Medicaid Provider Spending

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

NPI: 1184132664 · GRAND RAPIDS, MN 55744 · Multi-Specialty Clinic/Center · NPI assigned 01/18/2018

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

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

$1.18M
Total Medicaid Paid
31,481
Total Claims
28,945
Beneficiaries
44
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date01/18/2018

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 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 3,323 $80K
2019 4,977 $176K
2020 4,129 $141K
2021 6,927 $251K
2022 4,762 $202K
2023 4,144 $185K
2024 3,219 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,115 10,854 $798K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,145 4,745 $243K
36415 Collection of venous blood by venipuncture 7,523 6,887 $27K
90961 158 144 $25K
85027 1,297 1,264 $8K
92557 362 333 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 677 662 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 164 161 $6K
83036 Hemoglobin; glycosylated (A1C) 660 650 $6K
90686 490 490 $5K
0002A 193 193 $5K
0001A 176 175 $4K
92567 402 365 $4K
80047 263 249 $3K
99215 Prolong outpt/office vis 35 29 $3K
V5160 Dispensing fee, binaural 18 13 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $3K
99243 37 37 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 41 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 300 286 $2K
0031A 57 53 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 90 89 $1K
92551 171 169 $1K
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) 285 268 $898.16
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $867.59
77067 Screening mammography, bilateral, including computer-aided detection 24 24 $765.16
92591 17 14 $691.77
96127 132 129 $471.79
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 26 $433.20
0012A 92 92 $431.26
Q3014 Telehealth originating site facility fee 27 26 $382.43
90472 Immunization administration, each additional vaccine (list separately) 25 25 $304.60
0011A 42 41 $273.22
G0008 Administration of influenza virus vaccine 12 12 $229.21
99173 179 177 $210.44
0004A 47 46 $210.05
V5266 Battery for use in hearing device 12 12 $192.96
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 42 38 $167.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $162.53
92587 27 12 $160.01
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $99.25
81001 14 13 $40.85
X5622 22 22 $0.00
91300 17 17 $0.00