Clinic
The Duluth Clinic, LTD
The Duluth Clinic, LTD was paid $2.82M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoTHE DULUTH CLINIC, LTD
VIRGINIA, MN 55792
VIRGINIA, MN 55792
33aNPI1457387441assigned 06/23/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.82M
24GClaims72,834
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Rank by total paid#28 of 87
Median peer was paid$1.04M
This provider vs. median2.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BOREN, KEVIN controls 20+ related entities in our dataset. Read more
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 | 12,419 | $113K | |
| 2019 | 11,635 | $473K | |
| 2020 | 9,449 | $378K | |
| 2021 | 11,112 | $499K | |
| 2022 | 9,542 | $463K | |
| 2023 | 10,472 | $474K | |
| 2024incomplete | 8,205 | $417K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 28,312 | 25,196 | $1.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 17,326 | 15,038 | $593K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.3% | 3,053 | 2,490 | $151K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 1,059 | 1,035 | $56K |
| 99310 | Prolong nursin fac eval 15m | 1.4% | 511 | 372 | $40K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.3% | 942 | 920 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 1,590 | 1,495 | $32K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 344 | 332 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.0% | 564 | 557 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 605 | 567 | $27K |
| 99243 | <1% | 440 | 433 | $27K | |
| 92015 | Determination of refractive state | <1% | 2,108 | 2,065 | $23K |
71 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 282 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 534 | $22K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 538 | $21K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 714 | $17K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 295 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 295 | $16K |
| 99350 | Prolong home eval add 15m | <1% | 122 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,034 | $14K |
| 90461 | <1% | 753 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 537 | $12K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 268 | $11K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 550 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 156 | $10K |
| V5266 | Battery for use in hearing device | <1% | 1,419 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 151 | $7K |
| X5622 | <1% | 467 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 996 | $6K |
| 90961 | <1% | 54 | $6K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 142 | $6K |
| 99336 | <1% | 62 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 38 | $5K |
| 99349 | <1% | 49 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 764 | $4K |
| 99442 | <1% | 112 | $4K | |
| 99337 | <1% | 32 | $4K | |
| 99443 | <1% | 69 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 54 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 353 | $3K |
| 96127 | <1% | 810 | $3K | |
| 71045 | Radiologic examination, chest; single view | <1% | 543 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 29 | $3K |
| 92551 | <1% | 475 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 63 | $2K |
| 11721 | <1% | 98 | $2K | |
| 20610 | <1% | 52 | $2K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 13 | $2K |
| 31575 | <1% | 30 | $2K | |
| 69210 | <1% | 53 | $1K | |
| 92341 | <1% | 67 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 15 | $1K |
| 73630 | <1% | 162 | $867.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 354 | $818.22 |
| 73562 | <1% | 108 | $644.00 | |
| V2020 | Frames, purchases | <1% | 42 | $615.00 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 25 | $567.12 |
| 99441 | <1% | 32 | $546.34 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | $500.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $495.06 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 25 | $453.39 |
| 99406 | <1% | 44 | $411.65 | |
| 73030 | <1% | 75 | $409.30 | |
| 73610 | <1% | 71 | $406.33 | |
| 99188 | <1% | 41 | $380.84 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $327.08 |
| 99173 | <1% | 257 | $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) | <1% | 108 | $246.12 |
| 90670 | <1% | 309 | $238.03 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $224.37 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $206.02 |
| 94726 | <1% | 16 | $171.25 | |
| 94729 | <1% | 16 | $138.74 | |
| 94060 | <1% | 15 | $124.50 | |
| 90723 | <1% | 66 | $78.51 | |
| 90686 | <1% | 377 | $37.85 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 459 | $0.10 |
| 90647 | 0% | 37 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90685 | 0% | 24 | $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 officialBOREN, KEVIN (VP OF FINANCE)
Parent organizationESSENTIA HEALTH
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.