Providers

MAYO CLINIC

NPI 1164758868, organization, Rochester, MN, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00125, ranked 125 nationally.
score 60 of 100, rank 1840, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameMAYO CLINIC
TypeOrganization
StatusActive
NPI issuedOctober 30, 2009, last updated August 15, 2025
Practice location200 FIRST STREET SW, Rochester, MN 55905-0001, 507-284-4002
Authorized officialDENNIS DAHLEN (Chief Financial Officer)
Specialties
Hospice Care, Community Based (251G00000X, primary, license 345965 MN)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
A9270Medicaid service code$287K100%$6K$0.01 (top 5% from $7.24)too few months to rank

In this area

4 providers in Olmsted County, MN carry an indicator in the public record, with $3.2M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1HIGHLAND MEADOWS COUNSELING CENTER, INC.
Rochester, MN, ranked 126
$138K
  • Listed on the Medicare revocation list since October 31, 2023.
  • Medicaid still paid claims in 9 later months, $138,392 in total.
3CHARTERHOUSE INC
Rochester, MN, ranked 5957
$0
  • Part of provider network D1-00125, ranked 125 nationally.
4LOURDES VALDEZ
Rochester, MN, ranked 7611
$2.6M
  • Hours beyond a day in 16 months, but with up to 491 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
5BRITTANY VEGA
Rochester, MN, ranked 11233
$468K

Recent enforcement in MN

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJOtherMay 22, 2026
This Week in Fraud: The Fraud Division Announced Expansion of Midwest Task Force and Authorization to Hire 15 New Medicaid Prosecutors, an Unprecedented Minnesota Health Care Fraud Takedown, and a $2 Billion Telemedicine Health Care Fraud Scheme
The Justice Department announced charges against 15 defendants for Medicaid fraud schemes totaling over $90 million in intended loss, a 10-year sentence in a $2 billion international health care fraud conspiracy in Brooklyn, and a Michigan jury conviction of a nurse who bribed a Detroit hospital nurse for confidential records used to bill Medicare in a $1.6 million scheme, along with expansion of the Health Care Fraud Midwest Strike Force and hiring of 15 additional Medicaid fraud prosecutors.
DOJChargedMay 21, 2026
Minnesota Health Care Fraud Takedown Results in Charges Against 15 Defendants for Over $90M in Fraud
Fifteen defendants were charged in connection with schemes involving over $90 million in intended loss against Minnesota Medicaid programs, including paying kickbacks to parents and billing for autism, Integrated Community Supports, Individualized Home Supports, Housing Stabilization Services and child care services that were not provided as represented.
DOJPleaded guiltyFeb 10, 2026
Fraud Tourists Plead Guilty to Minneapolis Medicaid Fraud
Two men set up businesses in Minneapolis, enrolled as Housing Stabilization Services providers, recruited Medicaid beneficiaries at homeless shelters and Section 8 housing, billed for services not provided, and used ChatGPT and fabricated e-mails to create fake client records when asked for documentation.
DOJChargedSep 24, 2025
First Defendant Charged in Autism Fraud Scheme
Hassan and others enrolled Smart Therapy LLC as an EIDBI autism services provider, recruited children with cash kickbacks to parents, employed unqualified behavioral technicians, and submitted inflated and fabricated Medicaid claims for services not provided, obtaining more than $14 million, while also submitting approximately $465,000 in fraudulent Federal Child Nutrition Program claims through Feeding Our Future.
DOJCivil settlementJun 26, 2025
NUWAY Alliance Agrees to Pay $18,500,000 Settlement in Medicaid Kickbacks Scheme, False Claims Act Violations
NUWAY compensated Medicaid patients for seeking intensive outpatient treatment in violation of the federal anti-kickback statute and submitted false claims for IOP services not provided by double-billing the same period of time as distinct billable units.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.