Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST MARY'S HOSPITAL OF SUPERIOR

NPI: 1083161301 · SPOONER, WI 54801 · Rural Health Clinic/Center · NPI assigned 09/02/2016

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

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

$1.05M
Total Medicaid Paid
25,906
Total Claims
22,374
Beneficiaries
26
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date09/02/2016

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
SMDC MEDICAL CENTER DULUTH MN $35.51M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,150 $79K
2019 3,601 $153K
2020 3,330 $130K
2021 4,900 $168K
2022 4,661 $191K
2023 4,703 $203K
2024 2,561 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,038 10,320 $716K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,385 6,426 $287K
99215 Prolong outpt/office vis 306 260 $25K
99308 Subsequent nursing facility care, per day, straightforward 169 152 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 273 249 $6K
90686 366 330 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 32 28 $1K
0124A 29 29 $1K
99442 58 39 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 33 26 $843.26
0004A 23 22 $804.40
0064A 28 16 $654.04
96127 143 131 $563.93
0071A 23 14 $496.84
92551 25 24 $321.84
90656 14 12 $307.74
36415 Collection of venous blood by venipuncture 4,662 4,053 $279.42
99443 21 12 $276.13
99173 13 12 $172.14
80053 Comprehensive metabolic panel 14 12 $113.65
91306 20 12 $0.00
91307 49 29 $0.00
91305 16 14 $0.00
91300 125 111 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 13 $0.00
91312 28 28 $0.00