Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. LUKE'S HOSPITAL OF DULUTH

NPI: 1417909557 · SILVER BAY, MN 55614 · Family Medicine Physician · NPI assigned 05/17/2006

$10K
Total Medicaid Paid
473
Total Claims
398
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialLOHN, ERIC (PRESIDENT, CEO)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: LOHN, ERIC

ProviderCityStateTotal Paid
ST. LUKE'S HOSPITAL OF DULUTH DULUTH MN $755.14

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 249 $2K
2019 204 $7K
2020 20 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 376 313 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21 18 $368.97
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 15 14 $305.64
92551 14 13 $116.86
99173 14 13 $25.51
36415 Collection of venous blood by venipuncture 33 27 $0.00