Clinic
Centracare Clinic
Centracare Clinic was paid $3.58M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoCENTRACARE CLINIC
SAINT CLOUD, MN 56301
SAINT CLOUD, MN 56301
33aNPI1669994315assigned 07/14/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.58M
24GClaims116,242
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Minnesota
Rank by total paid#6 of 44
Median peer was paid$996K
This provider vs. median3.6×
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 | 17,269 | $182K | |
| 2019 | 22,420 | $751K | |
| 2020 | 20,978 | $635K | |
| 2021 | 19,688 | $694K | |
| 2022 | 13,416 | $482K | |
| 2023 | 13,536 | $482K | |
| 2024incomplete | 8,935 | $350K |
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 | 41% | 21,463 | 19,969 | $1.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 15,626 | 14,683 | $772K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 6.2% | 7,171 | 6,421 | $222K |
| X5622 | 3.3% | 2,229 | 2,084 | $118K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 6,514 | 6,254 | $102K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.8% | 4,986 | 4,756 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 1,430 | 1,407 | $95K |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 18,437 | 16,855 | $75K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,320 | 1,187 | $75K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 1,577 | 1,533 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 788 | 773 | $51K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 542 | 531 | $48K |
60 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,057 | $35K |
| 90686 | <1% | 4,178 | $32K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 393 | $28K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 296 | $28K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,604 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 279 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,284 | $17K |
| 87480 | <1% | 812 | $16K | |
| 87660 | <1% | 812 | $16K | |
| 87510 | <1% | 812 | $16K | |
| 99188 | <1% | 1,881 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 582 | $13K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 299 | $13K |
| 90651 | <1% | 367 | $12K | |
| 92551 | <1% | 2,228 | $11K | |
| 96127 | <1% | 2,981 | $11K | |
| 90715 | <1% | 509 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 205 | $7K |
| 83013 | <1% | 83 | $6K | |
| 81025 | <1% | 729 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 241 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $4K |
| 0001A | <1% | 104 | $4K | |
| 0002A | <1% | 84 | $3K | |
| 81001 | <1% | 1,090 | $3K | |
| 0054A | <1% | 75 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 461 | $3K |
| 99173 | <1% | 2,264 | $2K | |
| 0124A | <1% | 65 | $2K | |
| 85018 | <1% | 944 | $2K | |
| 90670 | <1% | 740 | $2K | |
| 90656 | <1% | 165 | $2K | |
| 90677 | <1% | 42 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 159 | $2K |
| 85027 | <1% | 257 | $2K | |
| 99442 | <1% | 25 | $2K | |
| 36416 | <1% | 349 | $1K | |
| 90480 | <1% | 26 | $931.18 | |
| 87800 | <1% | 15 | $765.45 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 151 | $733.61 |
| 81003 | <1% | 345 | $617.81 | |
| 83014 | <1% | 71 | $579.26 | |
| 0004A | <1% | 12 | $493.68 | |
| 90734 | <1% | 109 | $389.98 | |
| 96161 | <1% | 162 | $302.73 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $247.95 |
| 93000 | <1% | 25 | $234.18 | |
| 90473 | <1% | 12 | $214.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 27 | $140.04 |
| 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% | 22 | $13.14 |
| 90723 | <1% | 474 | $0.03 | |
| 90647 | <1% | 434 | $0.02 | |
| 90620 | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 83 | $0.00 |
| 90696 | 0% | 41 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 90685 | 0% | 153 | $0.00 | |
| 90633 | 0% | 329 | $0.00 | |
| 90681 | 0% | 73 | $0.00 | |
| 90710 | 0% | 39 | $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 (SR VP & CFO)
Parent organizationCENTRACARE CLINIC
| 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 | $2.83M |
| Carris Health, LLC | Willmar, MN | $2.82M |
| ST. Cloud Hospital | Sauk Rapids, MN | $2.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.