Clinic
Essentia Health Virginia, LLC
Essentia Health Virginia, LLC was paid $3.18M by Medicaid between Feb 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoESSENTIA HEALTH VIRGINIA, LLC
ELY, MN 55731
ELY, MN 55731
33aNPI1326598418assigned 10/12/2016
33bProvider typeRural Health Clinic/Center
28Total paid$3.18M
24GClaims34,412
24DCodes billed26
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Minnesota
Rank by total paid#13 of 69
Median peer was paid$763K
This provider vs. median4.2×
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.
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 | 4,856 | $454K | |
| 2019 | 5,693 | $491K | |
| 2020 | 5,225 | $355K | |
| 2021 | 6,542 | $464K | |
| 2022 | 4,359 | $488K | |
| 2023 | 5,010 | $585K | |
| 2024incomplete | 2,727 | $348K |
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 | 62% | 14,532 | 10,612 | $1.99M |
| 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 | 37% | 8,712 | 6,746 | $1.17M |
| 99443 | <1% | 87 | 76 | $22K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,359 | 4,787 | $661.95 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | 12 | $580.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,489 | 1,125 | $343.68 |
| 90686 | <1% | 1,094 | 799 | $326.13 | |
| 90662 | <1% | 15 | 12 | $158.76 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | 12 | $64.23 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 102 | 90 | $45.52 |
| 0004A | <1% | 120 | 91 | $41.95 | |
| 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 | 0% | 196 | 141 | $0.00 |
14 more codes
| 99173 | 0% | 94 | $0.00 | |
| 0002A | 0% | 204 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 581 | $0.00 |
| 0071A | 0% | 60 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 54 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 92 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 13 | $0.00 |
| 0001A | 0% | 237 | $0.00 | |
| 0072A | 0% | 26 | $0.00 | |
| 92551 | 0% | 90 | $0.00 | |
| 90688 | 0% | 116 | $0.00 | |
| 85027 | 0% | 52 | $0.00 | |
| 90656 | 0% | 26 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 33 | $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 officialSTONE, SAMUEL (COO)
| Provider | Location | Paid |
|---|---|---|
| Essentia Health Virginia, LLC | Virginia, MN | $12.89M |
| Essentia Health Virginia, LLC | International Falls, MN | $5.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.