Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CENTRACARE CLINIC

Clinic/Center, Multi-Specialty·ST CLOUD, MN·NPI: 1225030844Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.9M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.9M

$20,926,948

Total Claims

693K

Beneficiaries

647K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+187%
2019
$3.8M
-21%
2020
$3.0M
+23%
2021
$3.7M
-6%
2022
$3.4M
-12%
2023
$3.0M
-8%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3.7M

70K claims · 17.6%

Your Cost: $52.36/claim|Median: $37.81
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2.8M

40K claims · 13.5%

Your Cost: $71.44/claim|Median: $53.41
1.3× median
X5622Normal range

$1.8M

21K claims · 8.5%

Your Cost: $86.03/claim|Median: $52.61
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

22K claims · 7.1%

Your Cost: $66.00/claim|Median: $75.18
0.9× median
S0302Top 25%

$1.5M

65K claims · 7.0%

Your Cost: $22.46/claim|Median: $9.05
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

26K claims · 6.2%

Your Cost: $50.24/claim|Median: $69.35
0.7× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$1.1M

29K claims · 5.5%

Your Cost: $38.85/claim|Median: $17.67
2.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$877K

14K claims · 4.2%

Your Cost: $62.44/claim|Median: $74.82
0.8× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$752K

24K claims · 3.6%

Your Cost: $31.85/claim|Median: $17.85
1.8× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$649K

728 claims · 3.1%

Your Cost: $890.86/claim|Median: $1,482.45
0.6× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$481K

31K claims · 2.3%

Your Cost: $15.44/claim|Median: $9.80
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$470K

13K claims · 2.2%

Your Cost: $36.88/claim|Median: $49.45
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$382K

20K claims · 1.8%

Your Cost: $18.79/claim|Median: $11.79
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$366K

8,137 claims · 1.7%

Your Cost: $44.92/claim|Median: $58.55
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$295K

4,521 claims · 1.4%

Your Cost: $65.32/claim|Median: $80.15
0.8× median
99188Normal range

$240K

31K claims · 1.1%

Your Cost: $7.72/claim|Median: $12.80
0.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$222K

5,651 claims · 1.1%

Your Cost: $39.20/claim|Median: $47.65
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$162K

29K claims · 0.8%

Your Cost: $5.59/claim|Median: $6.61
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$144K

42K claims · 0.7%

Your Cost: $3.43/claim|Median: $3.67
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$138K

1,153 claims · 0.7%

Your Cost: $119.66/claim|Median: $121.58
1.0× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$121K

1,967 claims · 0.6%

Your Cost: $61.53/claim|Median: $57.85
1.1× median
H1001Normal range

$121K

2,209 claims · 0.6%

Your Cost: $54.67/claim|Median: $60.48
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$101K

14K claims · 0.5%

Your Cost: $7.03/claim|Median: $9.10
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$94K

877 claims · 0.4%

Your Cost: $106.65/claim|Median: $74.09
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$91K

1,069 claims · 0.4%

Your Cost: $84.87/claim|Median: $82.43
1.0× median
76830Normal range

Ultrasound, transvaginal

$86K

1,894 claims · 0.4%

Your Cost: $45.46/claim|Median: $57.47
0.8× median
95004Normal range

Percutaneous allergy skin tests, each

$83K

1,857 claims · 0.4%

Your Cost: $44.86/claim|Median: $134.97
0.3× median
90715Normal range

Tdap vaccine

$80K

4,028 claims · 0.4%

Your Cost: $19.76/claim|Median: $10.32
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$69K

2,373 claims · 0.3%

Your Cost: $29.03/claim|Median: $25.06
1.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$66K

1,781 claims · 0.3%

Your Cost: $36.94/claim|Median: $24.33
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$62K

920 claims · 0.3%

Your Cost: $67.72/claim|Median: $63.65
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$61K

898 claims · 0.3%

Your Cost: $68.44/claim|Median: $72.71
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$61K

576 claims · 0.3%

Your Cost: $105.71/claim|Median: $84.03
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$58K

1,181 claims · 0.3%

Your Cost: $49.27/claim|Median: $41.28
1.2× median
59425Top 10%

Antepartum care only, 4-6 visits

$58K

165 claims · 0.3%

Your Cost: $351.74/claim|Median: $63.63
5.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$54K

24K claims · 0.3%

Your Cost: $2.21/claim|Median: $7.18
0.3× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$44K

66 claims · 0.2%

Your Cost: $673.51/claim|Median: $786.43
0.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$42K

874 claims · 0.2%

Your Cost: $48.56/claim|Median: $58.16
0.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$37K

1,396 claims · 0.2%

Your Cost: $26.65/claim|Median: $36.79
0.7× median
59510Normal range

$36K

43 claims · 0.2%

Your Cost: $830.43/claim|Median: $1,543.20
0.5× median
91322Normal range

$33K

354 claims · 0.2%

Your Cost: $93.35/claim|Median: $76.28
1.2× median
99173Normal range

$32K

27K claims · 0.2%

Your Cost: $1.17/claim|Median: $2.16
0.5× median
71046Normal range

Chest X-ray, 2 views

$31K

1,985 claims · 0.1%

Your Cost: $15.70/claim|Median: $8.92
1.8× median
90480Normal range

$31K

1,055 claims · 0.1%

Your Cost: $29.19/claim|Median: $25.29
1.2× median
90473Normal range

Immunization admin, intranasal, first

$31K

2,626 claims · 0.1%

Your Cost: $11.65/claim|Median: $9.17
1.3× median
96161Normal range

$28K

17K claims · 0.1%

Your Cost: $1.63/claim|Median: $2.49
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$27K

713 claims · 0.1%

Your Cost: $38.56/claim|Median: $74.78
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$26K

2,423 claims · 0.1%

Your Cost: $10.78/claim|Median: $9.56
1.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$23K

381 claims · 0.1%

Your Cost: $59.28/claim|Median: $41.92
1.4× median
59025Normal range

Fetal non-stress test

$20K

668 claims · 0.1%

Your Cost: $30.19/claim|Median: $26.45
1.1× median