Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Centracare Clinic

Centracare Clinic was paid $252K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoCENTRACARE CLINIC
SARTELL, MN 56377
33aNPI1700281953assigned 10/30/2014
33bProvider typeUrology Physician
28Total paid$252K
24GClaims5,498
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Minnesota

Rank by total paid#1 of 6
Median peer was paid$987.92
This provider vs. median255×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,168$10K
20191,121$46K
2020611$26K
20211,141$77K
2022837$53K
2023428$27K
2024incomplete192$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 2,829 2,660 $99K
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 38% 1,537 1,464 $96K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 309 302 $32K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 180 171 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.7% 168 150 $4K
52000 1.4% 37 37 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 1.1% 84 78 $3K
51798 <1% 339 325 $2K
99244 Office or other outpatient consultation, moderate to high complexity 0% 15 14 $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
Same official

Other billing entities under BLAIR, MICHAEL

Full network →
ProviderLocationPaid
ST. Cloud HospitalSaint Cloud, MN$53.43M
Centracare ClinicSt Cloud, MN$20.93M
Centracare ClinicSt Cloud, MN$19.28M
Centracare Health SystemBig Lake, MN$12.82M
Carris Health LLCWillmar, MN$12.39M
Centracare Health SystemsSaint Cloud, MN$9.41M
Centracare Health SystemSaint Cloud, MN$9.06M
Carris Health LLCWillmar, MN$8.27M
Centracare ClinicSaint Cloud, MN$6.96M
Centracare Health System - Long PrairieLong Prairie, MN$6.86M
Centracare Health System-Nr LLCMonticello, MN$6.73M
Centracare ClinicSartell, MN$6.11M
ST. Cloud HospitalSaint Cloud, MN$5.16M
Carris Health - Redwood LLCRedwood Falls, MN$4.74M
ST. Cloud HospitalSt Cloud, MN$4.44M
Centracare Health System - Sauk CentreSauk Centre, MN$4.19M
Centracare Health System - MelroseMelrose, MN$4.05M
Centracare ClinicSaint Cloud, MN$3.58M
Centracare ClinicSaint Cloud, MN$2.83M
Carris Health, LLCWillmar, MN$2.82M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.