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    OpenPayerNPI Medicare & MedicaidCentracare Clinic Southwest LLC
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    Centracare Clinic Southwest LLC — Billing Profile & Reimbursement Data

    NPI 1174106264 · Willmar, MN · Multi-Specialty Clinic/Center

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    Centracare Clinic Southwest LLC is a multi-specialty clinic/center provider located in Willmar, Minnesota. This profile covers 0 Medicare and 226 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCentracare Clinic Southwest LLC
    Address101 Willmar Ave Sw
    CityWillmar
    StateMN
    ZIP56201
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedMay 5, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    226 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…57,840$60$3.4M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40,310$80$3.2M
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…3,490$80$286.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.38,030$10$228.2K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…2,420$90$222.3K
    J0585Injection, onabotulinumtoxina, 1 unit310$710$220.4K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…5,850$40$210.4K
    S0302Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)10,390$20$197.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.1,900$90$178.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…3,730$50$175.4K

    Showing 1–10 of 226

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Minnesota median

    226 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1013Sign language or oral interpretive services, per 15 minutes95210560$60$822.1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…421,1801,150$80$605.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…351,2001,030$70$549.7K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…3721,1401,010$100$543K
    J0585Injection, onabotulinumtoxina, 1 unit1320350$560$492.3K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…403620560$80$361.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…108170620$40$333K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…7690260$60$214.5K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…310340300$100$209.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…71100590$40$202.6K

    Showing 1–10 of 226

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Centracare Clinic Southwest LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carris Health LLCMNMulti-Specialty Clinic/Center$0$12.4M
    Carris Health LLCMNGeneral Acute Care Hospital$0$8.3M
    Carris Health - Redwood LLCMNRural Health Clinic/Center$0$4.7M
    Affiliated Community Medical Centers, LtdMNMulti-Specialty Clinic/Center$0$4.7M
    Bradley CloseMNDiagnostic Radiology Physician$397.3K$0
    Sasan MoshirzadehMONeurology Physician$396K$0
    Carris Health LLCMNAmbulatory Surgical Clinic/Center$366.5K$19.4K
    Mevan WijetungaNDClinical Cardiac Electrophysiology Physician$311K$0
    Daniel SteinbergerMNDiagnostic Radiology Physician$285.2K$0
    Leah SchammelMNDermatology Physician$277.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Centracare Clinic Southwest LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Divine House, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$230.9M
    Rem South Central, Inc.MNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$145.6M
    Greater Minnesota Family ServicesMNMental Health Counselor$0$51.9M
    Samah Home Health Care LLCMNHome Health Agency$0$39M
    Woodland CentersMNMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    West Central Interpreting Services, LLC.MNInterpreter$0$23.4M
    Central Minnesota Senior Care, Inc.MNAssisted Living Facility$0$18.9M
    Divine Home Care IncMNHome Health Agency$0$15.9M
    Willmar Isd 347MNLocal Education Agency (LEA)$0$6.6M
    Minnesota Speciality Health Systems WillmarMNMental Illness Community Based Residential Treatment Facility$0$5.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Centracare Clinic Southwest LLC — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota