Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ST. MARY'S DULUTH CLINIC HEALTH SYSTEM

NPI: 1326078049 · DULUTH, MN 55805 · Clinical Medical Laboratory · NPI assigned 07/05/2006

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

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

$4.97M
Total Medicaid Paid
288,633
Total Claims
249,208
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationST. MARY'S DULUTH CLINIC HEALTH SYSTEM
NPI Enumeration Date07/05/2006

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
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
ST MARY'S HOSPITAL OF SUPERIOR SPOONER WI $1.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,993 $307K
2019 29,523 $414K
2020 29,698 $519K
2021 47,727 $946K
2022 52,233 $1.17M
2023 53,842 $858K
2024 46,617 $764K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 14,938 10,108 $977K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,295 5,573 $421K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,648 8,936 $301K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,668 8,948 $290K
84443 Thyroid stimulating hormone (TSH) 19,097 18,180 $270K
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 12,641 8,769 $236K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,229 6,804 $178K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,598 7,120 $162K
81513 1,329 1,235 $136K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,845 3,608 $121K
80053 Comprehensive metabolic panel 10,897 9,696 $97K
88142 5,000 4,677 $94K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,594 16,283 $93K
80061 Lipid panel 8,579 8,180 $93K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,838 2,302 $88K
80048 Basic metabolic panel (calcium, ionized) 12,970 10,837 $86K
87507 261 247 $77K
86780 6,977 6,458 $72K
86803 4,930 4,574 $62K
87086 Culture, bacterial; quantitative colony count, urine 8,265 7,546 $57K
82728 4,739 4,428 $54K
85027 8,592 7,370 $49K
82607 3,192 2,992 $44K
83036 Hemoglobin; glycosylated (A1C) 5,399 5,213 $43K
87340 4,360 4,054 $40K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,310 1,216 $39K
87481 1,328 1,236 $39K
36415 Collection of venous blood by venipuncture 12,384 8,774 $34K
84466 3,167 2,933 $34K
83655 2,435 2,301 $31K
87522 Neg quan hep c or qual rna 761 713 $31K
87077 4,193 3,537 $30K
84439 3,736 3,527 $29K
87186 3,525 3,048 $26K
83970 723 676 $25K
84481 1,704 1,578 $24K
87653 731 665 $24K
86480 444 403 $24K
82746 1,616 1,525 $21K
83540 3,825 3,546 $21K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 570 281 $20K
87660 950 884 $17K
86762 1,294 1,193 $17K
87480 950 884 $16K
87510 948 882 $16K
86481 171 164 $15K
80076 2,021 1,907 $15K
87632 103 70 $12K
85610 3,176 2,035 $11K
87070 1,339 1,216 $11K
86038 937 871 $10K
86618 696 634 $10K
86140 2,140 1,981 $10K
86706 1,047 990 $10K
83735 1,627 1,404 $9K
84460 1,855 1,741 $9K
82784 794 631 $7K
86364 757 427 $7K
86704 683 647 $7K
84146 424 409 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 199 195 $7K
86850 1,353 1,235 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling 302 286 $6K
85004 3,412 2,796 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 84 82 $6K
84702 534 383 $6K
87081 925 828 $6K
84450 1,266 1,181 $6K
80074 148 140 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 64 58 $6K
82565 1,092 1,005 $5K
82670 216 205 $5K
82043 1,007 982 $5K
83001 309 293 $5K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 82 70 $4K
83516 444 254 $4K
83880 129 120 $4K
84153 254 249 $4K
86708 389 349 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 41 39 $3K
86431 660 619 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66 66 $3K
81001 1,223 1,116 $3K
82248 714 654 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 167 164 $3K
87205 722 665 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 62 50 $3K
85652 1,143 1,085 $3K
86376 193 187 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 86 80 $2K
86696 120 114 $2K
80164 169 163 $2K
82570 370 335 $2K
86900 605 560 $2K
86901 580 536 $2K
87631 15 14 $1K
86695 119 113 $1K
80069 173 166 $1K
82947 377 358 $1K
83690 185 174 $1K
84100 291 256 $1K
83721 139 128 $1K
81003 556 511 $1K
82274 76 71 $1K
84156 335 297 $1K
83525 100 95 $955.04
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $645.60
80178 124 111 $597.83
84703 84 78 $596.97
84403 33 28 $596.61
85018 229 210 $522.16
83002 31 29 $479.00
82950 108 93 $453.52
81015 118 116 $347.87
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18 18 $295.08
80159 27 24 $292.15
82977 34 25 $202.48
82533 13 13 $178.20
86709 15 15 $161.75
80177 14 12 $131.69
80175 17 16 $106.45
84550 15 14 $58.63