Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ALBERT LEA › MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

NPI: 1891701637 · ALBERT LEA, MN 56007 · Multi-Specialty Clinic/Center · NPI assigned 08/01/2006

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

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

$21.76M
Total Medicaid Paid
834,176
Total Claims
617,778
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEKALA, PRAVEEN (CFO)
NPI Enumeration Date08/01/2006

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 OWATONNA MN $13.72M
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA MN $12.58M
MAYO CLINIC HEALTH SYSTEM-FAIRMONT FAIRMONT MN $9.04M
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 259,981 $3.07M
2019 100,132 $3.89M
2020 83,422 $3.27M
2021 150,555 $4.27M
2022 101,641 $3.09M
2023 79,962 $2.41M
2024 58,483 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 109,626 98,411 $3.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73,025 65,770 $3.60M
99284 Emergency department visit for the evaluation and management, high severity 31,744 29,126 $2.02M
T2031 Assisted living; waiver, per diem 105,114 3,886 $1.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,884 15,377 $1.53M
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 25,764 25,135 $784K
X5622 11,864 10,832 $676K
99215 Prolong outpt/office vis 8,885 8,227 $565K
99283 Emergency department visit for the evaluation and management, moderate severity 15,415 14,467 $545K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,456 9,178 $463K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,804 6,699 $313K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,605 15,467 $297K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,933 5,812 $297K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,855 8,547 $278K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,540 6,263 $276K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,678 3,615 $215K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14,048 12,763 $205K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,927 7,589 $205K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,151 3,869 $198K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,517 3,327 $197K
T1016 Case management, each 15 minutes 9,855 3,047 $185K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 166 155 $171K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,312 2,171 $164K
92015 Determination of refractive state 13,357 13,126 $153K
99232 Subsequent hospital care, per day, moderate complexity 3,448 1,252 $147K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 32,535 27,323 $135K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,418 4,288 $131K
92340 Fitting of spectacles, except for aphakia; monofocal 6,100 5,700 $128K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 834 706 $113K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,030 1,984 $112K
T2028 Specialized supply, not otherwise specified, waiver 12,343 350 $108K
V2020 Frames, purchases 3,367 3,170 $106K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,568 2,339 $104K
90837 Psychotherapy, 53 minutes with patient 1,804 1,340 $96K
90834 Psychotherapy, 45 minutes with patient 1,470 1,036 $94K
99308 Subsequent nursing facility care, per day, straightforward 2,825 2,321 $90K
99233 Prolong inpt eval add15 m 1,252 511 $80K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,268 1,246 $76K
99223 Prolong inpt eval add15 m 481 385 $70K
99188 5,215 5,142 $70K
99239 Hospital discharge day management, more than 30 minutes 1,089 987 $69K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,361 1,447 $61K
S5130 Homemaker service, nos; per 15 minutes 7,959 694 $60K
77067 Screening mammography, bilateral, including computer-aided detection 3,037 3,003 $59K
70450 Computed tomography, head or brain; without contrast material 2,777 2,530 $55K
V2784 Lens, polycarbonate or equal, any index, per lens 4,553 2,423 $48K
99460 755 746 $45K
77063 Screening digital breast tomosynthesis, bilateral 2,267 2,241 $42K
71046 Radiologic examination, chest; 2 views 8,408 7,705 $40K
S5170 Home delivered meals, including preparation; per meal 25,195 1,171 $40K
99442 1,179 1,103 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,723 2,683 $35K
71045 Radiologic examination, chest; single view 7,387 6,406 $34K
99310 Prolong nursin fac eval 15m 514 467 $34K
11721 3,588 3,438 $33K
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 530 501 $32K
90832 Psychotherapy, 30 minutes with patient 811 728 $31K
90791 Psychiatric diagnostic evaluation 340 325 $30K
99245 147 144 $29K
99238 Hospital discharge day management, 30 minutes or less 687 665 $29K
0002A 1,474 1,465 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 638 628 $27K
0001A 1,574 1,564 $25K
87631 224 218 $24K
71275 Computed tomographic angiography, chest, with contrast material 414 401 $23K
92341 884 819 $21K
99243 394 387 $21K
99443 539 481 $20K
17110 392 359 $18K
