Medicaid Provider Spending

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

NORTHERN PINES MEDICAL CENTER

NPI: 1639278609 · AURORA, MN 55705 · Critical Access Hospital · NPI assigned 09/22/2006

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

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

$512K
Total Medicaid Paid
11,255
Total Claims
9,237
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOREN, KEVIN (VP OF FINANCE)
Parent OrganizationESSENTIA HEALTH
NPI Enumeration Date09/22/2006

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 2,092 $37K
2019 1,445 $66K
2020 1,330 $53K
2021 2,141 $76K
2022 1,947 $111K
2023 1,760 $132K
2024 540 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,442 1,990 $243K
99284 Emergency department visit for the evaluation and management, high severity 945 821 $108K
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 1,044 469 $55K
36415 Collection of venous blood by venipuncture 3,960 3,534 $30K
85027 751 705 $18K
80048 Basic metabolic panel (calcium, ionized) 381 360 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 312 287 $11K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 33 25 $8K
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 581 345 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 145 136 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 48 43 $3K
80053 Comprehensive metabolic panel 40 38 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 25 24 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 26 25 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 56 29 $1K
80061 Lipid panel 28 28 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 117 113 $857.95
0001A 64 63 $809.87
0002A 47 46 $690.09
83036 Hemoglobin; glycosylated (A1C) 28 28 $643.10
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 27 14 $587.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15 13 $481.72
0072A 12 12 $216.69
0124A 15 15 $173.28
83605 13 12 $165.48
0004A 20 19 $164.70
J3490 Unclassified drugs 28 16 $160.39
87081 15 15 $109.02
A9270 Non-covered item or service 37 12 $3.16