Clinic
The Duluth Clinic LTD
The Duluth Clinic LTD was paid $1.18M by Medicaid between Apr 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoTHE DULUTH CLINIC LTD
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1184132664assigned 01/18/2018
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.18M
24GClaims31,481
24DCodes billed44
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#40 of 87
Median peer was paid$1.04M
This provider vs. median1.1×
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 | 3,323 | $80K | |
| 2019 | 4,977 | $176K | |
| 2020 | 4,129 | $141K | |
| 2021 | 6,927 | $251K | |
| 2022 | 4,762 | $202K | |
| 2023 | 4,144 | $185K | |
| 2024incomplete | 3,219 | $141K |
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 | 68% | 12,115 | 10,854 | $798K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 5,145 | 4,745 | $243K |
| 36415 | Collection of venous blood by venipuncture | 2.3% | 7,523 | 6,887 | $27K |
| 90961 | 2.1% | 158 | 144 | $25K | |
| 85027 | <1% | 1,297 | 1,264 | $8K | |
| 92557 | <1% | 362 | 333 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 677 | 662 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 164 | 161 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 660 | 650 | $6K |
| 90686 | <1% | 490 | 490 | $5K | |
| 0002A | <1% | 193 | 193 | $5K | |
| 0001A | <1% | 176 | 175 | $4K |
32 more codes
| 92567 | <1% | 402 | $4K | |
| 80047 | <1% | 263 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 35 | $3K |
| V5160 | Dispensing fee, binaural | <1% | 18 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $3K |
| 99243 | <1% | 37 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 300 | $2K |
| 0031A | <1% | 57 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 90 | $1K |
| 92551 | <1% | 171 | $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) | <1% | 285 | $898.16 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $867.59 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 24 | $765.16 |
| 92591 | <1% | 17 | $691.77 | |
| 96127 | <1% | 132 | $471.79 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $433.20 |
| 0012A | <1% | 92 | $431.26 | |
| Q3014 | Telehealth originating site facility fee | <1% | 27 | $382.43 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $304.60 |
| 0011A | <1% | 42 | $273.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $229.21 |
| 99173 | <1% | 179 | $210.44 | |
| 0004A | <1% | 47 | $210.05 | |
| V5266 | Battery for use in hearing device | <1% | 12 | $192.96 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 42 | $167.50 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $162.53 |
| 92587 | <1% | 27 | $160.01 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $99.25 |
| 81001 | <1% | 14 | $40.85 | |
| X5622 | 0% | 22 | $0.00 | |
| 91300 | 0% | 17 | $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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.