Clinic
Olmsted Medical Center
Olmsted Medical Center was paid $22.20M by Medicaid between Jan 2018 and Dec 2024, across 186 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoOLMSTED MEDICAL CENTER
ROCHESTER, MN 55904
ROCHESTER, MN 55904
33aNPI1952356297assigned 05/24/2006
33bProvider typeClinic/Center
28Total paid$22.20M
24GClaims633,442
24DCodes billed186
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#1 of 250
Median peer was paid$274K
This provider vs. median81×
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 | 95,147 | $881K | |
| 2019 | 108,102 | $3.46M | |
| 2020 | 91,481 | $3.37M | |
| 2021 | 106,663 | $4.37M | |
| 2022 | 89,756 | $3.97M | |
| 2023 | 80,297 | $3.38M | |
| 2024incomplete | 61,996 | $2.76M |
Box 24 · Service lines
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 | 32% | 128,427 | 113,433 | $7.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 173,634 | 152,414 | $6.36M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 10,517 | 9,681 | $804K |
| X5622 | 3.5% | 16,352 | 12,839 | $783K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.3% | 17,888 | 17,253 | $741K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 10,951 | 10,359 | $523K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 11,460 | 10,639 | $420K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 5,043 | 4,972 | $363K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 7,338 | 7,040 | $346K |
| 59426 | 1.5% | 896 | 873 | $334K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 7,217 | 6,897 | $316K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 6,965 | 4,716 | $313K |
174 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 24,359 | $278K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 3,249 | $271K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,116 | $215K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,211 | $194K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,684 | $194K |
| 90837 | Psychotherapy session, about an hour | <1% | 2,154 | $188K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,543 | $166K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,284 | $155K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,240 | $128K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,777 | $127K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,057 | $108K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 808 | $103K |
| 99243 | <1% | 1,533 | $101K | |
| 92015 | Determination of refractive state | <1% | 8,867 | $97K |
| 99442 | <1% | 3,025 | $94K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,893 | $84K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,895 | $82K |
| 92551 | <1% | 11,529 | $70K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,550 | $69K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,805 | $66K |
| 99443 | <1% | 1,346 | $59K | |
| 99188 | <1% | 6,815 | $57K | |
| 97802 | <1% | 952 | $46K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 420 | $43K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 2,148 | $40K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,376 | $37K |
| 20610 | <1% | 1,354 | $35K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 855 | $33K |
| 99310 | Prolong nursin fac eval 15m | <1% | 502 | $31K |
| 64615 | <1% | 504 | $31K | |
| 97803 | <1% | 1,140 | $31K | |
| 11721 | <1% | 2,269 | $28K | |
| 90474 | <1% | 3,341 | $27K | |
| E0604 | Breast pump, hospital grade, electric (ac and / or dc), any type | <1% | 353 | $23K |
| 17110 | <1% | 608 | $23K | |
| 73630 | <1% | 4,275 | $22K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,042 | $22K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,703 | $21K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,537 | $17K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 260 | $16K |
| 73564 | <1% | 1,997 | $16K | |
| 99441 | <1% | 860 | $16K | |
| 99177 | <1% | 3,332 | $15K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 472 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 118 | $13K |
| 92557 | <1% | 659 | $12K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 265 | $11K |
| 99173 | <1% | 8,659 | $11K | |
| 73110 | <1% | 1,648 | $10K | |
| 73030 | <1% | 1,503 | $9K | |
| 73610 | <1% | 1,623 | $9K | |
| 95251 | <1% | 446 | $9K | |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 82 | $9K |
| 96127 | <1% | 2,767 | $9K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 366 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 160 | $8K |
| 90670 | <1% | 6,791 | $8K | |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | <1% | 78 | $8K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 330 | $8K |
| 95125 | <1% | 851 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 514 | $8K |
| 99245 | <1% | 57 | $8K | |
