Physician
ST Joseph's Medical Center
ST Joseph's Medical Center was paid $7.23M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoST JOSEPH'S MEDICAL CENTER
BAXTER, MN 56425
BAXTER, MN 56425
33aNPI1174809792assigned 10/27/2011
33bProvider typeGeneral Practice Physician
28Total paid$7.23M
24GClaims211,509
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Minnesota
Rank by total paid#3 of 23
Median peer was paid$636K
This provider vs. median11×
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
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 | 35,140 | $378K | |
| 2019 | 37,016 | $1.26M | |
| 2020 | 28,237 | $989K | |
| 2021 | 28,447 | $1.23M | |
| 2022 | 28,708 | $1.21M | |
| 2023 | 28,179 | $1.11M | |
| 2024incomplete | 25,782 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 55,759 | 49,121 | $2.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 62,371 | 57,495 | $2.16M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 9,591 | 9,335 | $350K |
| X5622 | 4.8% | 4,659 | 4,364 | $349K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 4,807 | 4,681 | $225K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.7% | 10,059 | 9,756 | $197K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 5,465 | 4,938 | $186K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 3,259 | 3,171 | $157K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,958 | 2,894 | $139K |
| 90461 | 1.6% | 5,618 | 5,447 | $116K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,381 | 1,346 | $70K |
| 99188 | <1% | 4,625 | 4,549 | $43K |
55 more codes
| 92551 | <1% | 5,718 | $36K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 513 | $32K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 374 | $30K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 350 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,095 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,431 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,218 | $21K |
| 96127 | <1% | 5,264 | $19K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,985 | $15K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 135 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 258 | $13K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 531 | $11K |
| 99173 | <1% | 5,486 | $8K | |
| 99243 | <1% | 101 | $6K | |
| 99443 | <1% | 138 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 166 | $4K |
| 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) | <1% | 752 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | $3K |
| 99442 | <1% | 78 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 109 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 74 | $3K |
| 99460 | <1% | 55 | $2K | |
| 99384 | <1% | 27 | $2K | |
| 88141 | <1% | 56 | $2K | |
| 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% | 28 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | $1K |
| 96161 | <1% | 627 | $985.91 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $572.88 |
| 77080 | <1% | 72 | $559.83 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | $440.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $390.22 |
| 99441 | <1% | 13 | $262.73 | |
| 90480 | <1% | 13 | $224.62 | |
| 90651 | <1% | 784 | $219.44 | |
| 90474 | <1% | 15 | $182.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 58 | $96.31 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 14 | $36.44 |
| 90633 | <1% | 1,059 | $34.82 | |
| 90685 | <1% | 350 | $22.25 | |
| 90686 | <1% | 2,948 | $4.72 | |
| 90670 | <1% | 2,220 | $0.30 | |
| 90723 | <1% | 1,539 | $0.18 | |
| 90647 | <1% | 1,444 | $0.17 | |
| 90680 | <1% | 1,234 | $0.12 | |
| 90677 | <1% | 212 | $0.10 | |
| 90715 | 0% | 271 | $0.00 | |
| 90734 | 0% | 564 | $0.00 | |
| 90707 | 0% | 236 | $0.00 | |
| 90700 | 0% | 235 | $0.00 | |
| 90710 | 0% | 148 | $0.00 | |
| 17110 | 0% | 13 | $0.00 | |
| 90716 | 0% | 310 | $0.00 | |
| 90696 | 0% | 186 | $0.00 | |
| 90688 | 0% | 80 | $0.00 | |
| 90656 | 0% | 186 | $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 (VP OF FINANCE)
Parent organizationESSENTIA HEALTH
| Provider | Location | 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. 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.