Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CENTRACARE CLINIC

NPI: 1700281953 · SARTELL, MN 56377 · Urology Physician · NPI assigned 10/30/2014

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

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

$252K
Total Medicaid Paid
5,498
Total Claims
5,201
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR VP & CFO)
Parent OrganizationCENTRACARE CLINIC
NPI Enumeration Date10/30/2014

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
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 $3.58M
CENTRACARE CLINIC SAINT CLOUD MN $2.83M
CARRIS HEALTH, LLC WILLMAR MN $2.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,168 $10K
2019 1,121 $46K
2020 611 $26K
2021 1,141 $77K
2022 837 $53K
2023 428 $27K
2024 192 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,829 2,660 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,537 1,464 $96K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 309 302 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 180 171 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 168 150 $4K
52000 37 37 $3K
T1013 Sign language or oral interpretive services, per 15 minutes 84 78 $3K
51798 339 325 $2K
99244 Office or other outpatient consultation, moderate to high complexity 15 14 $0.00