Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoST. LUKE'S HOSPITAL OF DULUTH
SUPERIOR, WI 54880
33aNPI1528010667assigned 05/17/2006
33bProvider typeOphthalmology Physician
28Total paid$152K
24GClaims9,629
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Wisconsin

Rank by total paid#5 of 43
Median peer was paid$4K
This provider vs. median35×

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 BECKER, KATHERINE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,767$24K
20191,379$17K
20201,725$30K
20211,436$23K
20221,383$22K
20231,423$23K
2024incomplete516$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialBECKER, KATHERINE (VP COMPLIANCE)
Same official

Other billing entities under BECKER, KATHERINE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.