Hospital
Mayo Clinic Health System-St James
Mayo Clinic Health System-St James was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 57% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-ST JAMES
SAINT JAMES, MN 56081
SAINT JAMES, MN 56081
33aNPI1639198732assigned 07/19/2006
33bProvider typeCritical Access Hospital
28Total paid$1.09M
24GClaims31,121
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#30 of 68
Median peer was paid$798K
This provider vs. median1.4×
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
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 | 4,435 | $55K | |
| 2019 | 5,323 | $160K | |
| 2020 | 4,417 | $136K | |
| 2021 | 4,867 | $200K | |
| 2022 | 5,301 | $244K | |
| 2023 | 5,325 | $208K | |
| 2024incomplete | 1,453 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 57% | 17,582 | 15,652 | $628K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 671 | 593 | $137K |
| 36415 | Collection of venous blood by venipuncture | 5.1% | 5,199 | 4,671 | $56K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.9% | 102 | 83 | $54K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.8% | 285 | 248 | $42K |
| 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 | 3.1% | 691 | 638 | $34K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.4% | 754 | 713 | $26K |
| 80306 | 2.0% | 666 | 616 | $22K | |
| 80053 | Comprehensive metabolic panel | 1.4% | 602 | 573 | $15K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 761 | 736 | $12K |
| 84439 | <1% | 302 | 292 | $10K | |
| 85027 | <1% | 637 | 578 | $9K |
26 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 470 | $8K |
| 80061 | Lipid panel | <1% | 294 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 596 | $6K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 286 | $5K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 217 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 131 | $3K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 41 | $2K |
| 90686 | <1% | 498 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 19 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 14 | $2K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 16 | $2K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 12 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $850.27 |
| 81003 | <1% | 40 | $511.43 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $488.95 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $397.96 |
| 81001 | <1% | 34 | $383.89 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $318.34 |
| 83550 | <1% | 14 | $296.62 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31 | $203.03 |
| 83540 | <1% | 14 | $187.36 | |
| 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% | 12 | $138.95 |
| 90656 | <1% | 15 | $62.85 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $21.38 |
| 99188 | 0% | 12 | $0.00 | |
| 91300 | 0% | 27 | $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 (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.