Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRACARE HEALTH-PAYNESVILLE LLC

NPI: 1629402516 · PAYNESVILLE, MN 56362 · Clinic/Center · NPI assigned 08/27/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BLAIR, MICHAEL controls 20+ related entities in our dataset. Read more

$1.84M
Total Medicaid Paid
26,209
Total Claims
19,703
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR. VICE PRESIDENT AND CFO)
NPI Enumeration Date08/27/2013

Related Entities

Other providers sharing the same authorized official: BLAIR, MICHAEL

ProviderCityStateTotal 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 - 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 764 $757.07
2019 4,328 $249K
2020 4,137 $231K
2021 5,170 $363K
2022 4,733 $430K
2023 4,041 $333K
2024 3,036 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,190 7,526 $1.09M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,830 3,710 $522K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 568 433 $68K
99309 Subsequent nursing facility care, per day, low to moderate complexity 269 242 $50K
99308 Subsequent nursing facility care, per day, straightforward 255 237 $43K
99283 Emergency department visit for the evaluation and management, moderate severity 966 570 $41K
X5622 179 170 $26K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 498 338 $1K
90686 648 573 $381.21
36415 Collection of venous blood by venipuncture 2,183 1,603 $168.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,767 1,444 $158.84
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 669 428 $116.40
99188 57 50 $109.92
90472 Immunization administration, each additional vaccine (list separately) 412 323 $82.67
96127 1,712 1,235 $77.22
92551 395 322 $0.18
99173 410 326 $0.18
99335 15 12 $0.00
99284 Emergency department visit for the evaluation and management, high severity 45 40 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 41 40 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 44 28 $0.00
0004A 13 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 15 $0.00