Clinic
ST. Luke's Hospital of Duluth
ST. Luke's Hospital of Duluth was paid $504K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoST. LUKE'S HOSPITAL OF DULUTH
ASHLAND, WI 54806
ASHLAND, WI 54806
33aNPI1316999485assigned 05/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$504K
24GClaims24,124
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#18 of 84
Median peer was paid$117K
This provider vs. median4.3×
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 BECKER, KATHERINE 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 | 4,838 | $99K | |
| 2019 | 4,462 | $88K | |
| 2020 | 3,961 | $75K | |
| 2021 | 3,673 | $69K | |
| 2022 | 2,572 | $55K | |
| 2023 | 3,022 | $60K | |
| 2024incomplete | 1,596 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 11,841 | 10,667 | $294K |
| 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 | 38% | 5,308 | 4,870 | $194K |
| 90686 | <1% | 582 | 553 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 307 | 275 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 63 | 51 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | 24 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 90688 | <1% | 90 | 83 | $1K | |
| 90656 | <1% | 32 | 32 | $663.56 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $529.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | 25 | $440.64 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | 12 | $411.99 |
10 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $400.74 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $291.90 |
| 99442 | <1% | 20 | $282.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,806 | $190.58 |
| 87070 | <1% | 14 | $164.08 | |
| 85027 | <1% | 14 | $57.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $31.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,814 | $8.02 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 76 | $0.00 |
| 90682 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialBECKER, KATHERINE (VP COMPLIANCE)
| 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 | Duluth, MN | $497K |
| 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.