Medicaid Provider Spending

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

MAYO CLINIC HEALTH SYSTEM-FAIRMONT

NPI: 1821066499 · FAIRMONT, MN 56031 · General Acute Care Hospital · NPI assigned 03/09/2006

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

Authorized official MEKALA, PRAVEEN controls 14+ related entities in our dataset. Read more

$9.04M
Total Medicaid Paid
130,540
Total Claims
117,454
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEKALA, PRAVEEN (CFO)
NPI Enumeration Date03/09/2006

Related Entities

Other providers sharing the same authorized official: MEKALA, PRAVEEN

ProviderCityStateTotal 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-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 WASECA MN $2.72M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,688 $552K
2019 20,277 $1.36M
2020 16,478 $1.04M
2021 24,231 $1.45M
2022 23,399 $1.75M
2023 18,442 $1.61M
2024 10,025 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 58,256 51,653 $4.02M
99283 Emergency department visit for the evaluation and management, moderate severity 9,545 8,990 $1.82M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,769 2,416 $1.02M
99284 Emergency department visit for the evaluation and management, high severity 4,431 3,911 $1.00M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,093 2,063 $182K
90832 Psychotherapy, 30 minutes with patient 1,810 1,335 $135K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,878 5,668 $120K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,011 994 $89K
36415 Collection of venous blood by venipuncture 16,936 15,273 $79K
99282 Emergency department visit for the evaluation and management, low to moderate severity 563 540 $67K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 369 345 $57K
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 762 743 $55K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 389 384 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 937 911 $48K
90834 Psychotherapy, 45 minutes with patient 555 428 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,786 6,176 $28K
87631 1,186 1,162 $24K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 111 95 $20K
96127 650 588 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 669 605 $17K
80053 Comprehensive metabolic panel 3,103 2,944 $15K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 686 672 $15K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,075 1,034 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,594 1,573 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 117 99 $8K
90837 Psychotherapy, 53 minutes with patient 49 43 $7K
0002A 495 483 $6K
71046 Radiologic examination, chest; 2 views 111 106 $6K
0001A 492 481 $6K
90686 868 841 $5K
80048 Basic metabolic panel (calcium, ionized) 717 564 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 217 198 $4K
96375 Therapeutic injection; each additional sequential IV push 89 78 $4K
96361 Intravenous infusion, hydration; each additional hour 74 70 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 162 149 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 162 149 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 44 40 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 69 25 $3K
98927 130 113 $2K
73630 35 28 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 111 105 $2K
80061 Lipid panel 161 154 $2K
85610 1,179 475 $2K
87070 91 86 $2K
83036 Hemoglobin; glycosylated (A1C) 240 229 $1K
Q3014 Telehealth originating site facility fee 48 30 $1K
90791 Psychiatric diagnostic evaluation 15 15 $1K
81001 240 228 $1K
90461 138 117 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 12 $1K
0004A 67 60 $1K
92552 12 12 $817.24
83690 39 38 $809.85
11721 44 37 $544.22
86850 39 36 $347.60
84484 14 14 $333.84
90472 Immunization administration, each additional vaccine (list separately) 90 90 $291.51
83880 12 12 $279.38
90670 39 37 $245.98
92015 Determination of refractive state 85 82 $119.18
97803 13 12 $105.43
84443 Thyroid stimulating hormone (TSH) 13 13 $104.32
87086 Culture, bacterial; quantitative colony count, urine 13 12 $86.90
J7030 Infusion, normal saline solution , 1000 cc 98 86 $78.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 136 106 $76.80
G0008 Administration of influenza virus vaccine 12 12 $63.22
82248 79 74 $55.52
J1885 Injection, ketorolac tromethamine, per 15 mg 233 219 $38.93
83735 14 14 $36.39
86140 13 13 $11.62
83605 38 37 $0.00
85027 42 39 $0.00
91307 15 13 $0.00
85379 14 12 $0.00
A9270 Non-covered item or service 31 27 $0.00
J2704 Injection, propofol, 10 mg 190 87 $0.00
81025 13 13 $0.00
91300 787 726 $0.00
90685 21 16 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 26 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 15 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 30 26 $0.00
87634 20 20 $0.00