Physician
ST Mary's Regional Health Center
ST Mary's Regional Health Center was paid $6.79M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoST MARY'S REGIONAL HEALTH CENTER
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
33aNPI1639513377assigned 04/24/2013
33bProvider typeFamily Medicine Physician
28Total paid$6.79M
24GClaims201,354
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#8 of 126
Median peer was paid$73K
This provider vs. median93×
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 HURLEY, ALAN 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 | 28,981 | $314K | |
| 2019 | 31,881 | $1.16M | |
| 2020 | 24,355 | $895K | |
| 2021 | 27,633 | $1.15M | |
| 2022 | 29,319 | $1.16M | |
| 2023 | 34,745 | $1.20M | |
| 2024incomplete | 24,440 | $915K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 60,943 | 52,504 | $2.23M |
| 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 | 32% | 41,884 | 35,827 | $2.20M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.9% | 4,146 | 2,661 | $333K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 3,843 | 3,672 | $164K |
| X5622 | 2.0% | 1,341 | 1,260 | $138K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 3,416 | 3,322 | $127K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 2,251 | 2,202 | $108K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 2,043 | 1,438 | $100K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 1,365 | 1,354 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,841 | 1,695 | $72K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 806 | 739 | $70K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.0% | 1,279 | 1,226 | $70K |
113 more codes
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 3,043 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,219 | $55K |
| 90461 | <1% | 2,053 | $47K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,266 | $46K |
| V2020 | Frames, purchases | <1% | 1,446 | $44K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,753 | $43K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 661 | $42K |
| 99310 | Prolong nursin fac eval 15m | <1% | 480 | $40K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 6,000 | $39K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,377 | $36K |
| 92015 | Determination of refractive state | <1% | 2,791 | $35K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 374 | $31K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,159 | $31K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,200 | $31K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,057 | $26K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,277 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 839 | $24K |
| 99607 | <1% | 657 | $24K | |
| 71045 | Radiologic examination, chest; single view | <1% | 4,386 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,418 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 422 | $20K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 859 | $19K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 277 | $18K |
| 76830 | Ultrasound, transvaginal | <1% | 789 | $18K |
| 92551 | <1% | 2,818 | $17K | |
| V2106 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens | <1% | 471 | $17K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 158 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,208 | $15K |
| 73630 | <1% | 2,829 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,885 | $14K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 748 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 236 | $13K |
| 99606 | <1% | 390 | $12K | |
| 99443 | <1% | 162 | $12K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 372 | $12K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 272 | $11K |
| 99605 | <1% | 208 | $10K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 315 | $9K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 81 | $9K |
| 96130 | <1% | 87 | $9K | |
| 73610 | <1% | 1,432 | $8K | |
| 96127 | <1% | 2,123 | $7K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 152 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 27 | $7K |
| 99336 | <1% | 64 | $6K | |
| 76801 | <1% | 199 | $6K | |
| 99442 | <1% | 108 | $5K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 72 | $5K |
| 99188 | <1% | 684 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 350 | $4K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 83 | $4K |
| 73030 | <1% | 706 | $4K | |
| 99173 | <1% | 2,755 | $4K | |
| 73562 | <1% | 626 | $4K | |
| 20610 | <1% | 121 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $3K |
| 73110 | <1% | 477 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | $2K |
| 73130 | <1% | 401 | $2K | |
| 69210 | <1% | 116 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 80 | $2K |
| 90662 | <1% | 25 | $1K | |
| 17110 | <1% | 25 | $1K | |
| 92341 | <1% | 66 | $1K | |
| 99335 | <1% | 15 | $1K | |
| 96131 | <1% | 12 | $1K | |
| 73502 | <1% | 146 | $1K | |
| 99243 | <1% | 15 | $979.44 | |
| 99417 | Prolong home eval add 15m | <1% | 15 | $905.30 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 165 | $873.57 |
| 99349 | <1% | 15 | $790.56 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 12 | $767.31 |
| 99383 | <1% | 14 | $694.71 | |
| 72100 | <1% | 82 | $629.95 | |
| 74018 | <1% | 99 | $605.59 | |
| 73140 | <1% | 128 | $585.22 | |
| 76642 | <1% | 27 | $538.74 | |
| 72141 | <1% | 12 | $531.70 | |
| 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) | <1% | 174 | $526.30 |
| 73221 | <1% | 13 | $472.23 | |
| G0008 | Administration of influenza virus vaccine | <1% | 25 | $403.16 |
| 96136 | <1% | 12 | $390.03 | |
| 73564 | <1% | 49 | $371.18 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $356.80 |
| 93971 | <1% | 31 | $355.22 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $285.12 |
| 98940 | <1% | 22 | $257.16 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 14 | $229.60 |
| 99406 | <1% | 26 | $212.72 | |
| 73080 | <1% | 13 | $72.48 | |
| 96161 | <1% | 34 | $48.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 61 | $40.96 |
| 90686 | <1% | 1,394 | $22.67 | |
| 90677 | <1% | 80 | $0.19 | |
| 90670 | <1% | 864 | $0.05 | |
| 90723 | <1% | 630 | $0.02 | |
| 90647 | <1% | 639 | $0.02 | |
| 90680 | <1% | 446 | $0.01 | |
| 90651 | <1% | 163 | $0.01 | |
| 90633 | <1% | 384 | $0.01 | |
| 90688 | 0% | 15 | $0.00 | |
| 99024 | 0% | 728 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| 90696 | 0% | 42 | $0.00 | |
| 90656 | 0% | 87 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 1,339 | $0.00 |
| 90734 | 0% | 83 | $0.00 | |
| 90710 | 0% | 47 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 26 | $0.00 |
| 90715 | 0% | 34 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90685 | 0% | 71 | $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 officialHURLEY, ALAN (COO)
Parent organizationESSENTIA HEALTH
| Provider | Location | Paid |
|---|---|---|
| Innovis Health, LLC | Fargo, ND | $25.47M |
| ST Mary's Regional Health Center | Park Rapids, MN | $21.51M |
| ST. Marys Regional Health Center | Detroit Lakes, MN | $18.64M |
| Innovis Health LLC | Fargo, ND | $5.11M |
| Innovis Health LLC | Fargo, ND | $4.44M |
| ST Marys Regional Health Center | Park Rapids, MN | $4.26M |
| Bridges Medical Center | Ada, MN | $2.02M |
| ST Mary's Regional Health Center | Walker, MN | $1.86M |
| Graceville Health Center | Graceville, MN | $1.04M |
| Innovis Health, LLC. | Jamestown, ND | $990K |
| Innovis Health LLC | Moorhead, MN | $899K |
| Innovis Health LLC | Fargo, ND | $862K |
| ST Mary's Regional Health Center | Menahga, MN | $849K |
| ST Marys Regional Health Center | Detroit Lakes, MN | $806K |
| ST. Mary's Regional Health Center | Mahnomen, MN | $804K |
| Innovis Health LLC | Moorhead, MN | $795K |
| Innovis Health, LLC | Valley City, ND | $753K |
| Innovis Health, LLC | Bismarck, ND | $538K |
| Innovis Health, LLC. | Wahpeton, ND | $465K |
| ST. Mary's Regional Health Center | Pelican Rapids, MN | $459K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.