NPI: 1730134891 · PEQUOT LAKES, MN 56472 · Primary Care Clinic/Center · NPI assigned 05/24/2006
Authorized official BOREN, KEVIN controls 20+ related entities in our dataset. Read more
| Authorized Official | BOREN, KEVIN (VP OF FINANCE) |
| Parent Organization | ESSENTIA HEALTH |
| NPI Enumeration Date | 05/24/2006 |
Other providers sharing the same authorized official: BOREN, KEVIN
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 781 | $5K |
| 2019 | 838 | $31K |
| 2020 | 599 | $18K |
| 2021 | 541 | $25K |
| 2022 | 612 | $29K |
| 2023 | 827 | $38K |
| 2024 | 507 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,284 | 3,076 | $120K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 910 | 833 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 154 | 147 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 135 | 135 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 12 | 12 | $326.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 14 | 14 | $264.69 |
| 92551 | 41 | 40 | $200.68 | |
| 96127 | 39 | 39 | $163.52 | |
| 99173 | 26 | 26 | $38.27 | |
| 90686 | 90 | 89 | $0.00 |