Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › VIRGINIA › ESSENTIA HEALTH VIRGINIA, LLC

ESSENTIA HEALTH VIRGINIA, LLC

NPI: 1083617120 · VIRGINIA, MN 55792 · General Acute Care Hospital · NPI assigned 05/23/2005

$12.89M
Total Medicaid Paid
220,292
Total Claims
190,358
Beneficiaries
109
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, SAMUEL (COO)
Parent OrganizationST. MARY'S DULUTH CLINIC HEALTH SYSTEM
NPI Enumeration Date05/23/2005

Related Entities

Other providers sharing the same authorized official: STONE, SAMUEL

ProviderCityStateTotal Paid
ESSENTIA HEALTH VIRGINIA, LLC INTERNATIONAL FALLS MN $5.65M
ESSENTIA HEALTH VIRGINIA, LLC ELY MN $3.18M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,862 $669K
2019 30,840 $1.94M
2020 26,588 $1.55M
2021 37,024 $2.09M
2022 36,535 $2.36M
2023 36,588 $2.56M
2024 23,855 $1.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 88,757 77,066 $7.07M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,720 9,225 $1.87M
99284 Emergency department visit for the evaluation and management, high severity 13,208 11,350 $1.59M
99283 Emergency department visit for the evaluation and management, moderate severity 9,835 8,564 $778K
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 7,747 4,178 $460K
36415 Collection of venous blood by venipuncture 30,959 27,676 $177K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,194 1,165 $107K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 856 806 $95K
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 4,788 2,822 $69K
80053 Comprehensive metabolic panel 5,470 4,960 $65K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 511 489 $65K
80048 Basic metabolic panel (calcium, ionized) 3,416 3,052 $54K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,537 1,402 $47K
96375 Therapeutic injection; each additional sequential IV push 848 788 $39K
71045 Radiologic examination, chest; single view 512 478 $25K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,170 1,075 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 840 805 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,364 5,896 $19K
81514 81 79 $18K
0001A 665 636 $16K
0002A 613 601 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 363 348 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 796 687 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,220 1,125 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,222 1,127 $14K
85027 3,654 3,225 $14K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,884 1,843 $14K
96361 Intravenous infusion, hydration; each additional hour 122 117 $13K
20610 57 42 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,712 1,535 $12K
94060 62 62 $12K
87631 322 306 $10K
91320 133 132 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 195 188 $7K
70450 Computed tomography, head or brain; without contrast material 42 38 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 33 30 $6K
Q3014 Telehealth originating site facility fee 233 227 $6K
84443 Thyroid stimulating hormone (TSH) 431 416 $5K
87510 1,165 1,056 $4K
85610 1,785 1,531 $4K
90480 150 148 $4K
83605 1,136 1,027 $4K
97810 132 60 $4K
80061 Lipid panel 352 347 $4K
87660 1,165 1,056 $4K
92557 44 42 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 303 297 $3K
90686 279 275 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 28 25 $3K
87480 1,165 1,056 $3K
83036 Hemoglobin; glycosylated (A1C) 503 488 $3K
84703 438 394 $3K
0004A 121 119 $3K
71046 Radiologic examination, chest; 2 views 89 82 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 144 76 $2K
0352U 87 85 $2K
83735 1,236 1,132 $2K
92567 350 343 $2K
31575 12 12 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 167 163 $1K
11721 92 89 $1K
J2704 Injection, propofol, 10 mg 669 620 $1K
97811 136 60 $1K
0124A 38 31 $1K
0072A 30 30 $961.20
73630 88 77 $947.35
94726 47 47 $800.27
82248 531 506 $797.44
94729 48 48 $734.74
J7030 Infusion, normal saline solution , 1000 cc 528 458 $726.92
84484 305 246 $710.45
J7120 Ringers lactate infusion, up to 1000 cc 772 646 $661.63
0071A 18 18 $592.82
82077 446 408 $489.87
86140 431 407 $463.10
0064A 18 17 $461.53
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 28 25 $428.46
86780 41 39 $383.72
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 103 99 $377.06
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 527 407 $369.41
87081 138 131 $326.45
83690 134 126 $314.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 167 158 $308.06
88142 31 27 $277.85
81003 100 95 $223.24
0003A 13 13 $188.11
81001 165 159 $179.43
85018 151 136 $162.73
J1885 Injection, ketorolac tromethamine, per 15 mg 140 133 $154.90
0031A 18 14 $133.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 111 106 $133.61
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 13 $107.87
J2405 Injection, ondansetron hydrochloride, per 1 mg 181 168 $104.19
J1170 Injection, hydromorphone, up to 4 mg 15 13 $87.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 37 $54.38
85730 74 74 $54.36
S0028 Injection, famotidine, 20 mg 14 14 $48.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 94 44 $37.24
82962 12 12 $14.76
J3010 Injection, fentanyl citrate, 0.1 mg 61 52 $10.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg 27 27 $5.30
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 23 18 $5.16
87086 Culture, bacterial; quantitative colony count, urine 27 24 $0.00
A9270 Non-covered item or service 132 24 $0.00
85379 12 12 $0.00
80143 27 25 $0.00
84100 14 13 $0.00
80179 26 25 $0.00
84145 12 12 $0.00