ST. Joseph's Medical Center

ST. Joseph's Medical Center was paid $168K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoST. JOSEPH'S MEDICAL CENTER
PEQUOT LAKES, MN 56472

33aNPI1730134891assigned 05/24/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$168K

24GClaims4,705

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Minnesota

Rank by total paid#42 of 72

Median peer was paid$251K

This provider vs. median0.7×

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 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	781	$5K
2019	838	$31K
2020	599	$18K
2021	541	$25K
2022	612	$29K
2023	827	$38K
2024incomplete	507	$22K

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	72%	3,284	3,076	$120K
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	25%	910	833	$41K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	154	147	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.4%	135	135	$2K
90472	Immunization administration, each additional vaccine (list separately)	<1%	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)	<1%	14	14	$264.69
92551		<1%	41	40	$200.68
96127		<1%	39	39	$163.52
99173		<1%	26	26	$38.27
90686		0%	90	89	$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

Same official

Other billing entities under BOREN, KEVIN

Full network →

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
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.