Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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ST. Mary's Medical Center

ST. Mary's Medical Center was paid $3.66M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is T2046, Hospice long term care, room and board only; per diem — 55% of everything it billed.

33Billing provider infoST. MARY'S MEDICAL CENTER
DULUTH, MN 55805
33aNPI1225089634assigned 05/12/2006
28Total paid$3.66M
24GClaims1,250
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Minnesota

Rank by total paid#2 of 11
Median peer was paid$594K
This provider vs. median6.2×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
2018306$1.15M
2019131$376K
2020128$336K
2022211$0.00
2023246$599K
2024incomplete228$1.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 55% 539 417 $2.00M
Q5004 Hospice care provided in skilled nursing facility (snf) 45% 424 315 $1.66M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 0% 96 14 $0.00
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 0% 163 29 $0.00
Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) 0% 12 12 $0.00
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes 0% 16 15 $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
Same official

Other billing entities under BOREN, KEVIN

Full network →
ProviderLocationPaid
The Duluth Clinic, LTDDuluth, MN$51.60M
ST. Joseph's Medical CenterBrainerd, MN$41.35M
SMDC Medical CenterDuluth, MN$35.51M
ST Marys Medical CenterDuluth, MN$20.98M
ST. Mary's Hospital of SuperiorSuperior, WI$13.36M
ST Joseph's Medical CenterBaxter, MN$7.23M
ST. Mary's Duluth Clinic Health SystemDuluth, MN$4.97M
Deer River Healthcare Center, INC.Deer River, MN$4.57M
ST. Joseph's Medical CenterBrainerd, MN$3.25M
The Duluth Clinic, LTDVirginia, MN$2.82M
The Duluth Clinic, LTDDuluth, MN$2.66M
Northern Pines Medical CenterAurora, MN$1.72M
ST. Mary's Hospital of SuperiorSuperior, WI$1.65M
Polinsky Medical Rehabilitation CenterDuluth, MN$1.61M
Pine Medical CenterSandstone, MN$1.32M
The Duluth Clinic, LTDHermantown, MN$1.30M
The Duluth Clinic LTDGrand Rapids, MN$1.18M
The Duluth Clinic, LTDDuluth, MN$1.13M
The Duluth Clinic, LTDAshland, WI$1.07M
ST Mary's Hospital of SuperiorSpooner, WI$1.05M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.