Fairview Clinics
Fairview Clinics was paid $510K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
ROSEMOUNT, MN 55068
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 | 2,373 | $20K | |
| 2019 | 1,877 | $68K | |
| 2020 | 1,573 | $58K | |
| 2021 | 3,746 | $155K | |
| 2022 | 2,581 | $114K | |
| 2023 | 1,652 | $61K | |
| 2024incomplete | 832 | $34K |
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 | 51% | 3,464 | 3,231 | $258K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,392 | 3,129 | $155K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.7% | 764 | 752 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 1,426 | 1,376 | $17K |
| 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 | 2.6% | 161 | 146 | $13K |
| 36415 | Collection of venous blood by venipuncture | 2.2% | 2,952 | 2,767 | $11K |
| 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% | 146 | 131 | $4K |
| 90686 | <1% | 628 | 613 | $2K | |
| 96127 | <1% | 485 | 457 | $2K | |
| 80061 | Lipid panel | <1% | 115 | 113 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 110 | 105 | $1K |
| 92551 | <1% | 206 | 199 | $1K |
11 more codes
| 80053 | Comprehensive metabolic panel | <1% | 109 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $527.78 |
| 99188 | <1% | 66 | $485.15 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 27 | $452.50 |
| 99173 | <1% | 214 | $255.27 | |
| 85027 | <1% | 31 | $189.33 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $121.59 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $72.99 |
| 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% | 15 | $13.96 |
| X5622 | 0% | 225 | $0.00 | |
| 99421 | 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.
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.