Medicaid Provider Spending

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

SMDC MEDICAL CENTER

NPI: 1235488438 · DULUTH, MN 55811 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 09/04/2012

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

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

$417K
Total Medicaid Paid
4,611
Total Claims
2,107
Beneficiaries
11
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (CFO)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date09/04/2012

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
2019 85 $5K
2020 54 $5K
2022 751 $63K
2023 2,048 $172K
2024 1,673 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,588 1,114 $237K
99232 Subsequent hospital care, per day, moderate complexity 987 302 $70K
90792 Psychiatric diagnostic evaluation with medical services 347 285 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 319 150 $17K
99239 Hospital discharge day management, more than 30 minutes 105 101 $11K
99233 Prolong inpt eval add15 m 74 35 $7K
99215 Prolong outpt/office vis 54 43 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 38 24 $3K
99223 Prolong inpt eval add15 m 13 13 $3K
90834 Psychotherapy, 45 minutes with patient 42 26 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 44 14 $1K