Clinic
The Duluth Clinic, LTD
The Duluth Clinic, LTD was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoTHE DULUTH CLINIC, LTD
ASHLAND, WI 54806
ASHLAND, WI 54806
33aNPI1215974357assigned 05/31/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.07M
24GClaims37,865
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Wisconsin
Rank by total paid#15 of 40
Median peer was paid$333K
This provider vs. median3.2×
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 | 4,565 | $102K | |
| 2019 | 5,432 | $132K | |
| 2020 | 6,060 | $176K | |
| 2021 | 7,377 | $204K | |
| 2022 | 5,436 | $176K | |
| 2023 | 5,513 | $142K | |
| 2024incomplete | 3,482 | $143K |
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 | 49% | 15,010 | 12,921 | $522K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 9,183 | 8,090 | $237K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 19% | 3,928 | 2,486 | $205K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 418 | 381 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 228 | 222 | $14K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.2% | 601 | 557 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 136 | 125 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 127 | 107 | $7K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 226 | 196 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,071 | 991 | $6K |
| 90686 | <1% | 563 | 548 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 83 | 68 | $4K |
43 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 824 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 500 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | $2K |
| 11721 | <1% | 143 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 123 | $2K |
| 99173 | <1% | 147 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 190 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 55 | $2K |
| 92551 | <1% | 167 | $2K | |
| 0004A | <1% | 46 | $2K | |
| 90688 | <1% | 106 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $1K |
| 0002A | <1% | 26 | $997.48 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 29 | $964.15 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $894.21 |
| 90480 | <1% | 30 | $728.08 | |
| 0124A | <1% | 27 | $689.92 | |
| 81002 | <1% | 335 | $685.20 | |
| 0071A | <1% | 18 | $652.84 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 82 | $545.13 |
| 90961 | <1% | 37 | $499.68 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 16 | $391.58 |
| 81003 | <1% | 120 | $353.47 | |
| 90670 | <1% | 86 | $266.74 | |
| 99443 | <1% | 51 | $248.24 | |
| 85027 | <1% | 39 | $228.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $212.16 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $209.47 |
| 95251 | <1% | 16 | $207.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,199 | $194.61 |
| 99406 | <1% | 73 | $165.70 | |
| 73030 | <1% | 27 | $147.93 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 18 | $143.84 |
| 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% | 133 | $117.38 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $88.15 |
| 73630 | <1% | 13 | $85.02 | |
| 73562 | <1% | 17 | $78.66 | |
| 90723 | <1% | 12 | $36.69 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 54 | $0.00 |
| 91307 | 0% | 39 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 114 | $0.00 |
| 91300 | 0% | 156 | $0.00 | |
| 91312 | 0% | 13 | $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 | Grand Rapids, MN | $1.18M |
| The Duluth Clinic, LTD | Duluth, MN | $1.13M |
| 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.