Clinic
Centracare Clinic
Centracare Clinic was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoCENTRACARE CLINIC
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1780125849assigned 03/09/2017
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.19M
24GClaims27,048
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#39 of 87
Median peer was paid$1.04M
This provider vs. median1.1×
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 | 3,671 | $68K | |
| 2019 | 4,834 | $231K | |
| 2020 | 3,174 | $145K | |
| 2021 | 3,703 | $186K | |
| 2022 | 3,565 | $175K | |
| 2023 | 4,583 | $215K | |
| 2024incomplete | 3,518 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 49% | 7,421 | 7,280 | $581K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 3,998 | 3,900 | $341K |
| 92015 | Determination of refractive state | 13% | 12,660 | 12,353 | $152K |
| 92060 | 2.5% | 952 | 913 | $30K | |
| 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 | 2.4% | 364 | 347 | $28K |
| 92134 | 1.4% | 627 | 609 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 199 | 176 | $12K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 253 | 237 | $11K |
| 92133 | <1% | 187 | 185 | $5K | |
| 92250 | <1% | 192 | 187 | $4K | |
| 92083 | <1% | 49 | 49 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 119 | 115 | $1K |
1 more codes
| 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% | 27 | $98.46 |
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 VP & 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.