Hospital
Pine Medical Center
Pine Medical Center was paid $1.32M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.
33Billing provider infoPINE MEDICAL CENTER
SANDSTONE, MN 55072
SANDSTONE, MN 55072
33aNPI1326041633assigned 05/31/2005
33bProvider typeCritical Access Hospital
28Total paid$1.32M
24GClaims15,764
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Minnesota
Rank by total paid#27 of 68
Median peer was paid$798K
This provider vs. median1.7×
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
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 | 2,826 | $84K | |
| 2019 | 2,087 | $181K | |
| 2020 | 1,446 | $136K | |
| 2021 | 1,712 | $119K | |
| 2022 | 2,974 | $266K | |
| 2023 | 3,287 | $349K | |
| 2024incomplete | 1,432 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 3,065 | 2,589 | $404K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 3,650 | 3,032 | $344K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 20% | 1,286 | 1,013 | $261K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 5.0% | 1,591 | 1,511 | $66K |
| 80053 | Comprehensive metabolic panel | 3.2% | 619 | 543 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.1% | 944 | 858 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 902 | 846 | $35K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,326 | 1,157 | $24K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.1% | 84 | 77 | $15K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 306 | 299 | $12K |
| 83605 | <1% | 166 | 150 | $8K | |
| 87631 | <1% | 46 | 45 | $7K |
34 more codes
| A0425 | Ground mileage, per statute mile | <1% | 40 | $7K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 101 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 84 | $6K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 69 | $6K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 76 | $5K |
| 85027 | <1% | 104 | $4K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 44 | $3K |
| 84484 | <1% | 61 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 17 | $2K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 256 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 32 | $2K |
| 0002A | <1% | 122 | $2K | |
| 0001A | <1% | 132 | $2K | |
| 83735 | <1% | 41 | $2K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 17 | $1K |
| 81001 | <1% | 106 | $1K | |
| 86140 | <1% | 54 | $1K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 14 | $957.46 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $930.21 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $904.38 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $790.49 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 28 | $752.37 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 69 | $749.35 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 44 | $743.08 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 13 | $529.68 |
| 84703 | <1% | 12 | $526.87 | |
| J3490 | Unclassified drugs | <1% | 70 | $421.04 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17 | $418.99 |
| 0031A | <1% | 30 | $316.41 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 27 | $285.27 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $214.60 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 14 | $150.81 |
| 0003A | <1% | 16 | $135.24 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 13 | $106.39 |
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
| Provider | Location | 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 |
| 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 |
| ST Mary's Hospital of Superior | Spooner, WI | $1.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.