Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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THE DULUTH CLINIC, LTD

NPI: 1215974357 · ASHLAND, WI 54806 · Multi-Specialty Clinic/Center · NPI assigned 05/31/2006

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

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

$1.07M
Total Medicaid Paid
37,865
Total Claims
32,144
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date05/31/2006

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
ST MARY'S HOSPITAL OF SUPERIOR SPOONER WI $1.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,482 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,010 12,921 $522K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,183 8,090 $237K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,928 2,486 $205K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 418 381 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 228 222 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 601 557 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 136 125 $8K
99215 Prolong outpt/office vis 127 107 $7K
74177 Computed tomography, abdomen and pelvis; with contrast material 226 196 $7K
71046 Radiologic examination, chest; 2 views 1,071 991 $6K
90686 563 548 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 83 68 $4K
71045 Radiologic examination, chest; single view 824 723 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 500 450 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 47 40 $2K
11721 143 128 $2K
Q3014 Telehealth originating site facility fee 123 110 $2K
99173 147 132 $2K
80053 Comprehensive metabolic panel 190 158 $2K
70450 Computed tomography, head or brain; without contrast material 55 53 $2K
92551 167 153 $2K
0004A 46 43 $2K
90688 106 104 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 39 $1K
0002A 26 26 $997.48
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 29 27 $964.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 48 $894.21
90480 30 25 $728.08
0124A 27 27 $689.92
81002 335 175 $685.20
0071A 18 16 $652.84
85025 Blood count; complete (CBC), automated, and automated differential WBC count 82 77 $545.13
90961 37 36 $499.68
74176 Computed tomography, abdomen and pelvis; without contrast material 16 13 $391.58
81003 120 63 $353.47
90670 86 85 $266.74
99443 51 34 $248.24
85027 39 29 $228.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $212.16
99308 Subsequent nursing facility care, per day, straightforward 29 26 $209.47
95251 16 12 $207.09
36415 Collection of venous blood by venipuncture 2,199 1,954 $194.61
99406 73 66 $165.70
73030 27 24 $147.93
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 18 15 $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) 133 124 $117.38
83036 Hemoglobin; glycosylated (A1C) 26 15 $88.15
73630 13 12 $85.02
73562 17 12 $78.66
90723 12 12 $36.69
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54 52 $0.00
91307 39 33 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 114 106 $0.00
91300 156 148 $0.00
91312 13 13 $0.00