99205 Prolong outpt/office vis 115 110 $18K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 661 608 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 592 573 $17K
20610 497 426 $14K
92551 1,668 1,632 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,575 2,481 $12K
36415 Collection of venous blood by venipuncture 5,602 4,960 $12K
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) 4,422 4,250 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 445 323 $11K
90792 Psychiatric diagnostic evaluation with medical services 54 54 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 378 374 $10K
73630 2,309 1,985 $10K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 293 185 $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 454 435 $9K
99222 Initial hospital care, per day, moderate complexity 112 97 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 978 927 $8K
90686 2,444 2,416 $8K
76830 Ultrasound, transvaginal 313 307 $7K
76801 218 211 $7K
73610 1,389 1,198 $7K
99441 417 398 $7K
67028 Intravitreal injection of a pharmacologic agent 104 93 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 265 127 $6K
0004A 272 251 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 52 52 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 95 92 $6K
73130 1,129 887 $5K
99417 Prolong home eval add 15m 82 80 $5K
72125 Computed tomography, cervical spine; without contrast material 160 156 $5K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 45 44 $5K
99244 Office or other outpatient consultation, moderate to high complexity 91 89 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 284 270 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 37 36 $4K
73564 663 539 $4K
99173 2,720 2,613 $4K
T2003 Non-emergency transportation; encounter/trip 720 400 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,037 974 $4K
84443 Thyroid stimulating hormone (TSH) 433 422 $4K
73030 758 646 $4K
96161 2,707 2,670 $4K
D1206 Topical application of fluoride varnish 907 861 $4K
0071A 101 101 $4K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 319 315 $3K
0764T 319 290 $3K
99381 136 133 $3K
92133 184 183 $3K
76819 Fetal biophysical profile; without non-stress testing 97 51 $2K
20553 115 115 $2K
99201 184 175 $2K
99242 53 53 $2K
99463 32 31 $2K
99462 80 64 $2K
99383 80 80 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 88 86 $2K
73110 318 260 $2K
96132 14 13 $2K
92134 114 107 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 59 37 $2K
V5008 Hearing screening 208 206 $2K
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 588 147 $2K
0064A 55 55 $2K
83036 Hemoglobin; glycosylated (A1C) 270 256 $1K
0072A 36 36 $1K
81003 724 713 $1K
72100 177 175 $1K
74018 229 204 $1K
87070 255 242 $1K
59025 Fetal non-stress test 137 81 $1K
94060 194 190 $1K
80053 Comprehensive metabolic panel 190 172 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 60 53 $981.26
90662 32 31 $936.00
99341 28 27 $930.17
99384 29 28 $913.92
0011A 43 43 $912.08
82728 102 101 $831.49
62326 27 25 $750.70
87086 Culture, bacterial; quantitative colony count, urine 117 114 $711.09
80048 Basic metabolic panel (calcium, ionized) 147 136 $699.21
31575 18 18 $695.40
Q3014 Telehealth originating site facility fee 29 28 $630.43
96136 13 12 $612.69
58300 13 13 $607.95
97813 28 12 $602.09
99217 13 12 $591.00
90473 29 29 $572.94
94726 89 87 $565.09
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $553.08
94729 116 113 $538.67
73502 77 75 $529.50
S0215 Non-emergency transportation; mileage, per mile 110 36 $513.32
G0008 Administration of influenza virus vaccine 132 131 $505.04
71260 Computed tomography, thorax, diagnostic; with contrast material 16 16 $491.92
99382 25 25 $396.00
12001 13 13 $357.60
80061 Lipid panel 58 46 $346.74
81025 49 49 $316.93
86780 30 30 $310.08
87510 28 28 $308.11
73562 63 51 $299.18
87660 26 26 $290.01
87480 27 27 $290.01
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $289.38
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15 15 $270.83
73140 81 69 $270.47
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $237.60
69210 17 12 $225.49
85027 44 37 $207.86
86850 17 17 $117.12
99307 46 45 $114.43
81001 42 39 $91.97
0031A 12 12 $52.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,746 1,711 $27.00
96127 18 18 $8.48
0502F 5,720 4,765 $0.00
3078F 28,816 26,429 $0.00
3077F 2,052 1,883 $0.00
91300 2,510 2,404 $0.00
1159F 242 224 $0.00
3051F 372 268 $0.00
3046F 415 284 $0.00
90672 17 17 $0.00
11981 13 12 $0.00
96101 15 13 $0.00
90734 22 18 $0.00
3074F 34,303 31,635 $0.00
3075F 3,040 2,893 $0.00
1111F 428 309 $0.00
3079F 6,842 6,519 $0.00
1123F 782 548 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,928 1,909 $0.00
3044F 3,184 2,581 $0.00
3080F 1,123 1,056 $0.00
0503F 12 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 15,181 10,925 $0.00
3008F 759 758 $0.00
0500F 58 57 $0.00
90660 29 29 $0.00
91307 154 149 $0.00
90656 270 270 $0.00
3052F 129 84 $0.00
91301 78 65 $0.00
G8432 Depression screening not documented, reason not given 762 633 $0.00
1125F 36 36 $0.00
91306 28 28 $0.00
90651 16 12 $0.00