Hospital
Mayo Clinic Health System-Southwest Minnesota Region
Mayo Clinic Health System-Southwest Minnesota Region was paid $2.72M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 46% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
WASECA, MN 56093
WASECA, MN 56093
33aNPI1740256668assigned 02/28/2006
33bProvider typeCritical Access Hospital
28Total paid$2.72M
24GClaims31,726
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#15 of 68
Median peer was paid$798K
This provider vs. median3.4×
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 MEKALA, PRAVEEN controls 14+ 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 | 1,175 | $51K | |
| 2019 | 5,158 | $349K | |
| 2020 | 3,852 | $274K | |
| 2021 | 5,277 | $422K | |
| 2022 | 6,376 | $580K | |
| 2023 | 5,895 | $585K | |
| 2024incomplete | 3,993 | $455K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 46% | 16,914 | 15,409 | $1.24M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 3,768 | 3,408 | $697K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 1,889 | 1,570 | $461K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.3% | 519 | 426 | $198K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 184 | 176 | $27K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,263 | 3,886 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,586 | 1,511 | $15K |
| 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 | <1% | 253 | 230 | $9K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 72 | 65 | $7K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 96 | 93 | $5K |
| 87631 | <1% | 122 | 119 | $4K | |
| 80053 | Comprehensive metabolic panel | <1% | 249 | 241 | $3K |
23 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 104 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 294 | $3K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 307 | $3K |
| 86780 | <1% | 145 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 143 | $2K |
| 90686 | <1% | 299 | $2K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 26 | $2K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 26 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 34 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 32 | $1K |
| 85610 | <1% | 67 | $886.16 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 45 | $755.51 |
| 80061 | Lipid panel | <1% | 24 | $617.01 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $435.14 |
| 81001 | <1% | 76 | $361.04 | |
| 90656 | <1% | 27 | $288.86 | |
| 83605 | <1% | 13 | $233.38 | |
| 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% | 13 | $181.79 |
| 86140 | <1% | 12 | $178.43 | |
| 84484 | <1% | 13 | $153.96 | |
| 83690 | <1% | 25 | $100.99 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 62 | $64.22 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $24.80 |
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 officialMEKALA, PRAVEEN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $37.49M |
| Mayo Clinic Health System-Southwest Minnesota Region | Mankato, MN | $28.51M |
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $21.76M |
| Mayo Clinic Health System-Southeast Minnesota Region | Owatonna, MN | $13.72M |
| Mayo Clinic Health System-Southeast Minnesota Region | Albert Lea, MN | $12.58M |
| Mayo Clinic Health System-Fairmont | Fairmont, MN | $9.04M |
| Mayo Clinic Health System-Southeast Minnesota Region | Red Wing, MN | $6.56M |
| Mayo Clinic Health System-Fairmont | Fairmont, MN | $4.71M |
| Mayo Clinic Health System-Southeast Minnesota Region | Red Wing, MN | $4.42M |
| Mayo Clinic Health System-Southwest Minnesota Region | New Prague, MN | $1.41M |
| Mayo Clinic Health System-Lake City | Lake City, MN | $653K |
| Mayo Clinic Health System-Southeast Minnesota Region | Cannon Falls, MN | $520K |
| Mayo Clinic Health System-Lake City | Lake City, MN | $265K |
| Mayo Clinic Health System-Lake City | Lake City, MN | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.