Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE DULUTH CLINIC, LTD

NPI: 1538506894 · VIRGINIA, MN 55792 · Multi-Specialty Clinic/Center · NPI assigned 05/28/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOREN, KEVIN controls 20+ related entities in our dataset. Read more

$787K
Total Medicaid Paid
17,375
Total Claims
16,453
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date05/28/2013

Related Entities

Other providers sharing the same authorized official: BOREN, KEVIN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,719 $29K
2019 2,668 $146K
2020 1,248 $81K
2021 2,271 $114K
2022 3,048 $150K
2023 2,994 $138K
2024 2,427 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,453 10,792 $430K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,394 4,188 $282K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,302 1,279 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 42 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 184 152 $3K