Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

SMDC Medical Center

SMDC Medical Center was paid $35.51M by Medicaid between Jan 2018 and Dec 2024, across 212 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 77% of everything it billed.

33Billing provider infoSMDC MEDICAL CENTER
DULUTH, MN 55805
33aNPI1033153895assigned 06/15/2006
28Total paid$35.51M
24GClaims621,905
24DCodes billed212
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Minnesota

Rank by total paid#6 of 36
Median peer was paid$11.46M
This provider vs. median3.1×

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 BOREN, KEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201894,658$2.48M
201994,809$5.81M
202067,092$3.70M
202194,718$5.71M
2022101,723$6.57M
2023101,036$6.85M
2024incomplete67,869$4.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 77% 394,463 350,714 $27.35M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 10% 15,664 1,853 $3.66M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.9% 7,710 7,563 $688K
J0585 Injection, onabotulinumtoxina, 1 unit 1.4% 1,159 563 $480K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.3% 7,518 6,902 $473K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,951 1,876 $253K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 2,538 1,587 $180K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 979 748 $177K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,027 1,985 $151K
36415 Collection of venous blood by venipuncture <1% 64,730 57,767 $142K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,779 1,696 $119K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,817 4,490 $108K
200 more codes
64615 <1% 539 $105K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 5,485 $88K
97810 <1% 2,488 $84K
97811 <1% 2,509 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 545 $76K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 558 $74K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 173 $71K
95117 <1% 2,540 $57K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 774 $51K
97802 <1% 1,175 $47K
20610 <1% 218 $39K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 86 $35K
Q3014 Telehealth originating site facility fee <1% 4,693 $34K
80053 Comprehensive metabolic panel <1% 7,150 $32K
90870 <1% 356 $29K
92060 <1% 2,064 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,147 $25K
90686 <1% 2,184 $24K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 133 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,289 $24K
92557 <1% 327 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,644 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,400 $21K
92567 <1% 2,535 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,032 $20K
80061 Lipid panel <1% 1,996 $20K
93325 <1% 244 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 92 $18K
76536 <1% 258 $18K
77063 Screening digital breast tomosynthesis, bilateral <1% 499 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 208 $17K
84443 Thyroid stimulating hormone (TSH) <1% 1,836 $17K
97813 <1% 592 $16K
99214 Doctor's office visit, returning patient (more involved) <1% 2,880 $15K
92587 <1% 66 $15K
96116 <1% 144 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 768 $14K
97803 <1% 474 $14K
99213 Doctor's office visit, returning patient (routine) <1% 1,978 $14K
85027 <1% 6,370 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 2,883 $12K
0002A <1% 388 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 146 $12K
H2012 Behavioral health day treatment, per hour <1% 221 $12K
93320 <1% 162 $11K
97814 <1% 604 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 2,123 $11K
91320 <1% 151 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,930 $9K
0001A <1% 353 $9K
76830 Ultrasound, transvaginal <1% 94 $9K
87631 <1% 149 $8K
11721 <1% 687 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 323 $8K
96138 <1% 83 $7K
77002 <1% 90 $7K
96375 Therapeutic injection; each additional sequential IV push <1% 233 $7K
0072A <1% 211 $6K
90792 Psychiatric diagnostic evaluation with medical services <1% 70 $6K
97602 <1% 69 $6K
62323 <1% 12 $6K
90480 <1% 188 $6K
0004A <1% 274 $6K
0071A <1% 189 $5K
73222 <1% 14 $5K
71271 <1% 55 $5K
0124A <1% 182 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 17 $5K
20611 <1% 15 $4K
76881 <1% 40 $4K
90791 Psychiatric diagnostic evaluation <1% 51 $4K
76770 <1% 51 $4K
99215 Doctor's office visit, returning patient (complex) <1% 783 $4K
96367 <1% 61 $4K
0240U <1% 29 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 997 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 177 $3K
96139 <1% 101 $3K
77066 Tomosynthesis, mammo <1% 39 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 681 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 203 $3K
95886 <1% 50 $3K
G0378 Hospital observation service, per hour <1% 56 $3K
95908 <1% 12 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 13 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 16 $2K
90677 <1% 17 $2K
G0008 Administration of influenza virus vaccine <1% 559 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 59 $2K
87632 <1% 20 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 383 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 26 $2K
99232 Hospital visit by a doctor, follow-up day <1% 32 $2K
0064A <1% 103 $2K
96132 <1% 12 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 152 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 30 $2K
96118 <1% 42 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,529 $2K
80076 <1% 300 $2K
95024 <1% 177 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $1K
97166 <1% 14 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 40 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,057 $1K
92579 <1% 26 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,080 $1K
92134 <1% 200 $1K
76642 <1% 40 $1K
96415 <1% 15 $1K
86780 <1% 114 $1K
0054A <1% 40 $1K
J0475 Injection, baclofen, 10 mg <1% 16 $1K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 60 $1K
71046 Radiologic examination, chest; 2 views <1% 31 $1K
82962 <1% 460 $1K
J2704 Injection, propofol, 10 mg <1% 2,312 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 72 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 72 $983.80
84439 <1% 92 $980.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 475 $950.98
85652 <1% 1,147 $897.58
J0690 Injection, cefazolin sodium, 500 mg <1% 1,162 $881.13
82565 <1% 946 $846.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 92 $829.11
95990 <1% 15 $821.84
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $795.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,758 $777.79
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 358 $753.22
51798 <1% 111 $729.67
29075 <1% 19 $687.23
77065 Tomosynthesis, mammo <1% 12 $678.91
76886 <1% 15 $671.72
71250 <1% 13 $618.26
81513 <1% 29 $594.78
84450 <1% 755 $574.57
85610 <1% 750 $551.35
96133 <1% 12 $547.06
82728 <1% 53 $522.14
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,642 $521.18
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,055 $475.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,303 $462.04
86803 <1% 56 $442.09
96119 <1% 13 $442.04
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 13 $423.46
0081A <1% 14 $419.98
87522 Neg quan hep c or qual rna <1% 82 $404.25
0011A <1% 89 $370.68
86706 <1% 40 $327.49
87510 <1% 95 $308.14
87340 <1% 52 $288.85
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,441 $266.53
87660 <1% 95 $242.49
87081 <1% 53 $238.14
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 41 $227.09
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 82 $225.00
81001 <1% 53 $221.60
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,690 $205.27
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 28 $196.63
87480 <1% 95 $190.98
87086 Culture, bacterial; quantitative colony count, urine <1% 21 $188.42
86140 <1% 156 $187.55
84466 <1% 28 $175.20
96121 <1% 41 $174.48
80164 <1% 17 $169.58
85018 <1% 63 $166.30
82248 <1% 211 $155.07
36416 <1% 189 $122.12
83735 <1% 95 $116.13
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 185 $108.51
83655 <1% 12 $105.84
80069 <1% 14 $92.83
82140 <1% 40 $89.26
92133 <1% 12 $85.45
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 38 $83.79
90688 <1% 17 $76.86
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 26 $74.48
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 27 $72.20
86364 <1% 24 $70.44
84703 <1% 19 $63.36
83540 <1% 28 $59.04
84460 <1% 60 $53.73
87481 <1% 29 $53.41
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 29 $53.41
84132 <1% 35 $44.78
J1170 Injection, hydromorphone, up to 4 mg <1% 214 $35.45
J1171 Injection, hydromorphone, 0.1 mg <1% 17 $34.30
81003 <1% 54 $31.94
86762 <1% 12 $21.42
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 251 $12.39
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,550 $0.01
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 21 $0.01
J7030 Infusion, normal saline solution , 1000 cc 0% 75 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 18 $0.00
90662 0% 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 12 $0.00
87634 0% 23 $0.00
84100 0% 17 $0.00
A9270 Non-covered item or service 0% 175 $0.00
80177 0% 13 $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 officialBOREN, KEVIN (CFO)
Parent organizationESSENTIA HEALTH
Same official

