Allina Health System
Allina Health System was paid $13.17M by Medicaid between Jan 2018 and Dec 2024, across 162 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
CAMBRIDGE, MN 55008
Next to other Family Medicine Physician 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 | 55,441 | $691K | |
| 2019 | 58,772 | $2.22M | |
| 2020 | 50,884 | $2.08M | |
| 2021 | 63,895 | $2.84M | |
| 2022 | 49,088 | $2.27M | |
| 2023 | 39,055 | $1.86M | |
| 2024incomplete | 23,681 | $1.22M |
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 | 31% | 59,165 | 51,495 | $4.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 70,238 | 62,624 | $3.54M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.6% | 8,018 | 7,306 | $874K |
| X5622 | 3.2% | 5,522 | 5,236 | $425K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 9,617 | 9,367 | $318K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 3,283 | 3,219 | $257K |
| 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 | 1.9% | 3,238 | 3,142 | $253K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 3,111 | 3,035 | $215K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 3,595 | 3,417 | $211K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 1,950 | 1,893 | $178K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.3% | 14,936 | 14,685 | $175K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 2,376 | 1,477 | $147K |
150 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 1,520 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 2,834 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 2,013 | $138K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.0% | 4,019 | $138K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 3,648 | $135K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,172 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,436 | $107K |
| 36415 | Collection of venous blood by venipuncture | <1% | 29,734 | $93K |
| V2020 | Frames, purchases | <1% | 3,063 | $80K |
| 92015 | Determination of refractive state | <1% | 6,631 | $79K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 3,012 | $68K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,321 | $65K |
| 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% | 2,765 | $64K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,194 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 720 | $47K |
| 99223 | Prolong inpt eval add15 m | <1% | 253 | $47K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,056 | $47K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,058 | $38K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,046 | $37K |
| 92551 | <1% | 6,504 | $35K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 215 | $32K |
| 80061 | Lipid panel | <1% | 2,658 | $32K |
| 99188 | <1% | 2,736 | $31K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 539 | $31K |
| 90686 | <1% | 5,850 | $30K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,526 | $30K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,115 | $28K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 387 | $28K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 982 | $28K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,742 | $27K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,274 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,937 | $24K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 311 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,178 | $21K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,793 | $20K |
| 80053 | Comprehensive metabolic panel | <1% | 2,132 | $20K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 292 | $17K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 891 | $17K |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | <1% | 582 | $16K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,907 | $15K |
| 98940 | <1% | 733 | $13K | |
| 20610 | <1% | 407 | $13K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,317 | $13K |
| 92341 | <1% | 503 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 411 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,658 | $11K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 232 | $11K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 225 | $11K |
| 90715 | <1% | 782 | $11K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 447 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 367 | $9K |
| 99177 | <1% | 1,398 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 726 | $8K |
| 87481 | <1% | 226 | $8K | |
| 86780 | <1% | 577 | $8K | |
| 90651 | <1% | 665 | $8K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 83 | $7K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 94 | $7K |
