Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › DULUTH › SMDC MEDICAL CENTER

SMDC MEDICAL CENTER

NPI: 1033153895 · DULUTH, MN 55805 · General Acute Care Hospital · NPI assigned 06/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOREN, KEVIN controls 20+ related entities in our dataset. Read more

$35.51M
Total Medicaid Paid
621,905
Total Claims
535,254
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (CFO)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date06/15/2006

Related Entities

Other providers sharing the same authorized official: BOREN, KEVIN

ProviderCityStateTotal Paid
THE DULUTH CLINIC, LTD DULUTH MN $51.60M
ST. JOSEPH'S MEDICAL CENTER BRAINERD MN $41.35M
ST MARYS MEDICAL CENTER DULUTH MN $20.98M
ST. MARY'S HOSPITAL OF SUPERIOR SUPERIOR WI $13.36M
ST JOSEPH'S MEDICAL CENTER BAXTER MN $7.23M
ST. MARY'S DULUTH CLINIC HEALTH SYSTEM DULUTH MN $4.97M
DEER RIVER HEALTHCARE CENTER, INC. DEER RIVER MN $4.57M
ST. MARY'S MEDICAL CENTER DULUTH MN $3.66M
ST. JOSEPH'S MEDICAL CENTER BRAINERD MN $3.25M
THE DULUTH CLINIC, LTD VIRGINIA MN $2.82M
THE DULUTH CLINIC, LTD DULUTH MN $2.66M
NORTHERN PINES MEDICAL CENTER AURORA MN $1.72M
ST. MARY'S HOSPITAL OF SUPERIOR SUPERIOR WI $1.65M
POLINSKY MEDICAL REHABILITATION CENTER DULUTH MN $1.61M
PINE MEDICAL CENTER SANDSTONE MN $1.32M
THE DULUTH CLINIC, LTD HERMANTOWN MN $1.30M
THE DULUTH CLINIC LTD GRAND RAPIDS MN $1.18M
THE DULUTH CLINIC, LTD DULUTH MN $1.13M
THE DULUTH CLINIC, LTD ASHLAND WI $1.07M
ST MARY'S HOSPITAL OF SUPERIOR SPOONER WI $1.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 94,658 $2.48M
2019 94,809 $5.81M
2020 67,092 $3.70M
2021 94,718 $5.71M
2022 101,723 $6.57M
2023 101,036 $6.85M
2024 67,869 $4.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 394,463 350,714 $27.35M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 15,664 1,853 $3.66M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,710 7,563 $688K
J0585 Injection, onabotulinumtoxina, 1 unit 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 7,518 6,902 $473K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,951 1,876 $253K
90834 Psychotherapy, 45 minutes with patient 2,538 1,587 $180K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 979 748 $177K
77067 Screening mammography, bilateral, including computer-aided detection 2,027 1,985 $151K
36415 Collection of venous blood by venipuncture 64,730 57,767 $142K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 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 4,817 4,490 $108K
64615 539 510 $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 5,485 5,150 $88K
97810 2,488 1,089 $84K
97811 2,509 1,088 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 545 434 $76K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 558 544 $74K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 173 169 $71K
95117 2,540 1,456 $57K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 774 683 $51K
97802 1,175 1,104 $47K
20610 218 191 $39K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 86 84 $35K
Q3014 Telehealth originating site facility fee 4,693 4,077 $34K
80053 Comprehensive metabolic panel 7,150 6,062 $32K
90870 356 114 $29K
92060 2,064 2,008 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,147 3,092 $25K
90686 2,184 2,071 $24K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 133 128 $24K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,289 2,027 $24K
92557 327 316 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,644 1,551 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,400 1,061 $21K
92567 2,535 2,458 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,032 898 $20K
80061 Lipid panel 1,996 1,930 $20K
93325 244 239 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material 92 92 $18K
76536 258 252 $18K
77063 Screening digital breast tomosynthesis, bilateral 499 486 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 208 206 $17K
84443 Thyroid stimulating hormone (TSH) 1,836 1,720 $17K
97813 592 258 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,880 2,391 $15K
92587 66 66 $15K
96116 144 136 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 768 739 $14K
97803 474 463 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,978 1,747 $14K
85027 6,370 5,387 $13K
83036 Hemoglobin; glycosylated (A1C) 2,883 2,753 $12K
0002A 388 384 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 146 65 $12K
H2012 Behavioral health day treatment, per hour 221 26 $12K
93320 162 158 $11K
97814 604 258 $11K
80048 Basic metabolic panel (calcium, ionized) 2,123 1,764 $11K
91320 151 150 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,930 3,338 $9K
0001A 353 340 $9K
76830 Ultrasound, transvaginal 94 90 $9K
87631 149 147 $8K
11721 687 648 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 323 315 $8K
96138 83 80 $7K
77002 90 79 $7K
96375 Therapeutic injection; each additional sequential IV push 233 182 $7K
0072A 211 211 $6K
90792 Psychiatric diagnostic evaluation with medical services 70 67 $6K
97602 69 49 $6K
62323 12 12 $6K
90480 188 184 $6K
0004A 274 261 $6K
0071A 189 187 $5K
73222 14 12 $5K
