Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-ST JAMES

NPI: 1639198732 · SAINT JAMES, MN 56081 · Critical Access Hospital · NPI assigned 07/19/2006

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

Authorized official MILLER, MORRIS controls 20+ related entities in our dataset. Read more

$1.09M
Total Medicaid Paid
31,121
Total Claims
28,097
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMILLER, MORRIS (CFO)
NPI Enumeration Date07/19/2006

Related Entities

Other providers sharing the same authorized official: MILLER, MORRIS

ProviderCityStateTotal Paid
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN $24.38M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION NEW PRAGUE MN $1.50M
PALM GARDEN OF WINTER HAVEN LLC WINTER HAVEN FL $1.34M
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION WASECA MN $1.04M
PALM GARDEN OF PINELLAS LLC LARGO FL $887K
MAYO CLINIC HEALTH SYSTEM-ST JAMES SAINT JAMES MN $867K
PALM GARDEN OF ORLANDO LLC ORLANDO FL $615K
PALM GARDEN OF VERO BEACH LLC VERO BEACH FL $567K
PALM GARDEN OF AVENTURA LLC AVENTURA FL $524K
PALM GARDEN OF GAINESVILLE LLC GAINESVILLE FL $502K
PALM GARDEN OF OCALA LLC OCALA FL $489K
PALM GARDEN OF PORT ST LUCIE LLC PORT ST LUCIE FL $444K
PALM GARDEN OF WEST PALM BEACH LLC WEST PALM BEACH FL $369K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION AUSTIN MN $349K
PALM GARDEN OF LARGO LLC LARGO FL $298K
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION CANNON FALLS MN $225K
PALM GARDEN OF SUN CITY CENTER LLC RUSKIN FL $197K
PALM GARDEN OF CLEARWATER LLC CLEARWATER FL $88K
PALM GARDEN OF TAMPA LLC TAMPA FL $25K
PALM GARDEN OF JACKSONVILLE LLC JACKSONVILLE FL $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,453 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 17,582 15,652 $628K
99283 Emergency department visit for the evaluation and management, moderate severity 671 593 $137K
36415 Collection of venous blood by venipuncture 5,199 4,671 $56K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 102 83 $54K
99284 Emergency department visit for the evaluation and management, high severity 285 248 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 691 638 $34K
84443 Thyroid stimulating hormone (TSH) 754 713 $26K
80306 666 616 $22K
80053 Comprehensive metabolic panel 602 573 $15K
83036 Hemoglobin; glycosylated (A1C) 761 736 $12K
84439 302 292 $10K
85027 637 578 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 470 432 $8K
80061 Lipid panel 294 280 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 596 574 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 286 256 $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 217 213 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 131 130 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 41 39 $2K
90686 498 483 $2K
99310 Prolong nursin fac eval 15m 19 15 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 14 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 16 14 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23 13 $850.27
81003 40 37 $511.43
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 12 $488.95
87086 Culture, bacterial; quantitative colony count, urine 14 12 $397.96
81001 34 25 $383.89
80048 Basic metabolic panel (calcium, ionized) 13 12 $318.34
83550 14 13 $296.62
90472 Immunization administration, each additional vaccine (list separately) 31 26 $203.03
83540 14 13 $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) 12 12 $138.95
90656 15 15 $62.85
G0008 Administration of influenza virus vaccine 13 13 $21.38
99188 12 12 $0.00
91300 27 27 $0.00