Hospital
Centracare Health System - Melrose
Centracare Health System - Melrose was paid $798K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99283, emergency room visit (moderate) — 47% of everything it billed.
33Billing provider infoCENTRACARE HEALTH SYSTEM - MELROSE
MELROSE, MN 56352
MELROSE, MN 56352
33aNPI1720045073assigned 04/28/2006
33bProvider typeCritical Access Hospital
28Total paid$798K
24GClaims9,354
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#35 of 68
Median peer was paid$798K
This provider vs. median1.0×
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 | 242 | $1K | |
| 2019 | 87 | $818.87 | |
| 2020 | 1,202 | $75K | |
| 2021 | 3,211 | $237K | |
| 2022 | 2,182 | $212K | |
| 2023 | 1,898 | $209K | |
| 2024incomplete | 532 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 47% | 2,098 | 1,689 | $376K |
| 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 | 29% | 3,257 | 1,716 | $231K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 8.1% | 296 | 264 | $65K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.3% | 236 | 209 | $35K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.3% | 451 | 195 | $34K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 823 | 739 | $26K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 609 | 568 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 883 | 793 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 247 | 119 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 193 | 179 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 90 | 89 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 75 | 71 | $2K |
5 more codes
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. VICE PRESIDENT AND CFO)
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.