Cromwell Medical Clinic PLLC

Cromwell Medical Clinic PLLC was paid $64K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoCROMWELL MEDICAL CLINIC PLLC
CROMWELL, MN 55726

33aNPI1821250549assigned 06/25/2008

33bProvider typePrimary Care Clinic/Center

28Total paid$64K

24GClaims1,380

24DCodes billed12

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Minnesota

Rank by total paid#56 of 72

Median peer was paid$251K

This provider vs. median0.3×

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.

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	102	$2K
2019	178	$9K
2020	142	$7K
2021	192	$10K
2022	276	$11K
2023	384	$18K
2024incomplete	106	$7K

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	76%	968	880	$49K
91320		6.9%	45	39	$4K
90662		5.8%	59	59	$4K
0124A		2.6%	50	50	$2K
G0008	Administration of influenza virus vaccine	2.3%	60	60	$1K
90480		1.8%	32	32	$1K
99348		1.6%	16	12	$1K
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	1.5%	13	12	$940.03
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.3%	37	31	$817.74
36415	Collection of venous blood by venipuncture	<1%	43	41	$245.17
90688		<1%	14	14	$81.70
91312		<1%	43	43	$0.05

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 officialBODE, SHAWN (SOLE MEMBER)