Clinic
Centracare Health System - Melrose
Centracare Health System - Melrose was paid $4.05M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoCENTRACARE HEALTH SYSTEM - MELROSE
MELROSE, MN 56352
MELROSE, MN 56352
33aNPI1730407586assigned 05/04/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$4.05M
24GClaims59,290
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#22 of 87
Median peer was paid$1.04M
This provider vs. median3.9×
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 | 7,213 | $453K | |
| 2019 | 7,408 | $408K | |
| 2020 | 6,875 | $296K | |
| 2021 | 12,977 | $705K | |
| 2022 | 9,789 | $730K | |
| 2023 | 8,593 | $792K | |
| 2024incomplete | 6,435 | $667K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 71% | 23,054 | 16,396 | $2.88M |
| 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 | 18% | 6,314 | 4,900 | $713K |
| X5622 | 9.1% | 1,659 | 1,473 | $368K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 987 | 835 | $31K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 239 | 226 | $18K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 3,134 | 2,044 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 666 | 478 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 372 | 334 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 204 | 181 | $3K |
| 99188 | <1% | 486 | 417 | $1K | |
| 90686 | <1% | 2,373 | 1,914 | $624.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,784 | 2,211 | $379.93 |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,271 | $341.57 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,005 | $289.16 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,102 | $131.75 |
| 99284 | Emergency room visit (serious) | <1% | 128 | $91.17 |
| 96127 | <1% | 1,962 | $17.08 | |
| 99173 | <1% | 1,866 | $0.13 | |
| 92551 | <1% | 1,935 | $0.05 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 87 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 33 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 2,572 | $0.00 |
| 85018 | 0% | 172 | $0.00 | |
| 90620 | 0% | 48 | $0.00 | |
| 0001A | 0% | 64 | $0.00 | |
| 90723 | 0% | 34 | $0.00 | |
| 90651 | 0% | 51 | $0.00 | |
| 90670 | 0% | 234 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 893 | $0.00 |
| 90461 | 0% | 390 | $0.00 | |
| 0002A | 0% | 56 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90685 | 0% | 52 | $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. 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 Clinic | Saint Cloud, MN | $3.58M |
| Centracare Clinic | Saint Cloud, MN | $2.83M |
| Carris Health, LLC | Willmar, MN | $2.82M |
| ST. Cloud Hospital | Sauk Rapids, MN | $2.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.