Other billing entities under BOREN, KEVIN

Full network →
ProviderLocationPaid
The Duluth Clinic, LTDDuluth, MN$51.60M
ST. Joseph's Medical CenterBrainerd, MN$41.35M
ST Marys Medical CenterDuluth, MN$20.98M
ST. Mary's Hospital of SuperiorSuperior, WI$13.36M
ST Joseph's Medical CenterBaxter, MN$7.23M
ST. Mary's Duluth Clinic Health SystemDuluth, MN$4.97M
Deer River Healthcare Center, INC.Deer River, MN$4.57M
ST. Mary's Medical CenterDuluth, MN$3.66M
ST. Joseph's Medical CenterBrainerd, MN$3.25M
The Duluth Clinic, LTDVirginia, MN$2.82M
The Duluth Clinic, LTDDuluth, MN$2.66M
Northern Pines Medical CenterAurora, MN$1.72M
ST. Mary's Hospital of SuperiorSuperior, WI$1.65M
Polinsky Medical Rehabilitation CenterDuluth, MN$1.61M
Pine Medical CenterSandstone, MN$1.32M
The Duluth Clinic, LTDHermantown, MN$1.30M
The Duluth Clinic LTDGrand Rapids, MN$1.18M
The Duluth Clinic, LTDDuluth, MN$1.13M
The Duluth Clinic, LTDAshland, WI$1.07M
ST Mary's Hospital of SuperiorSpooner, WI$1.05M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.