Physician
ST. Joseph's Medical Center
ST. Joseph's Medical Center was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoST. JOSEPH'S MEDICAL CENTER
BRAINERD, MN 56401
BRAINERD, MN 56401
33aNPI1184866956assigned 03/25/2009
33bProvider typeGeneral Practice Physician
28Total paid$3.25M
24GClaims91,256
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Minnesota
Rank by total paid#5 of 23
Median peer was paid$636K
This provider vs. median5.1×
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 | 17,325 | $145K | |
| 2019 | 15,723 | $520K | |
| 2020 | 13,358 | $488K | |
| 2021 | 15,210 | $659K | |
| 2022 | 12,805 | $587K | |
| 2023 | 11,157 | $533K | |
| 2024incomplete | 5,678 | $316K |
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 | 47% | 33,665 | 29,635 | $1.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 22,443 | 20,222 | $659K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 3,173 | 2,724 | $225K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.7% | 2,131 | 2,056 | $185K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 1,667 | 1,588 | $112K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 2,447 | 2,330 | $100K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 977 | 757 | $59K |
| 99243 | 1.8% | 1,080 | 1,043 | $58K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 12,610 | 10,489 | $52K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 1,035 | 1,005 | $48K |
| 99349 | <1% | 338 | 320 | $26K | |
| 90836 | <1% | 443 | 388 | $25K |
51 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,280 | $19K |
| 99443 | <1% | 442 | $18K | |
| 99442 | <1% | 545 | $17K | |
| V5261 | Hearing aid, digital, binaural, bte | <1% | 15 | $12K |
| 99607 | <1% | 307 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 88 | $10K |
| 99348 | <1% | 220 | $10K | |
| 99605 | <1% | 218 | $10K | |
| 95886 | <1% | 168 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 183 | $6K |
| 11721 | <1% | 452 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 418 | $5K |
| 99335 | <1% | 106 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 66 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 30 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,553 | $3K |
| 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% | 453 | $3K |
| V5266 | Battery for use in hearing device | <1% | 253 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 95 | $3K |
| 99336 | <1% | 45 | $3K | |
| V5160 | Dispensing fee, binaural | <1% | 15 | $2K |
| 99350 | Prolong home eval add 15m | <1% | 16 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 103 | $2K |
| 95251 | <1% | 105 | $2K | |
| 94060 | <1% | 232 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 24 | $2K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 653 | $2K |
| 94726 | <1% | 174 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $1K |
| 94729 | <1% | 166 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 21 | $861.03 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $841.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $388.70 |
| 99606 | <1% | 15 | $351.50 | |
| 90480 | <1% | 14 | $345.78 | |
| 90461 | <1% | 29 | $338.49 | |
| 99441 | <1% | 13 | $230.13 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 113 | $149.34 |
| 96127 | <1% | 34 | $79.81 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $60.09 |
| 90662 | <1% | 13 | $50.45 | |
| 90686 | <1% | 249 | $42.96 | |
| 90656 | <1% | 17 | $23.47 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $20.81 |
| 85610 | 0% | 82 | $0.00 | |
| 99242 | 0% | 12 | $0.00 | |
| 90715 | 0% | 61 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 93016 | 0% | 13 | $0.00 | |
| 92551 | 0% | 20 | $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 |
| 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.