Lab
ST. Mary's Duluth Clinic Health System
ST. Mary's Duluth Clinic Health System was paid $790K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 87651, Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe — 14% of everything it billed.
33Billing provider infoST. MARY'S DULUTH CLINIC HEALTH SYSTEM
SUPERIOR, WI 54880
SUPERIOR, WI 54880
33aNPI1205866928assigned 07/05/2006
33bProvider typeClinical Medical Laboratory
28Total paid$790K
24GClaims53,879
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Wisconsin
Rank by total paid#24 of 75
Median peer was paid$106K
This provider vs. median7.4×
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 | 4,563 | $50K | |
| 2019 | 5,040 | $52K | |
| 2020 | 4,772 | $45K | |
| 2021 | 8,787 | $111K | |
| 2022 | 10,032 | $187K | |
| 2023 | 11,341 | $175K | |
| 2024incomplete | 9,344 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 14% | 3,587 | 3,278 | $109K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 10% | 1,555 | 1,099 | $79K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.5% | 5,674 | 5,105 | $75K |
| 81514 | 8.8% | 483 | 415 | $70K | |
| 80053 | Comprehensive metabolic panel | 6.7% | 5,812 | 5,167 | $53K |
| 80061 | Lipid panel | 6.3% | 4,521 | 4,080 | $50K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.2% | 1,083 | 1,003 | $49K |
| 80048 | Basic metabolic panel (calcium, ionized) | 4.8% | 4,990 | 4,217 | $38K |
| 87631 | 4.6% | 353 | 335 | $36K | |
| 85027 | 4.3% | 5,909 | 5,240 | $34K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.8% | 938 | 886 | $30K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.4% | 3,227 | 2,891 | $27K |
30 more codes
| 87660 | 2.5% | 1,132 | $20K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.5% | 3,025 | $19K |
| 87480 | 2.4% | 1,132 | $19K | |
| 87510 | 2.1% | 1,131 | $17K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.9% | 189 | $15K |
| 84439 | 1.0% | 1,068 | $8K | |
| 86140 | <1% | 1,425 | $6K | |
| 84703 | <1% | 746 | $5K | |
| 81001 | <1% | 1,734 | $5K | |
| 0240U | <1% | 157 | $5K | |
| 83735 | <1% | 723 | $4K | |
| 82043 | <1% | 567 | $3K | |
| 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% | 49 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 54 | $2K |
| 85610 | <1% | 407 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 54 | $1K |
| 81003 | <1% | 690 | $1K | |
| 85018 | <1% | 571 | $1K | |
| 80050 | General health panel | <1% | 37 | $1K |
| 80076 | <1% | 124 | $907.92 | |
| 82565 | <1% | 101 | $459.70 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $442.62 |
| 85652 | <1% | 190 | $431.52 | |
| 84702 | <1% | 28 | $303.10 | |
| 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 | <1% | 16 | $275.00 |
| 83690 | <1% | 25 | $167.73 | |
| 82570 | <1% | 35 | $156.00 | |
| 84460 | <1% | 28 | $119.21 | |
| 81015 | <1% | 44 | $113.39 | |
| 0352U | 0% | 227 | $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 (CFO)
Parent organizationST. MARY'S DULUTH CLINIC HEALTH SYSTEM
| 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 | Grand Rapids, MN | $1.18M |
| The Duluth Clinic, LTD | Duluth, MN | $1.13M |
| The Duluth Clinic, LTD | Ashland, WI | $1.07M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.