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

The Duluth Clinic, LTD

The Duluth Clinic, LTD was paid $787K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoTHE DULUTH CLINIC, LTD
VIRGINIA, MN 55792
33aNPI1538506894assigned 05/28/2013
28Total paid$787K
24GClaims17,375
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Minnesota

Rank by total paid#48 of 87
Median peer was paid$1.04M
This provider vs. median0.8×

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

$0$10K$20K2018201920202021202220232024
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
20182,719$29K
20192,668$146K
20201,248$81K
20212,271$114K
20223,048$150K
20232,994$138K
2024incomplete2,427$129K
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 55% 11,453 10,792 $430K
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 36% 4,394 4,188 $282K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.8% 1,302 1,279 $69K
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% 42 42 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 184 152 $3K

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
Same official

Other billing entities under BOREN, KEVIN

Full network →
ProviderLocationPaid
The Duluth Clinic, LTDDuluth, MN$51.60M
ST. Joseph's Medical CenterBrainerd, MN$41.35M
SMDC Medical CenterDuluth, MN$35.51M
ST Marys Medical CenterDuluth, MN$20.98M
ST. Mary's Hospital of SuperiorSuperior, WI$13.36M
ST Joseph's Medical CenterBaxter, MN$7.23M
ST. Mary's Duluth Clinic Health SystemDuluth, MN$4.97M
Deer River Healthcare Center, INC.Deer River, MN$4.57M
ST. Mary's Medical CenterDuluth, MN$3.66M
ST. Joseph's Medical CenterBrainerd, MN$3.25M
The Duluth Clinic, LTDVirginia, MN$2.82M
The Duluth Clinic, LTDDuluth, MN$2.66M
Northern Pines Medical CenterAurora, MN$1.72M
ST. Mary's Hospital of SuperiorSuperior, WI$1.65M
Polinsky Medical Rehabilitation CenterDuluth, MN$1.61M
Pine Medical CenterSandstone, MN$1.32M
The Duluth Clinic, LTDHermantown, MN$1.30M
The Duluth Clinic LTDGrand Rapids, MN$1.18M
The Duluth Clinic, LTDDuluth, MN$1.13M
The Duluth Clinic, LTDAshland, WI$1.07M

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