Medicaid Provider Spending

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

NPI: 1770532426 · ST CLOUD, MN 56303 · Clinic/Center · NPI assigned 05/09/2006

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

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

$4.44M
Total Medicaid Paid
98,454
Total Claims
91,140
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, MICHAEL (SR. VICE PRESIDENT AND CFO)
Parent OrganizationST CLOUD HOSPITAL
NPI Enumeration Date05/09/2006

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
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
ST. CLOUD HOSPITAL SAUK RAPIDS MN $2.53M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,681 $213K
2019 17,068 $706K
2020 15,523 $669K
2021 14,573 $840K
2022 14,317 $806K
2023 12,377 $687K
2024 8,915 $523K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,180 26,101 $2.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,630 20,732 $1.11M
T1013 Sign language or oral interpretive services, per 15 minutes 9,157 8,447 $385K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,238 8,799 $148K
90832 Psychotherapy, 30 minutes with patient 1,212 851 $59K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2,538 2,399 $54K
90686 4,985 4,794 $54K
90472 Immunization administration, each additional vaccine (list separately) 2,753 2,625 $49K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 775 752 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 659 642 $45K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 529 514 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 624 557 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 431 417 $32K
90651 427 406 $28K
99232 Subsequent hospital care, per day, moderate complexity 663 225 $25K
99238 Hospital discharge day management, 30 minutes or less 568 510 $23K
99607 539 418 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 312 297 $18K
99442 335 284 $16K
92551 1,794 1,733 $12K
91322 85 85 $10K
99606 268 211 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 80 80 $9K
90715 418 400 $8K
0001A 197 197 $8K
83036 Hemoglobin; glycosylated (A1C) 997 958 $8K
90677 27 27 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 64 64 $6K
99605 108 106 $5K
0124A 156 153 $5K
96127 1,280 1,251 $5K
99188 407 392 $4K
90480 137 135 $4K
0002A 98 98 $4K
90670 393 371 $3K
90656 249 248 $3K
99215 Prolong outpt/office vis 25 24 $3K
99173 1,746 1,688 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66 64 $3K
99443 36 31 $2K
90739 13 13 $2K
90750 15 13 $2K
36415 Collection of venous blood by venipuncture 841 744 $2K
90732 19 16 $2K
0054A 36 36 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 282 273 $1K
81025 150 146 $1K
99441 34 29 $802.53
71046 Radiologic examination, chest; 2 views 28 28 $714.60
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 29 $691.43
0052A 15 15 $613.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 46 46 $578.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 53 52 $365.28
G0008 Administration of influenza virus vaccine 106 101 $357.68
80061 Lipid panel 16 15 $197.94
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $184.32
90716 15 14 $133.20
93000 12 12 $119.46
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 13 $107.52
90707 15 14 $77.31
90633 288 271 $35.42
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 14 $25.90
81003 13 12 $13.51
X5622 597 584 $0.00
90700 13 13 $0.00
90685 106 101 $0.00
90734 78 75 $0.00
90473 14 12 $0.00
90723 197 178 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 24 24 $0.00
90647 167 147 $0.00