Clinic
Centracare Clinic
Centracare Clinic was paid $6.11M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoCENTRACARE CLINIC
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1689196339assigned 07/14/2017
33bProvider typePrimary Care Clinic/Center
28Total paid$6.11M
24GClaims210,708
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Minnesota
Rank by total paid#4 of 72
Median peer was paid$251K
This provider vs. median24×
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 | 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 | |
| 2024incomplete | 18,336 | $681K |
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 | 44% | 41,833 | 38,422 | $2.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 30,283 | 28,082 | $1.38M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 2,098 | 2,048 | $170K |
| 36415 | Collection of venous blood by venipuncture | 2.3% | 35,561 | 32,782 | $138K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 2.1% | 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) | 2.1% | 4,794 | 4,545 | $128K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 8,456 | 8,043 | $126K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 1,391 | 1,335 | $121K |
| X5622 | 1.9% | 1,825 | 1,662 | $114K | |
| 80061 | Lipid panel | 1.3% | 7,547 | 7,369 | $77K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 1,129 | 1,107 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 487 | 468 | $56K |
92 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,886 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 965 | $50K |
| 90686 | <1% | 4,724 | $47K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 6,633 | $43K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,346 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,800 | $42K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,555 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 562 | $37K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 717 | $36K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,399 | $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 | <1% | 308 | $30K |
| 90677 | <1% | 107 | $28K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 645 | $28K |
| 80053 | Comprehensive metabolic panel | <1% | 3,028 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 688 | $24K |
| 87660 | <1% | 1,341 | $23K | |
| 87480 | <1% | 1,338 | $23K | |
| 87510 | <1% | 1,335 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,053 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 300 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,090 | $14K |
| 90715 | <1% | 635 | $13K | |
| 90651 | <1% | 281 | $13K | |
| 96127 | <1% | 3,466 | $12K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 168 | $12K |
| 80050 | General health panel | <1% | 229 | $12K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 887 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 647 | $10K |
| 99188 | <1% | 1,232 | $9K | |
| 99442 | <1% | 139 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 73 | $8K |
| 81025 | <1% | 1,021 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 216 | $7K |
| 90691 | <1% | 51 | $6K | |
| 90750 | <1% | 39 | $6K | |
| 92551 | <1% | 1,596 | $6K | |
| 0001A | <1% | 162 | $6K | |
| 81001 | <1% | 2,113 | $6K | |
| 0054A | <1% | 170 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 142 | $5K |
| 90670 | <1% | 527 | $4K | |
| 85018 | <1% | 1,648 | $3K | |
| 0002A | <1% | 90 | $3K | |
| 84439 | <1% | 369 | $3K | |
| 90732 | <1% | 33 | $3K | |
| 82043 | <1% | 574 | $3K | |
| 85027 | <1% | 494 | $3K | |
| 82947 | <1% | 836 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 196 | $3K |
| 82570 | <1% | 578 | $3K | |
| 0124A | <1% | 72 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 271 | $2K |
| 83540 | <1% | 372 | $2K | |
| 86140 | <1% | 514 | $2K | |
| 90656 | <1% | 167 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 336 | $2K |
| 99173 | <1% | 2,033 | $2K | |
| 0004A | <1% | 59 | $2K | |
| 99401 | <1% | 69 | $2K | |
| 83550 | <1% | 172 | $1K | |
| 36416 | <1% | 447 | $1K | |
| 99385 | <1% | 15 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 221 | $1K |
| 81003 | <1% | 735 | $1K | |
| 90734 | <1% | 92 | $882.00 | |
| 93000 | <1% | 87 | $807.99 | |
| 82728 | <1% | 57 | $783.70 | |
| G0008 | Administration of influenza virus vaccine | <1% | 468 | $736.67 |
| 87800 | <1% | 16 | $714.42 | |
| 99441 | <1% | 13 | $436.77 | |
| 83655 | <1% | 17 | $417.28 | |
| 90716 | <1% | 28 | $398.29 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 87 | $368.68 |
| 87070 | <1% | 75 | $270.64 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 26 | $230.20 |
| 99406 | <1% | 17 | $161.42 | |
| 82248 | <1% | 26 | $123.84 | |
| 96161 | <1% | 70 | $115.74 | |
| 85004 | <1% | 67 | $105.07 | |
| 80076 | <1% | 12 | $100.57 | |
| 83690 | <1% | 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) | <1% | 53 | $60.11 |
| 85048 | <1% | 70 | $41.29 | |
| 85652 | <1% | 13 | $36.14 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $13.68 |
| 90633 | <1% | 267 | $12.73 | |
| 90685 | 0% | 112 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90681 | 0% | 17 | $0.00 | |
| 90647 | 0% | 263 | $0.00 | |
| 90723 | 0% | 309 | $0.00 | |
| 90696 | 0% | 17 | $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)
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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.