Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SARTELL › CENTRACARE CLINIC

CENTRACARE CLINIC

NPI: 1689196339 · SARTELL, MN 56377 · Primary Care Clinic/Center · NPI assigned 07/14/2017

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

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

$6.11M
Total Medicaid Paid
210,708
Total Claims
197,494
Beneficiaries
104
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (CFO)
Parent OrganizationCENTRACARE CLINIC
NPI Enumeration Date07/14/2017

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
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
ST. CLOUD HOSPITAL SAUK RAPIDS MN $2.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,796 $287K
2019 28,637 $875K
2020 29,497 $826K
2021 43,133 $1.32M
2022 34,712 $1.15M
2023 27,597 $965K
2024 18,336 $681K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,833 38,422 $2.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,283 28,082 $1.38M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,098 2,048 $170K
36415 Collection of venous blood by venipuncture 35,561 32,782 $138K
T1013 Sign language or oral interpretive services, per 15 minutes 3,051 2,784 $130K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4,794 4,545 $128K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,456 8,043 $126K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,391 1,335 $121K
X5622 1,825 1,662 $114K
80061 Lipid panel 7,547 7,369 $77K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,129 1,107 $71K
99215 Prolong outpt/office vis 487 468 $56K
84443 Thyroid stimulating hormone (TSH) 3,886 3,753 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 965 849 $50K
90686 4,724 4,563 $47K
80048 Basic metabolic panel (calcium, ionized) 6,633 6,331 $43K
83036 Hemoglobin; glycosylated (A1C) 5,346 5,249 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,800 6,502 $42K
90472 Immunization administration, each additional vaccine (list separately) 2,555 2,421 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 562 551 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 717 671 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,399 1,357 $35K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 308 285 $30K
90677 107 105 $28K
90832 Psychotherapy, 30 minutes with patient 645 513 $28K
80053 Comprehensive metabolic panel 3,028 2,915 $26K
90460 Immunization administration through 18 years of age via any route, first or only component 688 663 $24K
87660 1,341 1,279 $23K
87480 1,338 1,279 $23K
87510 1,335 1,276 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,053 1,957 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 300 280 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,090 706 $14K
90715 635 590 $13K
90651 281 258 $13K
96127 3,466 3,382 $12K
90834 Psychotherapy, 45 minutes with patient 168 124 $12K
80050 General health panel 229 228 $12K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 887 853 $11K
71046 Radiologic examination, chest; 2 views 647 541 $10K
99188 1,232 1,220 $9K
99442 139 134 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 73 72 $8K
81025 1,021 976 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 216 201 $7K
90691 51 51 $6K
90750 39 39 $6K
92551 1,596 1,564 $6K
0001A 162 161 $6K
81001 2,113 2,015 $6K
0054A 170 168 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 142 134 $5K
90670 527 504 $4K
85018 1,648 1,587 $3K
0002A 90 89 $3K
84439 369 359 $3K
90732 33 33 $3K
82043 574 561 $3K
85027 494 484 $3K
82947 836 816 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 196 164 $3K
82570 578 562 $3K
0124A 72 70 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 271 242 $2K
83540 372 368 $2K
86140 514 496 $2K
90656 167 166 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 336 317 $2K
99173 2,033 1,973 $2K
0004A 59 58 $2K
99401 69 69 $2K
83550 172 169 $1K
36416 447 386 $1K
99385 15 14 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 221 219 $1K
81003 735 722 $1K
90734 92 82 $882.00
93000 87 85 $807.99
82728 57 56 $783.70
G0008 Administration of influenza virus vaccine 468 452 $736.67
87800 16 15 $714.42
99441 13 12 $436.77
83655 17 17 $417.28
90716 28 27 $398.29
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 87 84 $368.68
87070 75 74 $270.64
87086 Culture, bacterial; quantitative colony count, urine 26 25 $230.20
99406 17 14 $161.42
82248 26 25 $123.84
96161 70 64 $115.74
85004 67 66 $105.07
80076 12 12 $100.57
83690 12 12 $79.55
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) 53 52 $60.11
85048 70 69 $41.29
85652 13 13 $36.14
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 17 $13.68
90633 267 251 $12.73
90685 112 105 $0.00
90710 30 25 $0.00
90681 17 13 $0.00
90647 263 235 $0.00
90723 309 288 $0.00
90696 17 13 $0.00