 $167K
99243 <1% 2,139 $162K
90832 Psychotherapy session, about 30 minutes <1% 3,188 $147K
17110 <1% 2,291 $147K
80053 Comprehensive metabolic panel <1% 20,410 $146K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 3,483 $128K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,219 $126K
84443 Thyroid stimulating hormone (TSH) <1% 10,980 $125K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,391 $124K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,553 $124K
99349 <1% 1,938 $123K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,640 $123K
90461 <1% 8,983 $122K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,064 $122K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,268 $115K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 3,423 $114K
97535 Self-care/home management training, each 15 minutes <1% 4,732 $109K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 10,239 $109K
80061 Lipid panel <1% 13,196 $107K
90791 Psychiatric diagnostic evaluation <1% 981 $100K
71046 Radiologic examination, chest; 2 views <1% 5,306 $96K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 19,081 $93K
92551 <1% 16,175 $87K
92015 Determination of refractive state <1% 7,140 $83K
87480 <1% 4,864 $82K
87510 <1% 4,865 $82K
83036 Hemoglobin; glycosylated (A1C) <1% 13,358 $82K
85027 <1% 18,002 $81K
87660 <1% 4,678 $81K
96127 <1% 18,725 $78K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,466 $75K
99242 <1% 1,440 $73K
99308 Subsequent nursing facility care, per day, straightforward <1% 2,005 $68K
99336 <1% 1,076 $66K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 881 $65K
87088 <1% 10,533 $62K
80048 Basic metabolic panel (calcium, ionized) <1% 11,121 $60K
90686 <1% 12,014 $60K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,628 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 9,242 $55K
99335 <1% 1,382 $54K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,566 $54K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 830 $51K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 414 $51K
76830 Ultrasound, transvaginal <1% 679 $50K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,466 $50K
64405 <1% 1,289 $47K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 732 $46K
82728 <1% 3,340 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,580 $36K
99188 <1% 14,381 $36K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 1,394 $36K
90651 <1% 2,152 $35K
99495 <1% 480 $35K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 195 $34K
97803 <1% 668 $34K
90715 <1% 2,503 $33K
81001 <1% 14,467 $32K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,552 $32K
99490 Ccm add 20min <1% 2,152 $29K
97597 <1% 597 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 702 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 233 $27K
84703 <1% 4,157 $26K
99402 <1% 522 $26K
85610 <1% 9,412 $26K
90792 Psychiatric diagnostic evaluation with medical services <1% 127 $24K
87081 <1% 3,439 $23K
93793 <1% 3,082 $21K
82607 <1% 1,895 $21K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,515 $20K
74018 <1% 1,134 $20K
83655 <1% 1,281 $19K
87077 <1% 3,259 $19K
27096 <1% 272 $18K
95251 <1% 985 $18K
67028 Intravitreal injection of a pharmacologic agent <1% 259 $17K
V5266 Battery for use in hearing device <1% 698 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 168 $16K
93000 <1% 1,958 $16K
73630 <1% 847 $15K
99401 <1% 513 $15K
20553 <1% 961 $14K
83550 <1% 1,954 $14K
99173 <1% 15,191 $14K
99152 <1% 1,699 $13K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 136 $12K
90670 <1% 5,310 $12K
84439 <1% 1,588 $11K
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% 127 $11K
97161 <1% 174 $11K
83540 <1% 2,018 $11K
99245 <1% 45 $11K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 79 $10K
92567 <1% 1,202 $10K
97802 <1% 149 $10K
0001A <1% 355 $10K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 169 $9K
84702 <1% 678 $9K
0352U <1% 69 $9K
90662 <1% 262 $8K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 819 $8K
64635 <1% 67 $8K
97533 <1% 244 $8K
99454 <1% 225 $8K
0071A <1% 214 $7K
0002A <1% 243 $7K
86140 <1% 1,623 $7K
99457 <1% 217 $7K
99174 <1% 2,223 $7K
0072A <1% 166 $6K
76819 Fetal biophysical profile; without non-stress testing <1% 105 $6K
92523 <1% 60 $6K
99381 <1% 594 $6K
82570 <1% 1,637 $6K
62321 <1% 106 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 70 $6K
76642 <1% 115 $6K
62323 <1% 112 $6K
J9035 Injection, bevacizumab, 10 mg <1% 104 $6K
87807 <1% 457 $5K
