Clinic
Mayo Clinic Health System-Southeast Minnesota Region
Mayo Clinic Health System-Southeast Minnesota Region was paid $21.76M by Medicaid between Jan 2018 and Dec 2024, across 215 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoMAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
ALBERT LEA, MN 56007
ALBERT LEA, MN 56007
33aNPI1891701637assigned 08/01/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$21.76M
24GClaims834,176
24DCodes billed215
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#5 of 87
Median peer was paid$1.04M
This provider vs. median21×
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.
Entity ProliferationAuthorized official MEKALA, PRAVEEN controls 14+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 58,483 | $1.76M |
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 | 17% | 109,626 | 98,411 | $3.78M |
| 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 | 17% | 73,025 | 65,770 | $3.60M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 9.3% | 31,744 | 29,126 | $2.02M |
| T2031 | Assisted living; waiver, per diem | 7.1% | 105,114 | 3,886 | $1.54M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.0% | 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) | 3.6% | 25,764 | 25,135 | $784K |
| X5622 | 3.1% | 11,864 | 10,832 | $676K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 8,885 | 8,227 | $565K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.5% | 15,415 | 14,467 | $545K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 9,456 | 9,178 | $463K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 6,804 | 6,699 | $313K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 16,605 | 15,467 | $297K |
203 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 5,933 | $297K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 8,855 | $278K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 6,540 | $276K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,678 | $215K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14,048 | $205K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 7,927 | $205K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 4,151 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,517 | $197K |
| T1016 | Case management, each 15 minutes | <1% | 9,855 | $185K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 166 | $171K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,312 | $164K |
| 92015 | Determination of refractive state | <1% | 13,357 | $153K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 3,448 | $147K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 32,535 | $135K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 4,418 | $131K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 6,100 | $128K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 834 | $113K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,030 | $112K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 12,343 | $108K |
| V2020 | Frames, purchases | <1% | 3,367 | $106K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,568 | $104K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,804 | $96K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,470 | $94K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,825 | $90K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,252 | $80K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,268 | $76K |
| 99223 | Prolong inpt eval add15 m | <1% | 481 | $70K |
| 99188 | <1% | 5,215 | $70K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,089 | $69K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,361 | $61K |
| S5130 | Homemaker services, billed per 15 minutes | <1% | 7,959 | $60K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,037 | $59K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,777 | $55K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 4,553 | $48K |
| 99460 | <1% | 755 | $45K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,267 | $42K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 8,408 | $40K |
| S5170 | Home delivered meals, including preparation; per meal | <1% | 25,195 | $40K |
| 99442 | <1% | 1,179 | $35K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,723 | $35K |
| 71045 | Radiologic examination, chest; single view | <1% | 7,387 | $34K |
| 99310 | Prolong nursin fac eval 15m | <1% | 514 | $34K |
| 11721 | <1% | 3,588 | $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 | <1% | 530 | $32K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 811 | $31K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 340 | $30K |
| 99245 | <1% | 147 | $29K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 687 | $29K |
| 0002A | <1% | 1,474 | $28K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 638 | $27K |
| 0001A | <1% | 1,574 | $25K | |
| 87631 | <1% | 224 | $24K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 414 | $23K |
| 92341 | <1% | 884 | $21K | |
| 99243 | <1% | 394 | $21K | |
| 99443 | <1% | 539 | $20K | |
| 17110 | <1% | 392 | $18K | |
| 99205 | Prolong outpt/office vis | <1% | 115 | $18K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 661 | $17K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 592 | $17K |
| 20610 | <1% | 497 | $14K | |
| 92551 | <1% | 1,668 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,575 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,602 | $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) | <1% | 4,422 | $12K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 445 | $11K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 54 | $11K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 378 | $10K |
