Fairview Health Services
Fairview Health Services was paid $17.24M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99285, emergency room visit (most serious) — 56% of everything it billed.
EDINA, MN 55435
Next to other Registered Dietitian providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,444 | $778K | |
| 2019 | 21,833 | $2.31M | |
| 2020 | 15,237 | $1.83M | |
| 2021 | 27,249 | $2.90M | |
| 2022 | 35,200 | $3.48M | |
| 2023 | 32,806 | $3.49M | |
| 2024incomplete | 18,385 | $2.46M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 56% | 24,661 | 22,635 | $9.70M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 7,954 | 7,476 | $1.96M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.7% | 10,016 | 9,422 | $1.67M |
| G0378 | Hospital observation service, per hour | 5.8% | 2,762 | 2,100 | $991K |
| 36415 | Collection of venous blood by venipuncture | 2.9% | 21,033 | 17,926 | $493K |
| J7050 | Infusion, normal saline solution, 250 cc | 2.3% | 1,181 | 839 | $401K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.6% | 3,175 | 2,799 | $281K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.4% | 2,148 | 1,745 | $243K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,661 | 1,513 | $162K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,900 | 1,732 | $141K |
| 97602 | <1% | 1,117 | 810 | $126K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 1,025 | 997 | $126K |
70 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 6,612 | $107K |
| 80053 | Comprehensive metabolic panel | <1% | 12,043 | $88K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 4,925 | $69K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 547 | $68K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 4,725 | $68K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 594 | $50K |
| 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% | 1,227 | $46K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,809 | $45K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 28,648 | $37K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 361 | $30K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 112 | $27K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 230 | $26K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 323 | $26K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 757 | $25K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,166 | $24K |
| 99220 | <1% | 176 | $21K | |
| J3490 | Unclassified drugs | <1% | 185 | $16K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 520 | $15K |
| 81001 | <1% | 2,371 | $15K | |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 1,043 | $12K |
| A9270 | Non-covered item or service | <1% | 4,564 | $11K |
| 84484 | <1% | 2,596 | $10K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 145 | $9K |
| 17250 | <1% | 79 | $9K | |
| 99217 | <1% | 181 | $9K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 971 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 260 | $8K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 48 | $7K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 142 | $7K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 2,782 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 19 | $5K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 3,531 | $5K |
| 82962 | <1% | 307 | $4K | |
| 88307 | <1% | 86 | $4K | |
| 99225 | <1% | 76 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 73 | $3K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 16 | $2K |
| 85610 | <1% | 399 | $2K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,473 | $2K |
| 85027 | <1% | 532 | $1K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 24 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 64 | $1K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 59 | $1K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,248 | $795.65 |
| 83690 | <1% | 645 | $781.04 | |
| 83880 | <1% | 15 | $739.96 | |
| 96376 | <1% | 42 | $731.26 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 735 | $664.94 |
| 83605 | <1% | 104 | $516.52 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $482.12 |
| 97803 | <1% | 16 | $340.37 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 50 | $260.77 |
| 83735 | <1% | 118 | $189.55 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 508 | $159.85 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 146 | $150.84 |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 13 | $139.12 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 519 | $135.55 |
| 82077 | <1% | 41 | $109.89 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 28 | $72.38 |
| J2704 | Injection, propofol, 10 mg | <1% | 227 | $67.98 |
| 81025 | <1% | 48 | $54.27 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $21.08 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 45 | $5.66 |
| A6022 | Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each | 0% | 13 | $0.00 |
| 84703 | 0% | 12 | $0.00 | |
| 87081 | 0% | 15 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 19 | $0.00 |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | 0% | 19 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 18 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Fairview Health Services | Minneapolis, MN | $90.41M |
| Fairview Health Services | Saint Paul, MN | $48.52M |
| Fairview Health Services | Burnsville, MN | $29.98M |
| Fairview Health Services | Minneapolis, MN | $26.56M |
| Healtheast ST. John's Hospital | Maplewood, MN | $17.91M |
| Healtheast Medical Research Institute | Saint Paul, MN | $11.37M |
| Fairview Clinics | Bloomington, MN | $9.40M |
| Fairview Health Services | Princeton, MN | $9.36M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.76M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.29M |
| Fairview Clinics | Brooklyn Park, MN | $8.06M |
| Fairview Health Services | Wyoming, MN | $7.71M |
| Healtheast Medical Research Institute | Maplewood, MN | $7.44M |
| Healtheast Woodwinds Hospital | Woodbury, MN | $6.17M |
| Fairview Clinics | Burnsville, MN | $4.75M |
| Fairview Clinics | Minneapolis, MN | $4.75M |
| Fairview Express Care | Saint Paul, MN | $4.57M |
| Fairview Clinics | Saint Paul, MN | $4.37M |
| Healtheast Medical Research Institute | Woodbury, MN | $4.07M |
| Fairview Clinics | Princeton, MN | $4.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.