Physician
ST Mary's Regional Health Center
ST Mary's Regional Health Center was paid $21.51M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoST MARY'S REGIONAL HEALTH CENTER
PARK RAPIDS, MN 56470
PARK RAPIDS, MN 56470
33aNPI1699955344assigned 11/10/2007
33bProvider typeFamily Medicine Physician
28Total paid$21.51M
24GClaims269,497
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#2 of 126
Median peer was paid$73K
This provider vs. median294×
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 | 49,948 | $3.89M | |
| 2019 | 54,000 | $4.48M | |
| 2020 | 43,102 | $3.68M | |
| 2021 | 48,823 | $2.98M | |
| 2022 | 29,832 | $2.12M | |
| 2023 | 26,599 | $2.57M | |
| 2024incomplete | 17,193 | $1.80M |
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 | 45% | 59,824 | 47,078 | $9.62M |
| 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 | 35% | 46,714 | 35,528 | $7.55M |
| X5622 | 4.9% | 4,317 | 4,019 | $1.05M | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.8% | 5,397 | 2,801 | $819K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 4,524 | 3,756 | $615K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 2,393 | 2,309 | $334K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,804 | 1,612 | $262K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 3,078 | 2,619 | $241K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,306 | 1,225 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,711 | 2,255 | $183K |
| 99442 | <1% | 516 | 481 | $92K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 477 | 476 | $78K |
91 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 298 | $69K |
| 99443 | <1% | 280 | $53K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 282 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 920 | $44K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 243 | $41K |
| 99441 | <1% | 187 | $34K | |
| 99243 | <1% | 202 | $30K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 159 | $25K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 440 | $21K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 152 | $20K |
| 99310 | Prolong nursin fac eval 15m | <1% | 69 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 125 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 115 | $13K |
| 99307 | <1% | 92 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 88 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 44 | $11K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 65 | $5K |
| 99188 | <1% | 550 | $3K | |
| 96130 | <1% | 23 | $2K | |
| 99347 | <1% | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 27,345 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 7,488 | $513.53 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,622 | $364.45 |
| 85027 | <1% | 6,127 | $330.90 | |
| 91320 | <1% | 21 | $262.20 | |
| 90670 | <1% | 2,006 | $224.40 | |
| Q3014 | Telehealth originating site facility fee | <1% | 27 | $223.50 |
| 90686 | <1% | 3,869 | $183.32 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,075 | $112.52 |
| 80061 | Lipid panel | <1% | 2,469 | $99.20 |
| 90480 | <1% | 23 | $81.38 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 211 | $64.43 |
| 87510 | <1% | 388 | $62.37 | |
| 87480 | <1% | 388 | $62.37 | |
| 87660 | <1% | 388 | $62.37 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 321 | $51.31 |
| 0002A | <1% | 476 | $37.64 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 4,601 | $35.09 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,454 | $24.33 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,394 | $20.14 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,902 | $19.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,729 | $19.11 |
| 90461 | <1% | 4,575 | $18.51 | |
| 92551 | <1% | 7,098 | $18.30 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,248 | $16.77 |
| 84703 | <1% | 1,883 | $15.32 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 972 | $14.97 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 730 | $14.28 |
| 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% | 415 | $13.96 |
| 81001 | <1% | 3,135 | $13.43 | |
| 0001A | <1% | 519 | $12.08 | |
| 36416 | <1% | 106 | $9.00 | |
| 96127 | <1% | 7,524 | $7.70 | |
| 83735 | <1% | 511 | $6.95 | |
| 99173 | <1% | 6,856 | $4.34 | |
| 90651 | 0% | 374 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,486 | $0.00 |
| 90723 | 0% | 1,481 | $0.00 | |
| 86140 | 0% | 178 | $0.00 | |
| 90680 | 0% | 1,139 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 1,041 | $0.00 |
| 90647 | 0% | 1,097 | $0.00 | |
| 90696 | 0% | 85 | $0.00 | |
| 0072A | 0% | 86 | $0.00 | |
| 85018 | 0% | 49 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 28 | $0.00 |
| 85652 | 0% | 55 | $0.00 | |
| 90656 | 0% | 159 | $0.00 | |
| 90677 | 0% | 77 | $0.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 13 | $0.00 |
| 90734 | 0% | 236 | $0.00 | |
| 90715 | 0% | 601 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 974 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 233 | $0.00 |
| 90685 | 0% | 189 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,424 | $0.00 |
| 90633 | 0% | 715 | $0.00 | |
| 81003 | 0% | 889 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 362 | $0.00 |
| 0004A | 0% | 31 | $0.00 | |
| 97803 | 0% | 277 | $0.00 | |
| 87631 | 0% | 122 | $0.00 | |
| 87634 | 0% | 66 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 296 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 24 | $0.00 |
| 90710 | 0% | 84 | $0.00 | |
| 87210 | 0% | 131 | $0.00 | |
| 0054A | 0% | 24 | $0.00 | |
| 0071A | 0% | 129 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 0124A | 0% | 27 | $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. Marys Regional Health Center | Detroit Lakes, MN | $18.64M |
| ST Mary's Regional Health Center | Detroit Lakes, MN | $6.79M |
| 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.