Fairview Clinics
Fairview Clinics was paid $316K by Medicaid between Aug 2019 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoFAIRVIEW CLINICS
RIVER FALLS, WI 54022
RIVER FALLS, WI 54022
33aNPI1811550155assigned 04/22/2019
33bProvider typeSpecialist
28Total paid$316K
24GClaims14,690
24DCodes billed20
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Specialist providers in Wisconsin
Rank by total paid#8 of 37
Median peer was paid$19K
This provider vs. median17×
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 RING, MAUREEN 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 | |
|---|---|---|---|
| 2019 | 1,496 | $30K | |
| 2020 | 2,540 | $56K | |
| 2021 | 3,561 | $63K | |
| 2022 | 2,975 | $59K | |
| 2023 | 2,835 | $61K | |
| 2024incomplete | 1,283 | $47K |
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 | 54% | 7,684 | 6,296 | $170K |
| 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 | 40% | 4,085 | 3,223 | $126K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 144 | 109 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 71 | 64 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 79 | 66 | $3K |
| 3008F | <1% | 592 | 507 | $3K | |
| 96127 | <1% | 556 | 447 | $2K | |
| 90686 | <1% | 404 | 365 | $1K | |
| 99442 | <1% | 96 | 67 | $1K | |
| 0011A | <1% | 41 | 29 | $593.44 | |
| 99173 | <1% | 29 | 27 | $264.01 | |
| 92551 | <1% | 16 | 16 | $224.09 |
8 more codes
| 99000 | <1% | 113 | $211.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 456 | $174.95 |
| 99441 | <1% | 24 | $87.12 | |
| 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% | 78 | $40.71 |
| 90685 | <1% | 13 | $33.10 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $19.60 |
| 90656 | <1% | 17 | $15.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 179 | $14.01 |
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 officialRING, MAUREEN (SYS DIR GOVT REIMB & NETWK REL)
| Provider | Location | Paid |
|---|---|---|
| Fairview Health Services | Minneapolis, MN | $90.41M |
| Fairview Health Services | Saint Paul, MN | $48.52M |
| Fairview Health Services | Burnsville, MN | $29.98M |
| Fairview Health Services | Minneapolis, MN | $26.56M |
| Healtheast ST. John's Hospital | Maplewood, MN | $17.91M |
| Fairview Health Services | Edina, MN | $17.24M |
| Healtheast Medical Research Institute | Saint Paul, MN | $11.37M |
| Fairview Clinics | Bloomington, MN | $9.40M |
| Fairview Health Services | Princeton, MN | $9.36M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.76M |
| Healtheast Medical Research Institute | Saint Paul, MN | $8.29M |
| Fairview Clinics | Brooklyn Park, MN | $8.06M |
| Fairview Health Services | Wyoming, MN | $7.71M |
| Healtheast Medical Research Institute | Maplewood, MN | $7.44M |
| Healtheast Woodwinds Hospital | Woodbury, MN | $6.17M |
| Fairview Clinics | Burnsville, MN | $4.75M |
| Fairview Clinics | Minneapolis, MN | $4.75M |
| Fairview Express Care | Saint Paul, MN | $4.57M |
| Fairview Clinics | Saint Paul, MN | $4.37M |
| Healtheast Medical Research Institute | Woodbury, MN | $4.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.