ST. Luke's Hospital of Duluth
ST. Luke's Hospital of Duluth was paid $497K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
DULUTH, MN 55802
Next to other Family Medicine Physician providers in Minnesota
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,064 | $21K | |
| 2019 | 1,746 | $77K | |
| 2020 | 2,367 | $104K | |
| 2021 | 2,072 | $111K | |
| 2022 | 1,187 | $67K | |
| 2023 | 1,126 | $59K | |
| 2024incomplete | 930 | $58K |
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 | 64% | 6,318 | 5,838 | $320K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 4,931 | 4,479 | $169K |
| 99310 | Prolong nursin fac eval 15m | <1% | 67 | 59 | $4K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 139 | 138 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| X5622 | 0% | 12 | 12 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 12 | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Hospital of Duluth | Duluth, MN | $26.63M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $2.90M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.92M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.62M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.00M |
| ST. Luke's Hospital of Duluth | Hermantown, MN | $841K |
| ST. Luke's Hospital of Duluth | Hibbing, MN | $801K |
| ST. Luke's Hospital of Duluth | Ashland, WI | $504K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $441K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $273K |
| ST. Luke's Hospital of Duluth | Virginia, MN | $251K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $250K |
| ST. Luke's Hospital of Duluth | Superior, WI | $152K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $119K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $115K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $114K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $92K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $86K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $81K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.