Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › BRAINERD › ST. JOSEPH'S MEDICAL CENTER

ST. JOSEPH'S MEDICAL CENTER

NPI: 1568415974 · BRAINERD, MN 56401 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 05/18/2006

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

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

$41.35M
Total Medicaid Paid
638,813
Total Claims
556,695
Beneficiaries
192
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: BOREN, KEVIN

ProviderCityStateTotal Paid
THE DULUTH CLINIC, LTD DULUTH MN $51.60M
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
ST MARY'S HOSPITAL OF SUPERIOR SPOONER WI $1.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,434 $2.19M
2019 95,078 $5.95M
2020 72,120 $4.31M
2021 106,722 $6.69M
2022 98,627 $6.51M
2023 96,954 $7.64M
2024 79,878 $8.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 253,107 222,738 $19.13M
99284 Emergency department visit for the evaluation and management, high severity 43,061 36,624 $5.52M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 23,137 20,154 $4.11M
99283 Emergency department visit for the evaluation and management, moderate severity 41,819 35,441 $3.91M
G9002 Coordinated care fee, maintenance rate 16,178 16,067 $3.67M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 15,000 12,940 $1.23M
36415 Collection of venous blood by venipuncture 79,220 70,092 $475K
80053 Comprehensive metabolic panel 22,526 20,201 $289K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,777 4,426 $201K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,506 5,179 $197K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,357 1,233 $176K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,900 26,094 $150K
99223 Prolong inpt eval add15 m 1,130 998 $141K
99232 Subsequent hospital care, per day, moderate complexity 2,998 1,111 $127K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 9,967 8,512 $122K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,198 6,055 $120K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,090 1,036 $115K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 826 805 $110K
99233 Prolong inpt eval add15 m 1,404 599 $99K
0240U 792 782 $99K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,283 2,164 $88K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 596 306 $87K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 849 809 $74K
92557 872 841 $69K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,286 2,064 $57K
99239 Hospital discharge day management, more than 30 minutes 781 695 $55K
71046 Radiologic examination, chest; 2 views 1,590 1,523 $40K
95117 1,922 1,087 $38K
80048 Basic metabolic panel (calcium, ionized) 4,020 3,591 $37K
0002A 1,369 1,344 $35K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,662 1,568 $34K
0001A 1,353 1,319 $32K
95886 253 245 $30K
94060 216 197 $29K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 51 $29K
96361 Intravenous infusion, hydration; each additional hour 251 237 $28K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 649 585 $26K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 38 36 $25K
97530 Therapeutic activities, direct patient contact, each 15 minutes 218 91 $24K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 312 103 $24K
71045 Radiologic examination, chest; single view 620 604 $23K
84443 Thyroid stimulating hormone (TSH) 2,350 2,265 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,555 1,445 $22K
83036 Hemoglobin; glycosylated (A1C) 3,470 3,357 $20K
96375 Therapeutic injection; each additional sequential IV push 440 412 $20K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,606 1,551 $19K
80061 Lipid panel 1,911 1,856 $17K
90686 1,733 1,633 $17K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 798 600 $14K
11721 553 527 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 913 841 $14K
H2035 Alcohol and/or other drug treatment program, per hour 473 75 $14K
86780 1,313 1,192 $13K
85027 3,634 3,337 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 928 853 $12K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 573 553 $12K
98929 267 209 $11K
90836 359 274 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 524 514 $10K
59025 Fetal non-stress test 44 39 $9K
99238 Hospital discharge day management, 30 minutes or less 163 152 $7K
Q3014 Telehealth originating site facility fee 658 521 $7K
91320 118 117 $7K
92567 366 350 $6K
90792 Psychiatric diagnostic evaluation with medical services 67 65 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 40 37 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 245 230 $6K
83605 834 757 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,534 2,464 $5K
99222 Initial hospital care, per day, moderate complexity 72 69 $5K
98927 164 128 $5K
0004A 209 208 $5K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 26 26 $5K
73630 265 247 $5K
94729 197 181 $5K
0124A 205 172 $5K
74019 229 221 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,213 2,073 $4K
97035 115 40 $4K
0072A 134 134 $4K
0071A 123 121 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 2,005 1,861 $4K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 720 662 $4K
90480 136 135 $4K
94726 192 177 $3K
81001 980 933 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 89 39 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 345 312 $3K
0011A 108 103 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 62 57 $3K
0012A 108 103 $3K
84439 254 245 $3K
96367 39 14 $3K
85610 220 168 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,509 1,385 $2K
86803 279 260 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 95 25 $2K
86481 56 54 $2K
G0008 Administration of influenza virus vaccine 276 266 $2K
86140 607 564 $2K
88142 133 125 $2K
83690 456 437 $2K
99220 17 16 $2K
87340 329 292 $2K
83655 178 173 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,170 553 $1K
87631 14 14 $1K
99221 14 14 $1K
97165 14 13 $1K
0064A 65 63 $1K
12001 43 36 $1K
0031A 59 58 $1K
0054A 39 37 $1K
86003 358 92 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 776 338 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,331 1,280 $1K
86850 142 91 $937.96
83735 336 323 $934.33
36416 399 345 $910.36
87086 Culture, bacterial; quantitative colony count, urine 469 445 $889.50
99406 56 52 $884.06
88307 13 12 $879.60
97161 47 12 $876.71
81003 387 364 $864.78
99217 16 16 $762.38
86480 13 13 $735.80
84703 251 241 $652.66
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 51 49 $644.39
82607 88 87 $622.92
86900 77 52 $574.12
87081 774 748 $572.71
87510 99 96 $548.60
87480 99 96 $534.11
93296 39 14 $531.82
85652 169 155 $492.72
86704 56 53 $453.77
87660 99 96 $451.85
80076 42 39 $435.00
95012 131 114 $433.61
82565 85 80 $427.90
J1790 Injection, droperidol, up to 5 mg 75 71 $418.39
84484 103 88 $391.88
87634 40 39 $378.75
51798 16 13 $378.25
86708 57 54 $371.21
90656 19 19 $363.79
82728 28 28 $348.91
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 25 25 $348.04
86706 57 54 $324.82
83516 135 62 $286.45
85018 43 43 $265.73
86901 77 52 $242.60
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 15 14 $232.18
J7030 Infusion, normal saline solution , 1000 cc 70 27 $227.56
82950 63 55 $197.82
86762 50 40 $196.45
84481 12 12 $189.33
84466 18 18 $181.62
96161 24 24 $170.58
96127 223 218 $149.29
88304 12 12 $143.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 31 30 $142.25
86235 77 20 $118.18
87420 43 40 $115.12
J1200 Injection, diphenhydramine hcl, up to 50 mg 106 99 $110.74
96110 Developmental screening, with scoring and documentation, per standardized instrument 25 25 $110.00
90732 13 13 $95.96
80164 13 12 $95.67
83540 18 18 $92.13
73610 13 12 $88.83
84450 24 24 $85.97
94010 13 13 $65.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 97 89 $62.40
99188 72 69 $59.10
82947 14 14 $52.48
82248 29 27 $50.62
86255 25 18 $42.42
82784 41 39 $29.41
86200 18 13 $21.22
87186 53 50 $20.59
86225 26 19 $15.15
86431 19 14 $14.65
82550 30 22 $13.64
86038 26 19 $13.64
87077 44 41 $9.75
82077 15 15 $0.00
A9270 Non-covered item or service 62 15 $0.00
90717 14 13 $0.00
90691 13 12 $0.00
90791 Psychiatric diagnostic evaluation 17 14 $0.00
84550 19 14 $0.00
91300 19 14 $0.00