Clinic
ST. Cloud Hospital
ST. Cloud Hospital was paid $4.44M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoST. CLOUD HOSPITAL
ST CLOUD, MN 56303
ST CLOUD, MN 56303
33aNPI1770532426assigned 05/09/2006
33bProvider typeClinic/Center
28Total paid$4.44M
24GClaims98,454
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#13 of 250
Median peer was paid$274K
This provider vs. median16×
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 | 15,681 | $213K | |
| 2019 | 17,068 | $706K | |
| 2020 | 15,523 | $669K | |
| 2021 | 14,573 | $840K | |
| 2022 | 14,317 | $806K | |
| 2023 | 12,377 | $687K | |
| 2024incomplete | 8,915 | $523K |
Box 24 · Service lines
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 | 48% | 28,180 | 26,101 | $2.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 22,630 | 20,732 | $1.11M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 8.7% | 9,157 | 8,447 | $385K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 9,238 | 8,799 | $148K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 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) | 1.2% | 2,538 | 2,399 | $54K |
| 90686 | 1.2% | 4,985 | 4,794 | $54K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 2,753 | 2,625 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 775 | 752 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 659 | 642 | $45K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 529 | 514 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 624 | 557 | $33K |
59 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 431 | $32K |
| 90651 | <1% | 427 | $28K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 663 | $25K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 568 | $23K |
| 99607 | <1% | 539 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 312 | $18K |
| 99442 | <1% | 335 | $16K | |
| 92551 | <1% | 1,794 | $12K | |
| 91322 | <1% | 85 | $10K | |
| 99606 | <1% | 268 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $9K |
| 90715 | <1% | 418 | $8K | |
| 0001A | <1% | 197 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 997 | $8K |
| 90677 | <1% | 27 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $6K |
| 99605 | <1% | 108 | $5K | |
| 0124A | <1% | 156 | $5K | |
| 96127 | <1% | 1,280 | $5K | |
| 99188 | <1% | 407 | $4K | |
| 90480 | <1% | 137 | $4K | |
| 0002A | <1% | 98 | $4K | |
| 90670 | <1% | 393 | $3K | |
| 90656 | <1% | 249 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $3K |
| 99173 | <1% | 1,746 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 66 | $3K |
| 99443 | <1% | 36 | $2K | |
| 90739 | <1% | 13 | $2K | |
| 90750 | <1% | 15 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 841 | $2K |
| 90732 | <1% | 19 | $2K | |
| 0054A | <1% | 36 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 282 | $1K |
| 81025 | <1% | 150 | $1K | |
| 99441 | <1% | 34 | $802.53 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | $714.60 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $691.43 |
| 0052A | <1% | 15 | $613.65 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | $578.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 53 | $365.28 |
| G0008 | Administration of influenza virus vaccine | <1% | 106 | $357.68 |
| 80061 | Lipid panel | <1% | 16 | $197.94 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $184.32 |
| 90716 | <1% | 15 | $133.20 | |
| 93000 | <1% | 12 | $119.46 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $107.52 |
| 90707 | <1% | 15 | $77.31 | |
| 90633 | <1% | 288 | $35.42 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $25.90 |
| 81003 | <1% | 13 | $13.51 | |
| X5622 | 0% | 597 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90685 | 0% | 106 | $0.00 | |
| 90734 | 0% | 78 | $0.00 | |
| 90473 | 0% | 14 | $0.00 | |
| 90723 | 0% | 197 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 24 | $0.00 |
| 90647 | 0% | 167 | $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)
Parent organizationST CLOUD HOSPITAL
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.