Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SANDSTONE › PINE MEDICAL CENTER

PINE MEDICAL CENTER

NPI: 1326041633 · SANDSTONE, MN 55072 · Critical Access Hospital · NPI assigned 05/31/2005

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

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

$1.32M
Total Medicaid Paid
15,764
Total Claims
13,659
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date05/31/2005

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,432 $186K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 3,065 2,589 $404K
99283 Emergency department visit for the evaluation and management, moderate severity 3,650 3,032 $344K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,286 1,013 $261K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,591 1,511 $66K
80053 Comprehensive metabolic panel 619 543 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 944 858 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 902 846 $35K
36415 Collection of venous blood by venipuncture 1,326 1,157 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 84 77 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 306 299 $12K
83605 166 150 $8K
87631 46 45 $7K
A0425 Ground mileage, per statute mile 40 34 $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 101 97 $7K
80048 Basic metabolic panel (calcium, ionized) 84 79 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 69 64 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 76 72 $5K
85027 104 96 $4K
96361 Intravenous infusion, hydration; each additional hour 44 39 $3K
84484 61 38 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 17 15 $2K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 256 177 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32 31 $2K
0002A 122 116 $2K
0001A 132 121 $2K
83735 41 37 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17 14 $1K
81001 106 85 $1K
86140 54 37 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14 14 $957.46
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 16 $930.21
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 13 $904.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $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 28 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 69 65 $749.35
J1885 Injection, ketorolac tromethamine, per 15 mg 44 43 $743.08
96375 Therapeutic injection; each additional sequential IV push 13 13 $529.68
84703 12 12 $526.87
J3490 Unclassified drugs 70 44 $421.04
71046 Radiologic examination, chest; 2 views 17 16 $418.99
0031A 30 29 $316.41
J2250 Injection, midazolam hydrochloride, per 1 mg 27 27 $285.27
87086 Culture, bacterial; quantitative colony count, urine 12 12 $214.60
J3010 Injection, fentanyl citrate, 0.1 mg 14 14 $150.81
0003A 16 16 $135.24
J7030 Infusion, normal saline solution , 1000 cc 13 13 $106.39