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% 969 $5K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 29 $5K
90734 <1% 1,431 $5K
83970 <1% 173 $5K
85018 <1% 2,355 $4K
87340 <1% 509 $4K
96160 <1% 2,432 $4K
95886 <1% 40 $4K
84156 <1% 1,373 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 96 $4K
64450 <1% 132 $4K
87186 <1% 1,103 $4K
90785 <1% 322 $4K
86592 <1% 927 $4K
64636 <1% 67 $3K
99417 Prolong home eval add 15m <1% 67 $3K
99334 <1% 82 $3K
86780 <1% 336 $3K
92134 <1% 139 $3K
0004A <1% 102 $3K
64615 <1% 39 $3K
85651 <1% 937 $3K
G0008 Administration of influenza virus vaccine <1% 1,084 $3K
92557 <1% 162 $3K
97165 <1% 56 $3K
83735 <1% 549 $3K
84153 <1% 218 $3K
90621 <1% 216 $3K
92250 <1% 133 $3K
92341 <1% 86 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 41 $3K
82746 <1% 250 $2K
90716 <1% 675 $2K
36416 <1% 1,298 $2K
97162 <1% 64 $2K
77002 <1% 141 $2K
87653 <1% 63 $2K
0064A <1% 103 $2K
95117 <1% 241 $2K
99232 Hospital visit by a doctor, follow-up day <1% 38 $2K
92593 <1% 81 $2K
96375 Therapeutic injection; each additional sequential IV push <1% 135 $2K
99348 <1% 49 $2K
86803 <1% 121 $2K
90838 <1% 14 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 15 $2K
86850 <1% 237 $2K
73610 <1% 77 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 88 $2K
80050 General health panel <1% 86 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 45 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 12 $2K
59025 Fetal non-stress test <1% 52 $1K
94010 <1% 151 $1K
99439 <1% 71 $1K
V2020 Frames, purchases <1% 44 $1K
L3030 Foot, insert, removable, formed to patient foot, each <1% 13 $1K
99383 <1% 12 $1K
99382 <1% 13 $1K
73564 <1% 44 $1K
90656 <1% 441 $1K
J1756 Injection, iron sucrose, 1 mg <1% 30 $1K
90473 <1% 72 $1K
84450 <1% 356 $1K
90707 <1% 519 $986.24
83690 <1% 174 $973.10
11100 <1% 205 $958.63
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 133 $942.24
64493 <1% 12 $908.67
84100 <1% 291 $898.72
90677 <1% 270 $886.86
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 51 $885.30
86762 <1% 94 $825.84
70450 Computed tomography, head or brain; without contrast material <1% 13 $799.81
11102 <1% 13 $794.70
92504 <1% 52 $775.48
64490 <1% 13 $763.19
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 27 $702.27
82565 <1% 166 $688.57
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 88 $654.84
73130 <1% 26 $605.68
84460 <1% 146 $590.76
85007 <1% 194 $586.71
69209 <1% 111 $586.43
V2784 Lens, polycarbonate or equal, any index, per lens <1% 21 $580.00
90698 <1% 4,690 $567.98
86901 <1% 247 $553.50
82950 <1% 120 $553.33
90680 <1% 3,338 $534.33
0054A <1% 13 $519.68
82947 <1% 138 $505.11
0012A <1% 73 $492.73
0134A <1% 26 $489.25
86900 <1% 210 $481.72
0124A <1% 12 $477.97
99459 <1% 109 $477.09
84550 <1% 162 $476.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 239 $476.38
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 58 $422.72
69210 <1% 13 $414.15
0011A <1% 62 $413.02
87797 <1% 162 $390.00
90672 <1% 560 $336.91
95874 <1% 17 $336.77
73110 <1% 14 $330.58
97116 <1% 17 $312.00
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% 117 $274.77
84132 <1% 54 $270.75
73030 <1% 14 $266.22
82310 <1% 51 $253.25
84295 <1% 48 $236.56
90480 <1% 18 $234.78
90633 <1% 2,622 $231.98
82374 <1% 46 $229.66
A9585 Injection, gadobutrol, 0.1 ml <1% 26 $226.03
90710 <1% 641 $222.08
82435 <1% 44 $206.96
82040 <1% 37 $180.94
84075 <1% 30 $162.98
82247 <1% 30 $158.10
84484 <1% 12 $151.32
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 207 $148.89
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $145.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 254 $144.75
90697 <1% 245 $144.05
85379 <1% 13 $133.73
87071 <1% 73 $128.26
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 27 $124.96
84155 <1% 30 $115.60
84165 <1% 12 $92.45
82274 <1% 12 $80.92
84478 <1% 14 $67.87
82043 <1% 14 $63.60
90744 <1% 2,203 $28.23
1160F 0% 19,804 $0.00
90685 0% 706 $0.00
91321 0% 17 $0.00
80164 0% 94 $0.00
H1002 Prenatal care, at risk enhanced service; care coordination 0% 12 $0.00
1124F 0% 51 $0.00
H1003 Prenatal care, at-risk enhanced service; education 0% 12 $0.00
1111F 0% 3,750 $0.00
1157F 0% 8,673 $0.00
90696 0% 663 $0.00
99070 0% 76 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 0% 12 $0.00
90619 0% 98 $0.00
90381 0% 14 $0.00
86308 0% 13 $0.00
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 0% 14 $0.00
90660 0% 13 $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 officialJOHNSON, AARON (CEO)