Physician
ST. Luke's Hospital of Duluth
ST. Luke's Hospital of Duluth was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 20% of everything it billed.
33Billing provider infoST. LUKE'S HOSPITAL OF DULUTH
DULUTH, MN 55805
DULUTH, MN 55805
33aNPI1023057338assigned 06/05/2006
33bProvider typePediatrics Physician
28Total paid$1.62M
24GClaims58,584
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Minnesota
Rank by total paid#8 of 33
Median peer was paid$13K
This provider vs. median123×
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.
Entity ProliferationAuthorized official BECKER, KATHERINE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,660 | $113K | |
| 2019 | 8,356 | $245K | |
| 2020 | 8,076 | $245K | |
| 2021 | 6,790 | $237K | |
| 2022 | 7,585 | $227K | |
| 2023 | 10,131 | $280K | |
| 2024incomplete | 8,986 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 20% | 11,066 | 10,374 | $327K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 7,176 | 6,825 | $266K |
| X5622 | 15% | 3,484 | 3,266 | $246K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,730 | 3,646 | $187K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 4,623 | 3,913 | $170K |
| 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 | 7.8% | 2,072 | 1,991 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,418 | 1,378 | $67K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 3,085 | 3,020 | $52K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 3,351 | 3,280 | $42K |
| 99188 | 1.8% | 4,577 | 4,485 | $29K | |
| 92551 | 1.7% | 4,120 | 4,047 | $28K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 796 | 761 | $27K |
28 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 142 | $9K |
| 99173 | <1% | 3,908 | $9K | |
| 90461 | <1% | 354 | $6K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 240 | $4K |
| 99460 | <1% | 81 | $4K | |
| 90473 | <1% | 319 | $4K | |
| 69210 | <1% | 138 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 66 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 78 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90670 | <1% | 997 | $1K | |
| 90686 | <1% | 864 | $1K | |
| 96127 | <1% | 180 | $745.65 | |
| 90677 | <1% | 95 | $508.26 | |
| 96161 | <1% | 289 | $325.41 | |
| 90656 | <1% | 98 | $315.01 | |
| 90723 | <1% | 82 | $261.34 | |
| 90648 | <1% | 81 | $232.76 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18 | $154.99 |
| 90633 | <1% | 104 | $128.36 | |
| 90651 | <1% | 12 | $45.00 | |
| 36416 | <1% | 13 | $39.94 | |
| 90680 | <1% | 256 | $30.12 | |
| 90710 | <1% | 13 | $30.00 | |
| 85018 | <1% | 13 | $19.41 | |
| 90698 | <1% | 504 | $3.59 | |
| 90685 | 0% | 41 | $0.00 | |
| 90744 | 0% | 87 | $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.
From NPPES
Who's on the registration
Authorized officialBECKER, KATHERINE (VP COMPLIANCE)
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Hospital of Duluth | Duluth, MN | $26.63M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $2.90M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.92M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.00M |
| ST. Luke's Hospital of Duluth | Hermantown, MN | $841K |
| ST. Luke's Hospital of Duluth | Hibbing, MN | $801K |
| ST. Luke's Hospital of Duluth | Ashland, WI | $504K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $497K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $441K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $273K |
| ST. Luke's Hospital of Duluth | Virginia, MN | $251K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $250K |
| ST. Luke's Hospital of Duluth | Superior, WI | $152K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $119K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $115K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $114K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $92K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $86K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $81K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.