Clinic
Centracare Health System
Centracare Health System was paid $1.49M by Medicaid between Jan 2018 and Mar 2020, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoCENTRACARE HEALTH SYSTEM
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1669807897assigned 09/06/2013
33bProvider typeClinic/Center
28Total paid$1.49M
24GClaims51,226
24DCodes billed33
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#52 of 250
Median peer was paid$274K
This provider vs. median5.4×
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 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 | 23,954 | $359K | |
| 2019 | 23,097 | $922K | |
| 2020 | 4,175 | $207K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 68% | 24,726 | 22,579 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 14,251 | 13,205 | $393K |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 1,951 | 1,880 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,989 | 1,666 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 889 | 640 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 754 | 735 | $9K |
| 74019 | <1% | 567 | 544 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 702 | 656 | $5K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 153 | 134 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 431 | 406 | $2K |
| 87070 | <1% | 390 | 379 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 377 | 355 | $2K |
21 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 472 | $2K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 14 | $2K |
| 73630 | <1% | 105 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 589 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,520 | $926.32 |
| 73610 | <1% | 105 | $749.17 | |
| 81001 | <1% | 307 | $673.55 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 200 | $615.23 |
| 87420 | <1% | 39 | $342.96 | |
| 73130 | <1% | 16 | $291.20 | |
| 73110 | <1% | 13 | $267.28 | |
| 81025 | <1% | 29 | $238.86 | |
| 73140 | <1% | 16 | $237.36 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 12 | $194.03 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 29 | $148.67 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 223 | $139.69 |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $139.44 |
| 81003 | <1% | 28 | $65.32 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 113 | $45.56 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 119 | $41.56 |
| 87430 | 0% | 85 | $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)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.