| 92567 | <1% | 1,181 | $7K | |
| 20611 | <1% | 187 | $7K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 169 | $7K |
| 76642 | <1% | 299 | $6K | |
| 83655 | <1% | 667 | $6K | |
| 59025 | Fetal non-stress test | <1% | 311 | $6K |
| 96161 | <1% | 3,982 | $6K | |
| 76801 | <1% | 164 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 181 | $5K |
| 99242 | <1% | 101 | $5K | |
| 90686 | <1% | 5,267 | $5K | |
| 99384 | <1% | 59 | $5K | |
| 88141 | <1% | 214 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 77 | $4K |
| 90651 | <1% | 1,591 | $4K | |
| 73130 | <1% | 579 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 40 | $3K |
| 72110 | <1% | 323 | $3K | |
| 99383 | <1% | 58 | $3K | |
| 0071A | <1% | 59 | $2K | |
| 99201 | <1% | 229 | $2K | |
| 92002 | <1% | 50 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 406 | $2K |
| 73502 | <1% | 214 | $2K | |
| 0072A | <1% | 46 | $2K | |
| 36416 | <1% | 911 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 70 | $2K |
| 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% | 158 | $2K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 28 | $1K |
| 58300 | <1% | 52 | $1K | |
| 73140 | <1% | 285 | $1K | |
| 80061 | Lipid panel | <1% | 131 | $1K |
| 91320 | <1% | 14 | $1K | |
| 90473 | <1% | 653 | $1K | |
| 69210 | <1% | 72 | $1K | |
| 85018 | <1% | 757 | $1K | |
| 72100 | <1% | 192 | $1K | |
| 31575 | <1% | 28 | $1K | |
| 99454 | <1% | 42 | $1K | |
| 90715 | <1% | 902 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 54 | $1K |
| 74018 | <1% | 153 | $939.55 | |
| 94010 | <1% | 193 | $931.11 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 105 | $926.83 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 67 | $855.54 |
| 90734 | <1% | 1,299 | $830.15 | |
| 90480 | <1% | 32 | $800.75 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 45 | $800.28 |
| 90662 | <1% | 14 | $794.92 | |
| 95885 | <1% | 40 | $786.28 | |
| 99457 | <1% | 42 | $784.75 | |
| 87081 | <1% | 114 | $773.45 | |
| 92579 | <1% | 25 | $645.24 | |
| 97597 | <1% | 54 | $602.99 | |
| 95886 | <1% | 14 | $590.38 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 21 | $574.06 |
| 90698 | <1% | 5,269 | $548.42 | |
| 90710 | <1% | 1,701 | $517.60 | |
| 90680 | <1% | 4,219 | $517.29 | |
| 81001 | <1% | 176 | $510.63 | |
| 80053 | Comprehensive metabolic panel | <1% | 55 | $502.81 |
| 51798 | <1% | 82 | $502.48 | |
| 98967 | <1% | 202 | $488.09 | |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | <1% | 13 | $474.40 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $442.45 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 12 | $438.34 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $438.34 |
| 94060 | <1% | 68 | $414.74 | |
| 93227 | <1% | 42 | $413.84 | |
| 92134 | <1% | 25 | $396.49 | |
| 98968 | <1% | 115 | $383.61 | |
| 11056 | <1% | 52 | $379.07 | |
| 73562 | <1% | 84 | $351.91 | |
| 77080 | <1% | 54 | $331.17 | |
| 77065 | Tomosynthesis, mammo | <1% | 12 | $323.76 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $320.47 |
| 77066 | Tomosynthesis, mammo | <1% | 13 | $309.17 |
| 72050 | <1% | 36 | $286.64 | |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | <1% | 14 | $280.00 |
| 90619 | <1% | 173 | $239.78 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 38 | $225.19 |
| 86703 | <1% | 15 | $215.90 | |
| 73560 | <1% | 25 | $188.84 | |
| 92314 | <1% | 14 | $180.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 98 | $178.73 |
| 92587 | <1% | 15 | $177.92 | |
| 90620 | <1% | 86 | $171.78 | |
| 90716 | <1% | 420 | $148.78 | |
| 90697 | <1% | 435 | $144.17 | |
| 90633 | <1% | 3,345 | $143.50 | |
| L3260 | Surgical boot/shoe, each | <1% | 24 | $128.20 |
| 90656 | <1% | 342 | $115.54 | |
| 90707 | <1% | 323 | $86.03 | |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | <1% | 14 | $85.07 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $64.88 |
| 86592 | <1% | 14 | $62.52 | |
| V5266 | Battery for use in hearing device | <1% | 33 | $60.21 |
| 90744 | <1% | 2,438 | $56.44 | |
| 90696 | <1% | 925 | $49.37 | |
| 90688 | <1% | 361 | $42.52 | |
| 93325 | <1% | 13 | $31.05 | |
| 98966 | <1% | 13 | $19.17 | |
| 90677 | 0% | 447 | $0.00 | |
| 1123F | 0% | 191 | $0.00 | |
| 1157F | 0% | 12 | $0.00 | |
| 90685 | 0% | 549 | $0.00 | |
| 1124F | 0% | 2,260 | $0.00 | |
| 1158F | 0% | 797 | $0.00 | |
| 90687 | 0% | 14 | $0.00 | |
| 11981 | 0% | 12 | $0.00 | |
| 90658 | 0% | 21 | $0.00 | |
| 90672 | 0% | 14 | $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 officialHIGGINS, KEVIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Olmsted Medical Center | Rochester, MN | $41.21M |
| Olmsted Medical Center | Rochester, MN | $184K |
| Olmsted Medical Center | Rochester, MN | $127K |
| Kevin R. Higgins DPM PA | San Antonio, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.