Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SUPERIOR › ST. MARY'S DULUTH CLINIC HEALTH SYSTEM

ST. MARY'S DULUTH CLINIC HEALTH SYSTEM

NPI: 1205866928 · SUPERIOR, WI 54880 · Clinical Medical Laboratory · NPI assigned 07/05/2006

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

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

$790K
Total Medicaid Paid
53,879
Total Claims
47,391
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (CFO)
Parent OrganizationST. MARY'S DULUTH CLINIC HEALTH SYSTEM
NPI Enumeration Date07/05/2006

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 GRAND RAPIDS MN $1.18M
THE DULUTH CLINIC, LTD DULUTH MN $1.13M
THE DULUTH CLINIC, LTD ASHLAND WI $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,344 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,587 3,278 $109K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,555 1,099 $79K
84443 Thyroid stimulating hormone (TSH) 5,674 5,105 $75K
81514 483 415 $70K
80053 Comprehensive metabolic panel 5,812 5,167 $53K
80061 Lipid panel 4,521 4,080 $50K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,083 1,003 $49K
80048 Basic metabolic panel (calcium, ionized) 4,990 4,217 $38K
87631 353 335 $36K
85027 5,909 5,240 $34K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 938 886 $30K
83036 Hemoglobin; glycosylated (A1C) 3,227 2,891 $27K
87660 1,132 978 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,025 2,639 $19K
87480 1,132 978 $19K
87510 1,131 978 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 189 173 $15K
84439 1,068 939 $8K
86140 1,425 1,222 $6K
84703 746 655 $5K
81001 1,734 1,544 $5K
0240U 157 147 $5K
83735 723 614 $4K
82043 567 521 $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 49 44 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 54 52 $2K
85610 407 230 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 54 52 $1K
81003 690 624 $1K
85018 571 523 $1K
80050 General health panel 37 25 $1K
80076 124 116 $907.92
82565 101 80 $459.70
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 17 $442.62
85652 190 161 $431.52
84702 28 24 $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 16 14 $275.00
83690 25 25 $167.73
82570 35 28 $156.00
84460 28 25 $119.21
81015 44 41 $113.39
0352U 227 206 $0.00