Clinic
ST. Mary's Hospital of Superior
ST. Mary's Hospital of Superior was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoST. MARY'S HOSPITAL OF SUPERIOR
SUPERIOR, WI 54880
SUPERIOR, WI 54880
33aNPI1588691588assigned 06/26/2006
33bProvider typeCritical Access Hospital Clinic/Center
28Total paid$1.65M
24GClaims54,090
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,079 | $122K | |
| 2019 | 5,330 | $146K | |
| 2020 | 5,105 | $127K | |
| 2021 | 8,585 | $213K | |
| 2022 | 10,154 | $294K | |
| 2023 | 11,193 | $333K | |
| 2024incomplete | 8,644 | $418K |
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 | 59% | 21,019 | 17,840 | $973K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 13,695 | 12,321 | $436K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.4% | 1,982 | 1,088 | $73K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.9% | 1,333 | 1,266 | $31K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 1,820 | 1,518 | $26K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 279 | 229 | $17K |
| 90686 | <1% | 1,268 | 1,096 | $14K | |
| 99605 | <1% | 210 | 205 | $11K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 453 | 396 | $10K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 244 | 234 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 394 | 258 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | 221 | $5K |
37 more codes
| 96130 | <1% | 48 | $4K | |
| 99607 | <1% | 37 | $3K | |
| 92015 | Determination of refractive state | <1% | 448 | $3K |
| 0002A | <1% | 93 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 99 | $3K |
| 0012A | <1% | 110 | $3K | |
| 0001A | <1% | 85 | $3K | |
| 0072A | <1% | 100 | $3K | |
| 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 | <1% | 58 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,174 | $2K |
| 0011A | <1% | 90 | $2K | |
| 0071A | <1% | 86 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 20610 | <1% | 21 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 94 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 51 | $1K |
| 90656 | <1% | 28 | $596.31 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $532.34 |
| 0064A | <1% | 20 | $498.36 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | $488.61 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 14 | $471.87 |
| 99356 | <1% | 13 | $380.10 | |
| 99443 | <1% | 21 | $352.20 | |
| 92551 | <1% | 30 | $298.92 | |
| 99307 | <1% | 67 | $280.35 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 68 | $279.24 |
| 96127 | <1% | 62 | $215.65 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $146.88 |
| 99305 | <1% | 15 | $73.78 | |
| 99497 | <1% | 12 | $69.84 | |
| 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 | 0% | 25 | $0.00 |
| 91301 | 0% | 257 | $0.00 | |
| 91307 | 0% | 165 | $0.00 | |
| 0352U | 0% | 15 | $0.00 | |
| 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) | 0% | 424 | $0.00 |
| 91300 | 0% | 237 | $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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.