71271 55 55 $5K
0124A 182 168 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling 17 16 $5K
20611 15 13 $4K
76881 40 36 $4K
90791 Psychiatric diagnostic evaluation 51 49 $4K
76770 51 50 $4K
99215 Prolong outpt/office vis 783 696 $4K
96367 61 49 $4K
0240U 29 28 $3K
A9575 Injection, gadoterate meglumine, 0.1 ml 997 903 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 177 162 $3K
96139 101 80 $3K
77066 Tomosynthesis, mammo 39 38 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 681 414 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 203 99 $3K
95886 50 43 $3K
G0378 Hospital observation service, per hour 56 52 $3K
95908 12 12 $2K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 13 12 $2K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 16 13 $2K
90677 17 16 $2K
G0008 Administration of influenza virus vaccine 559 538 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 59 39 $2K
87632 20 20 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 383 356 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 26 12 $2K
99232 Subsequent hospital care, per day, moderate complexity 32 14 $2K
0064A 103 100 $2K
96132 12 12 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 152 149 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 30 12 $2K
96118 42 42 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,529 1,925 $2K
80076 300 282 $2K
95024 177 174 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $1K
97166 14 14 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 40 20 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,057 970 $1K
92579 26 26 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 3,080 2,081 $1K
92134 200 193 $1K
76642 40 39 $1K
96415 15 13 $1K
86780 114 109 $1K
0054A 40 40 $1K
J0475 Injection, baclofen, 10 mg 16 13 $1K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 60 32 $1K
71046 Radiologic examination, chest; 2 views 31 28 $1K
82962 460 102 $1K
J2704 Injection, propofol, 10 mg 2,312 1,906 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 72 66 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 72 66 $983.80
84439 92 89 $980.23
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 475 456 $950.98
85652 1,147 1,074 $897.58
J0690 Injection, cefazolin sodium, 500 mg 1,162 927 $881.13
82565 946 859 $846.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 92 83 $829.11
95990 15 12 $821.84
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $795.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,758 2,105 $777.79
J0330 Injection, succinylcholine chloride, up to 20 mg 358 112 $753.22
51798 111 100 $729.67
29075 19 15 $687.23
77065 Tomosynthesis, mammo 12 12 $678.91
76886 15 13 $671.72
71250 13 12 $618.26
81513 29 29 $594.78
84450 755 707 $574.57
85610 750 640 $551.35
96133 12 12 $547.06
82728 53 49 $522.14
J7120 Ringers lactate infusion, up to 1000 cc 2,642 2,025 $521.18
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,055 1,689 $475.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,303 1,122 $462.04
86803 56 54 $442.09
96119 13 13 $442.04
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 13 13 $423.46
0081A 14 14 $419.98
87522 Neg quan hep c or qual rna 82 77 $404.25
0011A 89 79 $370.68
86706 40 39 $327.49
87510 95 89 $308.14
87340 52 51 $288.85
J2250 Injection, midazolam hydrochloride, per 1 mg 1,441 1,215 $266.53
87660 95 89 $242.49
87081 53 52 $238.14
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 41 16 $227.09
J2003 Injection, lidocaine hydrochloride, 1 mg 82 62 $225.00
81001 53 51 $221.60
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,690 1,571 $205.27
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 28 27 $196.63
87480 95 89 $190.98
87086 Culture, bacterial; quantitative colony count, urine 21 20 $188.42
86140 156 142 $187.55
84466 28 26 $175.20
96121 41 38 $174.48
80164 17 17 $169.58
85018 63 43 $166.30
82248 211 194 $155.07
36416 189 174 $122.12
83735 95 43 $116.13
J2370 Injection, phenylephrine hcl, up to 1 ml 185 137 $108.51
83655 12 12 $105.84
80069 14 14 $92.83
82140 40 38 $89.26
92133 12 12 $85.45
J0171 Injection, adrenalin, epinephrine, 0.1 mg 38 27 $83.79
90688 17 15 $76.86
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 13 $74.48
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 27 26 $72.20
86364 24 12 $70.44
84703 19 14 $63.36
83540 28 26 $59.04
84460 60 53 $53.73
87481 29 29 $53.41
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 29 29 $53.41
84132 35 26 $44.78
J1170 Injection, hydromorphone, up to 4 mg 214 135 $35.45
J1171 Injection, hydromorphone, 0.1 mg 17 12 $34.30
81003 54 51 $31.94
86762 12 12 $21.42
J1885 Injection, ketorolac tromethamine, per 15 mg 251 162 $12.39
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,550 1,386 $0.01
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 21 13 $0.01
J7030 Infusion, normal saline solution , 1000 cc 75 42 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 18 16 $0.00
90662 14 14 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 12 12 $0.00
87634 23 23 $0.00
84100 17 12 $0.00
A9270 Non-covered item or service 175 24 $0.00
80177 13 12 $0.00