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MAYO CLINIC HEALTH SYSTEM-LAKE CITY

PAC 1951213487 Provider group
DIAGNOSTIC RADIOLOGY · LAKE CITY, MN · hospital-affiliated
Specialty DIAGNOSTIC RADIOLOGY — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in LAKE CITY, MN · bills Medicare in 1 state (MN)
Scale 70 providers on the CMS registry roster · 1 code billed (five-year data window)
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (651) 345-3321 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 66Advanced-practice 2Other clinicians 0= 68 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 68 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.
Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1386653384 Abramovith Feijo, Paula · member of 3 groups MD Family Practice Red WingMN
1366751927 Anderson, Trent · member of 2 groups D.O. Family Practice Lake CityMN
1497725519 Auger, Raymond · member of 2 groups M.D. Psychiatry RochesterMN
1659725752 Bennett, Nicholas · member of 4 groups M.D Hospitalist New PragueMN
1063850980 Bisanti, James · member of 3 groups MD Diagnostic Radiology AustinMN
1376129411 Bonnerup, Spencer · member of 3 groups MD Internal Medicine Red WingMN
1427643337 Chavez, Ryan · member of 2 groups FNP-BC Nurse Practitioner MankatoMN
1285999557 Cole, Adam · member of 2 groups M.D. Diagnostic Radiology AustinMN
1518300870 Cole, Michael · member of 7 groups M.D. Diagnostic Radiology AustinMN
1124482765 Covington, Tristan · member of 7 groups M.D. Diagnostic Radiology RochesterMN
1699938365 Del-Carpio Munoz, Freddy · member of 6 groups MD Clinical Cardiac Electrophysiology La CrosseWI
1518304930 Denton, Kevin · member of 7 groups M.D. Diagnostic Radiology AustinMN
1104181304 Deshmukh, Awani · member of 2 groups MD Hospitalist Albert LeaMN
1538359906 Deshmukh, Abhishek · member of 8 groups MD Cardiology RochesterMN
1326425174 Dewey, Benjamin · member of 7 groups M.D. Diagnostic Radiology RochesterMN
1528212420 Ekins, Jacob · member of 2 groups M.D. Diagnostic Radiology AustinMN
1437137213 Evans, Titus · member of 9 groups M.D. Cardiology RochesterMN
1215496351 Gao, John · member of 5 groups MD Diagnostic Radiology Albert LeaMN
1538156799 Gerber, Thomas · member of 8 groups M.D., PHD Internal Medicine RochesterMN
1467815381 Gursahaney, Dorissa · member of 7 groups M.D. Diagnostic Radiology AustinMN
1407388952 Hafertepe, Michael · member of 2 groups MD Diagnostic Radiology OwatonnaMN
1023216256 Hanson, Chad · member of 2 groups MD Diagnostic Radiology Red WingMN
1053763243 Hassan, Jawaad · member of 4 groups M.D. Diagnostic Radiology Red WingMN
1912470857 Herbers, Megan · member of 2 groups DNP Nurse Practitioner Red WingMN
1821036054 Herrmann, Martin · member of 4 groups MD Family Practice New PragueMN
1487073243 Howell, Barrett · member of 7 groups M.D. Diagnostic Radiology RochesterMN
1215591524 Huang, Yu-Hui · member of 4 groups MD, MS Diagnostic Radiology Albert LeaMN
1942588066 Irfan, Affan · member of 6 groups M.D. Cardiology Albert LeaMN
1538146626 Jaffe, Allan · member of 8 groups M.D. Cardiology RochesterMN
1538334628 Jentzer, Jacob · member of 8 groups M.D. Internal Medicine RochesterMN
1225015472 Keenan, Lawrence · member of 5 groups M.D. Cardiology AustinMN
1306333109 Kirby, John · member of 7 groups MD Diagnostic Radiology RochesterMN
1891044400 Kowlgi, Narayan Gurukrip · member of 7 groups M.B.B.S Cardiology RochesterMN
1477526101 Lee, Hon · member of 8 groups M.D. Clinical Cardiac Electrophysiology RochesterMN
1619926664 Leslie, Dean · member of 7 groups M.D. Diagnostic Radiology SpringfieldIL
1306151675 Liwonjo, Anne · member of 2 groups M.D Family Practice Red WingMN
1073174694 Malyuk, David · member of 3 groups MD Diagnostic Radiology AustinMN
1558561506 Mansukhani, Meghna · member of 2 groups MD Sleep Medicine RochesterMN
1639330822 Manyara, Warren · member of 3 groups M.D. Internal Medicine RochesterNY
1073590956 Martin, Scott · member of 3 groups MD Pathology Eau ClaireWI
1104945336 Mckie, Paul · member of 8 groups MD Advanced Heart Failure and Transplant Cardiology RochesterMN
1770560666 Moore, Andrew · member of 6 groups M.D. Cardiology RochesterMN
1043282585 Morgenthaler, Timothy · member of 2 groups M.D. Pulmonary Disease RochesterMN
1770740417 Mulpuru, Siva · member of 9 groups MD Clinical Cardiac Electrophysiology RochesterMN
1942272380 Munger, Thomas · member of 7 groups M.D. Clinical Cardiac Electrophysiology RochesterMN
1366698011 Newman, Darrell · member of 5 groups M.D. Cardiology RochesterMN
1376500959 Nordahl, Thomas · member of 2 groups MD Emergency Medicine Cannon FallsMN
1336555135 Nordhues, Benjamin · member of 7 groups M.D. Cardiology RochesterMN
1316927254 Osborn, Michael · member of 8 groups M.D. Cardiology RochesterMN
1982822540 Penn, David · member of 3 groups M.D. Diagnostic Radiology OwatonnaMN
1821441163 Perera, Liyanage · member of 3 groups M.D. Hospitalist AustinMN
1639328784 Peterson, Tyler · member of 6 groups M.D. Cardiology RochesterMN
1750393922 Ramar, Kannan · member of 2 groups MD Pulmonary Disease RochesterMN
1689651689 Rea, Robert · member of 9 groups M.D. Clinical Cardiac Electrophysiology Eau ClaireWI
1407926371 Rosado, Angel · member of 5 groups M.D. Internal Medicine MaplewoodMN
1285286328 Salim, Ahmed · member of 2 groups Hospitalist RochesterMN
1790976462 Schmitz, Matthew · member of 7 groups M.D. Diagnostic Radiology Albert LeaMN
1629364310 Sigakis, Christopher · member of 7 groups M.D. Diagnostic Radiology AustinMN
1457615999 Siontis, Konstantinos · member of 9 groups MD Cardiology RochesterMN
1528223807 Slat, David · member of 2 groups MD Diagnostic Radiology AustinMN
1063919314 Studer, Tyler · member of 3 groups MD Diagnostic Radiology OwatonnaMN
1073588315 Subramaniam, Santhi · member of 2 groups MD Internal Medicine Red WingMN
1932631504 Sztuk, Nicole · member of 2 groups D.O. Diagnostic Radiology AustinMN
1063483436 Timimi, Farris · member of 8 groups M.D. Advanced Heart Failure and Transplant Cardiology RochesterMN
1285013813 Tsetse, Caleb · member of 2 groups M.D Diagnostic Radiology AustinMN
1285165183 Unsdorfer, Kyle · member of 4 groups MD Diagnostic Radiology Albert LeaMN
1982800645 Wackel, Philip · member of 7 groups Cardiology RochesterMN
1306889712 Ward, Edward · member of 2 groups M.D. Internal Medicine Red WingMN

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.