| 73630 | <1% | 2,309 | $10K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 293 | $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% | 454 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 112 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 978 | $8K |
| 90686 | <1% | 2,444 | $8K | |
| 76830 | Ultrasound, transvaginal | <1% | 313 | $7K |
| 76801 | <1% | 218 | $7K | |
| 73610 | <1% | 1,389 | $7K | |
| 99441 | <1% | 417 | $7K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 104 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 265 | $6K |
| 0004A | <1% | 272 | $6K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 52 | $6K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 95 | $6K |
| 73130 | <1% | 1,129 | $5K | |
| 99417 | Prolong home eval add 15m | <1% | 82 | $5K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 160 | $5K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 45 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 91 | $5K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 284 | $5K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 37 | $4K |
| 73564 | <1% | 663 | $4K | |
| 99173 | <1% | 2,720 | $4K | |
| T2003 | Non-emergency transportation, per trip | <1% | 720 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,037 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 433 | $4K |
| 73030 | <1% | 758 | $4K | |
| 96161 | <1% | 2,707 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 907 | $4K |
| 0071A | <1% | 101 | $4K | |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 319 | $3K |
| 0764T | <1% | 319 | $3K | |
| 99381 | <1% | 136 | $3K | |
| 92133 | <1% | 184 | $3K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 97 | $2K |
| 20553 | <1% | 115 | $2K | |
| 99201 | <1% | 184 | $2K | |
| 99242 | <1% | 53 | $2K | |
| 99463 | <1% | 32 | $2K | |
| 99462 | <1% | 80 | $2K | |
| 99383 | <1% | 80 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 88 | $2K |
| 73110 | <1% | 318 | $2K | |
| 96132 | <1% | 14 | $2K | |
| 92134 | <1% | 114 | $2K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 59 | $2K |
| V5008 | Hearing screening | <1% | 208 | $2K |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 588 | $2K |
| 0064A | <1% | 55 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 270 | $1K |
| 0072A | <1% | 36 | $1K | |
| 81003 | <1% | 724 | $1K | |
| 72100 | <1% | 177 | $1K | |
| 74018 | <1% | 229 | $1K | |
| 87070 | <1% | 255 | $1K | |
| 59025 | Fetal non-stress test | <1% | 137 | $1K |
| 94060 | <1% | 194 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 190 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 60 | $981.26 |
| 90662 | <1% | 32 | $936.00 | |
| 99341 | <1% | 28 | $930.17 | |
| 99384 | <1% | 29 | $913.92 | |
| 0011A | <1% | 43 | $912.08 | |
| 82728 | <1% | 102 | $831.49 | |
| 62326 | <1% | 27 | $750.70 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 117 | $711.09 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 147 | $699.21 |
| 31575 | <1% | 18 | $695.40 | |
| Q3014 | Telehealth originating site facility fee | <1% | 29 | $630.43 |
| 96136 | <1% | 13 | $612.69 | |
| 58300 | <1% | 13 | $607.95 | |
| 97813 | <1% | 28 | $602.09 | |
| 99217 | <1% | 13 | $591.00 | |
| 90473 | <1% | 29 | $572.94 | |
| 94726 | <1% | 89 | $565.09 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 12 | $553.08 |
| 94729 | <1% | 116 | $538.67 | |
| 73502 | <1% | 77 | $529.50 | |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 110 | $513.32 |
| G0008 | Administration of influenza virus vaccine | <1% | 132 | $505.04 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 16 | $491.92 |
| 99382 | <1% | 25 | $396.00 | |
| 12001 | <1% | 13 | $357.60 | |
| 80061 | Lipid panel | <1% | 58 | $346.74 |
| 81025 | <1% | 49 | $316.93 | |
| 86780 | <1% | 30 | $310.08 | |
| 87510 | <1% | 28 | $308.11 | |
| 73562 | <1% | 63 | $299.18 | |
| 87660 | <1% | 26 | $290.01 | |
| 87480 | <1% | 27 | $290.01 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 13 | $289.38 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $270.83 |
| 73140 | <1% | 81 | $270.47 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 14 | $237.60 |
| 69210 | <1% | 17 | $225.49 | |
| 85027 | <1% | 44 | $207.86 | |
| 86850 | <1% | 17 | $117.12 | |
| 99307 | <1% | 46 | $114.43 | |
| 81001 | <1% | 42 | $91.97 | |
| 0031A | <1% | 12 | $52.20 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 2,746 | $27.00 |
| 96127 | <1% | 18 | $8.48 | |
| 0502F | 0% | 5,720 | $0.00 | |
| 3078F | 0% | 28,816 | $0.00 | |
| 3077F | 0% | 2,052 | $0.00 | |
| 91300 | 0% | 2,510 | $0.00 | |
| 1159F | 0% | 242 | $0.00 | |
| 3051F | 0% | 372 | $0.00 | |
| 3046F | 0% | 415 | $0.00 | |
| 90672 | 0% | 17 | $0.00 | |
| 11981 | 0% | 13 | $0.00 | |
| 96101 | 0% | 15 | $0.00 | |
| 90734 | 0% | 22 | $0.00 | |
| 3074F | 0% | 34,303 | $0.00 | |
| 3075F | 0% | 3,040 | $0.00 | |
| 1111F | 0% | 428 | $0.00 | |
| 3079F | 0% | 6,842 | $0.00 | |
| 1123F | 0% | 782 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,928 | $0.00 |
| 3044F | 0% | 3,184 | $0.00 | |
| 3080F | 0% | 1,123 | $0.00 | |
| 0503F | 0% | 12 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 15,181 | $0.00 |
| 3008F | 0% | 759 | $0.00 | |
| 0500F | 0% | 58 | $0.00 | |
| 90660 | 0% | 29 | $0.00 | |
| 91307 | 0% | 154 | $0.00 | |
| 90656 | 0% | 270 | $0.00 | |
| 3052F | 0% | 129 | $0.00 | |
| 91301 | 0% | 78 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 762 | $0.00 |
| 1125F | 0% | 36 | $0.00 | |
| 91306 | 0% | 28 | $0.00 | |
| 90651 | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialMEKALA, PRAVEEN (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.