Medicaid Provider Spending

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

NPI: 1457387441 · VIRGINIA, MN 55792 · Multi-Specialty Clinic/Center · NPI assigned 06/23/2006

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

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

$2.82M
Total Medicaid Paid
72,834
Total Claims
65,053
Beneficiaries
83
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date06/23/2006

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
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 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 12,419 $113K
2019 11,635 $473K
2020 9,449 $378K
2021 11,112 $499K
2022 9,542 $463K
2023 10,472 $474K
2024 8,205 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,312 25,196 $1.46M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,326 15,038 $593K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,053 2,490 $151K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,059 1,035 $56K
99310 Prolong nursin fac eval 15m 511 372 $40K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 942 920 $35K
90460 Immunization administration through 18 years of age via any route, first or only component 1,590 1,495 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 344 332 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 564 557 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 605 567 $27K
99243 440 433 $27K
92015 Determination of refractive state 2,108 2,065 $23K
99215 Prolong outpt/office vis 282 273 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 534 485 $22K
99232 Subsequent hospital care, per day, moderate complexity 538 180 $21K
77067 Screening mammography, bilateral, including computer-aided detection 714 707 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material 295 288 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 295 291 $16K
99350 Prolong home eval add 15m 122 86 $15K
92340 Fitting of spectacles, except for aphakia; monofocal 1,034 997 $14K
90461 753 711 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 537 459 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 268 258 $11K
77063 Screening digital breast tomosynthesis, bilateral 550 544 $10K
99233 Prolong inpt eval add15 m 156 43 $10K
V5266 Battery for use in hearing device 1,419 1,345 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 151 145 $7K
X5622 467 426 $6K
71046 Radiologic examination, chest; 2 views 996 967 $6K
90961 54 49 $6K
99308 Subsequent nursing facility care, per day, straightforward 142 88 $6K
99336 62 52 $5K
99223 Prolong inpt eval add15 m 38 37 $5K
99349 49 40 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 764 687 $4K
99442 112 108 $4K
99337 32 27 $4K
99443 69 68 $4K
99239 Hospital discharge day management, more than 30 minutes 54 51 $3K
99238 Hospital discharge day management, 30 minutes or less 83 82 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 353 336 $3K
96127 810 788 $3K
71045 Radiologic examination, chest; single view 543 501 $3K
99244 Office or other outpatient consultation, moderate to high complexity 29 29 $3K
92551 475 467 $3K
99222 Initial hospital care, per day, moderate complexity 28 28 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 63 58 $2K
11721 98 96 $2K
20610 52 42 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 13 13 $2K
31575 30 29 $2K
69210 53 53 $1K
92341 67 63 $1K
90834 Psychotherapy, 45 minutes with patient 15 12 $1K
73630 162 140 $867.50
36415 Collection of venous blood by venipuncture 354 299 $818.22
73562 108 90 $644.00
V2020 Frames, purchases 42 41 $615.00
70450 Computed tomography, head or brain; without contrast material 25 25 $567.12
99441 32 31 $546.34
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13 13 $500.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $495.06
76705 Ultrasound, abdominal, real time with image documentation; limited 25 25 $453.39
99406 44 40 $411.65
73030 75 63 $409.30
73610 71 68 $406.33
99188 41 40 $380.84
76830 Ultrasound, transvaginal 12 12 $327.08
99173 257 253 $294.98
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) 108 105 $246.12
90670 309 299 $238.03
G0008 Administration of influenza virus vaccine 13 13 $224.37
90472 Immunization administration, each additional vaccine (list separately) 15 15 $206.02
94726 16 15 $171.25
94729 16 15 $138.74
94060 15 14 $124.50
90723 66 64 $78.51
90686 377 368 $37.85
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 459 379 $0.10
90647 37 37 $0.00
90633 38 29 $0.00
90734 12 12 $0.00
90685 24 24 $0.00