Clinic
ST Mary's Hospital of Superior
ST Mary's Hospital of Superior was paid $1.01M by Medicaid between Jun 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoST MARY'S HOSPITAL OF SUPERIOR
HAYWARD, WI 54843
HAYWARD, WI 54843
33aNPI1528518883assigned 10/11/2016
33bProvider typeRural Health Clinic/Center
28Total paid$1.01M
24GClaims25,678
24DCodes billed35
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Wisconsin
Rank by total paid#10 of 84
Median peer was paid$117K
This provider vs. median8.6×
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 | 2,147 | $86K | |
| 2019 | 4,823 | $213K | |
| 2020 | 4,584 | $189K | |
| 2021 | 4,414 | $159K | |
| 2022 | 4,055 | $131K | |
| 2023 | 3,534 | $137K | |
| 2024incomplete | 2,121 | $93K |
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 | 57% | 8,499 | 7,345 | $576K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 8,693 | 7,652 | $366K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 353 | 314 | $19K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 193 | 173 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 299 | 262 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 379 | 310 | $7K |
| 90686 | <1% | 628 | 555 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | 39 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 25 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 458 | 400 | $2K |
| 87631 | <1% | 15 | 13 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 262 | 244 | $2K |
23 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $928.55 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $732.98 |
| 11721 | <1% | 12 | $604.20 | |
| 0001A | <1% | 14 | $496.08 | |
| 0072A | <1% | 25 | $460.52 | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $450.12 |
| 0071A | <1% | 23 | $421.28 | |
| 99443 | <1% | 13 | $386.57 | |
| 92551 | <1% | 41 | $343.34 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | $293.16 |
| 90688 | <1% | 27 | $268.83 | |
| 99442 | <1% | 14 | $220.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,213 | $206.69 |
| 99173 | <1% | 21 | $153.14 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15 | $109.42 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $103.56 |
| 85027 | <1% | 12 | $71.51 | |
| 96127 | <1% | 14 | $51.53 | |
| 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% | 155 | $47.99 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 40 | $0.00 |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 14 | $0.00 |
| 91307 | 0% | 32 | $0.00 | |
| 91300 | 0% | 84 | $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 | Virginia, MN | $2.82M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.