Fairview Clinics
Fairview Clinics was paid $846K by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
MAPLE GROVE, MN 55369
Next to other Multi-Specialty Clinic/Center providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,468 | $181K | |
| 2019 | 15,103 | $292K | |
| 2020 | 11,753 | $227K | |
| 2021 | 3,443 | $47K | |
| 2022 | 782 | $29K | |
| 2023 | 2,965 | $40K | |
| 2024incomplete | 1,327 | $31K |
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 | 19% | 4,678 | 4,146 | $161K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,083 | 4,574 | $153K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8.5% | 1,491 | 1,447 | $72K |
| 97803 | 5.2% | 1,125 | 991 | $44K | |
| 84443 | Thyroid stimulating hormone (TSH) | 4.7% | 4,012 | 3,864 | $40K |
| 80061 | Lipid panel | 3.9% | 4,068 | 3,966 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 493 | 480 | $30K |
| 80053 | Comprehensive metabolic panel | 3.2% | 4,461 | 4,187 | $27K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.8% | 272 | 253 | $24K |
| 36415 | Collection of venous blood by venipuncture | 2.8% | 9,728 | 8,481 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 2,368 | 2,275 | $23K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.6% | 274 | 261 | $22K |
78 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | 2.0% | 4,146 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 325 | $17K |
| 0002A | 1.8% | 1,254 | $15K | |
| 0001A | 1.5% | 1,361 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 342 | $13K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 504 | $10K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.2% | 45 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 820 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,646 | $8K |
| 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 | <1% | 63 | $6K |
| 76642 | <1% | 111 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | $6K |
| X5622 | <1% | 1,026 | $6K | |
| 84439 | <1% | 855 | $5K | |
| 97802 | <1% | 50 | $4K | |
| 82728 | <1% | 427 | $3K | |
| 99188 | <1% | 693 | $3K | |
| 85027 | <1% | 727 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 588 | $3K |
| 90686 | <1% | 922 | $3K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 227 | $2K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 71 | $2K |
| 82043 | <1% | 790 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 86 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 400 | $2K |
| 96127 | <1% | 473 | $2K | |
| 92551 | <1% | 330 | $2K | |
| 77066 | Tomosynthesis, mammo | <1% | 16 | $2K |
| 80306 | <1% | 115 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 107 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 116 | $910.87 |
| 80076 | <1% | 209 | $745.86 | |
| 80050 | General health panel | <1% | 25 | $649.20 |
| 81025 | <1% | 73 | $637.44 | |
| 99000 | <1% | 131 | $563.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 87 | $550.25 |
| 83550 | <1% | 111 | $549.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 12 | $504.53 |
| 90715 | <1% | 38 | $478.40 | |
| 85610 | <1% | 228 | $449.71 | |
| 99442 | <1% | 20 | $429.24 | |
| 83540 | <1% | 124 | $413.64 | |
| 81001 | <1% | 284 | $402.91 | |
| 99173 | <1% | 348 | $353.83 | |
| 99421 | <1% | 14 | $335.34 | |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | <1% | 12 | $316.37 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | $258.36 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 45 | $254.20 |
| 86850 | <1% | 31 | $252.77 | |
| 90670 | <1% | 186 | $206.17 | |
| 82947 | <1% | 54 | $190.09 | |
| 86780 | <1% | 12 | $166.37 | |
| 87340 | <1% | 13 | $141.44 | |
| 85018 | <1% | 97 | $140.20 | |
| 82950 | <1% | 26 | $130.52 | |
| 80197 | <1% | 21 | $130.07 | |
| 90734 | <1% | 14 | $109.78 | |
| 86900 | <1% | 33 | $99.09 | |
| 86140 | <1% | 59 | $99.05 | |
| 86901 | <1% | 32 | $88.76 | |
| 84460 | <1% | 66 | $79.09 | |
| 96161 | <1% | 48 | $73.79 | |
| 82565 | <1% | 65 | $64.53 | |
| 92015 | Determination of refractive state | <1% | 59 | $39.75 |
| 85652 | <1% | 57 | $31.72 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | $31.48 |
| 84703 | <1% | 14 | $9.83 | |
| 90698 | 0% | 104 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 22 | $0.00 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 0% | 26 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 15 | $0.00 |
| 90685 | 0% | 77 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 91300 | 0% | 62 | $0.00 | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 0% | 17 | $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.
Who's on the registration
| 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.