ST. Luke's Hospital of Duluth
ST. Luke's Hospital of Duluth was paid $152K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
SUPERIOR, WI 54880
Next to other Ophthalmology Physician providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,767 | $24K | |
| 2019 | 1,379 | $17K | |
| 2020 | 1,725 | $30K | |
| 2021 | 1,436 | $23K | |
| 2022 | 1,383 | $22K | |
| 2023 | 1,423 | $23K | |
| 2024incomplete | 516 | $14K |
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 | 51% | 4,113 | 3,541 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 2,052 | 1,769 | $37K |
| 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 | 10% | 580 | 525 | $15K |
| 92015 | Determination of refractive state | 5.1% | 1,096 | 999 | $8K |
| 92134 | 4.7% | 1,033 | 777 | $7K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.8% | 198 | 142 | $4K |
| 92083 | <1% | 91 | 80 | $927.76 | |
| 92133 | <1% | 46 | 42 | $690.61 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 12 | $664.06 |
| 0001A | <1% | 13 | 13 | $496.08 | |
| 92551 | <1% | 26 | 26 | $317.25 | |
| 99173 | <1% | 13 | 13 | $247.00 |
7 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $162.92 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16 | $153.04 |
| 92250 | <1% | 13 | $136.19 | |
| 90686 | <1% | 27 | $94.28 | |
| 96127 | <1% | 12 | $47.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 258 | $21.41 |
| 91300 | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST. Luke's Hospital of Duluth | Duluth, MN | $26.63M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $2.90M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.92M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.62M |
| ST. Luke's Hospital of Duluth | Duluth, MN | $1.00M |
| ST. Luke's Hospital of Duluth | Hermantown, MN | $841K |
| ST. Luke's Hospital of Duluth | Hibbing, MN | $801K |
| ST. Luke's Hospital of Duluth | Ashland, WI | $504K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $497K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $441K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $273K |
| ST. Luke's Hospital of Duluth | Virginia, MN | $251K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $250K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $119K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $115K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $114K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $92K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $86K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $81K |
| ST. Luke's Hospital of Duluth | Duluth, MN | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.