Fairview Clinics
Fairview Clinics was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
NEW BRIGHTON, MN 55112
Next to other Primary Care 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 | 7,188 | $46K | |
| 2019 | 6,501 | $204K | |
| 2020 | 3,626 | $123K | |
| 2021 | 8,274 | $282K | |
| 2022 | 5,463 | $197K | |
| 2023 | 4,383 | $149K | |
| 2024incomplete | 3,263 | $134K |
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 | 53% | 8,850 | 8,116 | $605K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 5,103 | 4,796 | $259K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.7% | 1,368 | 1,338 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 3,023 | 2,928 | $37K |
| 36415 | Collection of venous blood by venipuncture | 2.8% | 8,488 | 7,822 | $31K |
| 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 | 2.4% | 349 | 339 | $27K |
| 80061 | Lipid panel | 1.1% | 1,106 | 1,085 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,361 | 1,332 | $11K |
| 80053 | Comprehensive metabolic panel | <1% | 870 | 844 | $9K |
| 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 | <1% | 336 | 326 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 505 | 496 | $7K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 240 | 237 | $7K |
37 more codes
| 90686 | <1% | 1,009 | $7K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 458 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 69 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 861 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 89 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 69 | $4K |
| 96127 | <1% | 935 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 554 | $3K |
| 92551 | <1% | 539 | $3K | |
| 91320 | <1% | 34 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $2K |
| 86803 | <1% | 165 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 109 | $2K |
| 99442 | <1% | 70 | $1K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 42 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 42 | $1K |
| 99188 | <1% | 221 | $1K | |
| 90480 | <1% | 29 | $915.09 | |
| 99441 | <1% | 76 | $862.81 | |
| 99173 | <1% | 600 | $649.43 | |
| 90682 | <1% | 14 | $533.75 | |
| 0054A | <1% | 12 | $512.06 | |
| 0071A | <1% | 15 | $511.56 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 13 | $474.62 |
| 85027 | <1% | 111 | $466.37 | |
| 82728 | <1% | 28 | $379.64 | |
| 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 | $330.40 |
| 0124A | <1% | 14 | $323.01 | |
| 81001 | <1% | 105 | $322.73 | |
| 90715 | <1% | 13 | $282.49 | |
| 87210 | <1% | 37 | $213.27 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $197.60 |
| 99000 | <1% | 15 | $183.30 | |
| 90662 | <1% | 29 | $141.12 | |
| G0008 | Administration of influenza virus vaccine | <1% | 40 | $56.69 |
| 85018 | 0% | 12 | $0.00 | |
| X5622 | 0% | 617 | $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.