| 92567 | <1% | 699 | $7K | |
| 96127 | <1% | 1,677 | $6K | |
| 81001 | <1% | 2,015 | $6K | |
| 92557 | <1% | 257 | $6K | |
| 86803 | <1% | 394 | $6K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 163 | $6K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 158 | $5K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 257 | $5K |
| 93793 | <1% | 723 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 331 | $5K |
| 82607 | <1% | 315 | $5K | |
| 81025 | <1% | 517 | $5K | |
| 0012A | <1% | 172 | $4K | |
| 99173 | <1% | 5,494 | $4K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 103 | $4K |
| 73562 | <1% | 161 | $4K | |
| 73630 | <1% | 192 | $4K | |
| 90750 | <1% | 27 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 40 | $4K |
| 80050 | General health panel | <1% | 79 | $3K |
| 87210 | <1% | 613 | $3K | |
| 81514 | <1% | 16 | $3K | |
| 87081 | <1% | 597 | $3K | |
| 0011A | <1% | 180 | $3K | |
| 0064A | <1% | 81 | $2K | |
| 99243 | <1% | 27 | $2K | |
| 90670 | <1% | 1,786 | $2K | |
| 85018 | <1% | 983 | $2K | |
| 82728 | <1% | 153 | $2K | |
| 99495 | <1% | 14 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 581 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 489 | $2K |
| 84439 | <1% | 202 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 28 | $2K |
| 86140 | <1% | 330 | $2K | |
| 85027 | <1% | 259 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 14 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 99000 | <1% | 281 | $1K | |
| 99407 | <1% | 65 | $1K | |
| 90653 | <1% | 42 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 51 | $1K |
| 99442 | <1% | 195 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 56 | $988.00 |
| 72100 | <1% | 47 | $940.28 | |
| 59025 | Fetal non-stress test | <1% | 64 | $843.04 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 84 | $836.56 |
| 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% | 76 | $793.25 |
| 87186 | <1% | 92 | $793.19 | |
| 87340 | <1% | 78 | $777.43 | |
| 84702 | <1% | 50 | $755.76 | |
| 90716 | <1% | 740 | $728.54 | |
| 90656 | <1% | 68 | $698.00 | |
| 36416 | <1% | 153 | $646.73 | |
| 87807 | <1% | 45 | $583.92 | |
| 99443 | <1% | 83 | $545.20 | |
| 87150 | <1% | 15 | $527.89 | |
| 0054A | <1% | 13 | $510.36 | |
| 85610 | <1% | 124 | $505.14 | |
| 73560 | <1% | 31 | $495.40 | |
| 73030 | <1% | 17 | $401.06 | |
| 90707 | <1% | 620 | $340.85 | |
| 99441 | <1% | 92 | $339.37 | |
| 73610 | <1% | 14 | $330.09 | |
| 83655 | <1% | 12 | $325.44 | |
| 86618 | <1% | 14 | $283.78 | |
| 86850 | <1% | 25 | $230.01 | |
| 90480 | <1% | 12 | $208.17 | |
| 81003 | <1% | 196 | $188.43 | |
| 90688 | <1% | 44 | $171.82 | |
| 87077 | <1% | 18 | $163.43 | |
| 90734 | <1% | 527 | $137.23 | |
| 87088 | <1% | 15 | $129.45 | |
| 82043 | <1% | 12 | $74.16 | |
| 86901 | <1% | 24 | $73.60 | |
| 86900 | <1% | 24 | $73.60 | |
| 82248 | <1% | 13 | $66.94 | |
| 83540 | <1% | 13 | $63.75 | |
| 85652 | <1% | 12 | $38.52 | |
| 90672 | <1% | 83 | $28.00 | |
| 99459 | <1% | 36 | $13.92 | |
| 90647 | 0% | 1,259 | $0.00 | |
| 90723 | 0% | 1,306 | $0.00 | |
| 90696 | 0% | 103 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 78 | $0.00 |
| 90677 | 0% | 38 | $0.00 | |
| 90694 | 0% | 12 | $0.00 | |
| 90633 | 0% | 952 | $0.00 | |
| 90681 | 0% | 502 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 93 | $0.00 |
| 90700 | 0% | 83 | $0.00 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 0% | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Allina Health System | Saint Paul, MN | $118.02M |
| Allina Health System | Coon Rapids, MN | $22.13M |
| Allina Health System | Minneapolis, MN | $18.26M |
| Allina Health System | St Paul, MN | $10.77M |
| Allina Health System | Faribault, MN | $7.56M |
| Allina Health System | New Ulm, MN | $7.47M |
| Allina Health System | Fridley, MN | $7.34M |
| Allina Health System | Woodbury, MN | $5.49M |
| Allina Health System | Minneapolis, MN | $5.35M |
| Allina Health System | Bloomington, MN | $4.38M |
| Allina Health System | Northfield, MN | $4.36M |
| Allina Health System | Hastings, MN | $4.22M |
| Allina Health System | Maplewood, MN | $4.15M |
| Allina Health System | West St Paul, MN | $3.64M |
| Allina Health System | Cottage Grove, MN | $3.63M |
| Allina Health System | Minneapolis, MN | $3.54M |
| Allina Health System | Eagan, MN | $3.39M |
| Allina Health System | St Paul, MN | $3.35M |
| Allina Health System | Shakopee, MN | $2.81M |
| Allina Health System | Eden Prairie, MN | $2.71M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.