Clinic
Essentia Health Virginia, LLC
Essentia Health Virginia, LLC was paid $5.65M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoESSENTIA HEALTH VIRGINIA, LLC
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
33aNPI1881144970assigned 10/12/2016
33bProvider typeRural Health Clinic/Center
28Total paid$5.65M
24GClaims79,018
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Minnesota
Rank by total paid#7 of 69
Median peer was paid$763K
This provider vs. median7.4×
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.
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 | 15,613 | $1.08M | |
| 2019 | 18,792 | $1.08M | |
| 2020 | 13,186 | $678K | |
| 2021 | 12,378 | $791K | |
| 2022 | 8,082 | $720K | |
| 2023 | 7,268 | $839K | |
| 2024incomplete | 3,699 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 23,025 | 16,736 | $2.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 19,023 | 14,019 | $2.46M |
| X5622 | 2.4% | 894 | 782 | $135K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 742 | 565 | $55K |
| 99441 | <1% | 258 | 166 | $16K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 223 | 180 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 272 | 219 | $8K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 681 | 614 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 162 | 116 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 107 | 91 | $6K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 175 | 131 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 95 | 74 | $5K |
53 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,088 | $3K |
| 99243 | <1% | 42 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 9,236 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,220 | $808.02 |
| 0072A | <1% | 16 | $671.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,757 | $615.38 |
| 0004A | <1% | 14 | $545.35 | |
| 90686 | <1% | 2,168 | $507.17 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,078 | $395.69 |
| 90461 | <1% | 617 | $318.75 | |
| 85027 | <1% | 1,059 | $275.17 | |
| 90662 | <1% | 12 | $243.04 | |
| 96127 | <1% | 1,001 | $201.43 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,325 | $172.40 |
| 87634 | <1% | 12 | $147.22 | |
| 80061 | Lipid panel | <1% | 55 | $141.35 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,244 | $125.94 |
| 99442 | <1% | 219 | $121.83 | |
| 92551 | <1% | 1,189 | $105.79 | |
| 80053 | Comprehensive metabolic panel | <1% | 71 | $99.20 |
| 81001 | <1% | 135 | $79.92 | |
| 81003 | <1% | 801 | $78.38 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 678 | $74.99 |
| 90480 | <1% | 28 | $60.48 | |
| 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% | 14 | $32.84 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 402 | $26.88 |
| 99173 | <1% | 926 | $23.66 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 312 | $10.79 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $7.91 |
| 90670 | 0% | 181 | $0.00 | |
| 0002A | 0% | 258 | $0.00 | |
| 90633 | 0% | 35 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 250 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 28 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,117 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 329 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 112 | $0.00 |
| 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 | 0% | 467 | $0.00 |
| 87210 | 0% | 66 | $0.00 | |
| 90685 | 0% | 72 | $0.00 | |
| 81002 | 0% | 53 | $0.00 | |
| 90656 | 0% | 17 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 0001A | 0% | 255 | $0.00 | |
| 84703 | 0% | 30 | $0.00 | |
| 87081 | 0% | 84 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 67 | $0.00 |
| 90647 | 0% | 12 | $0.00 | |
| 36416 | 0% | 23 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 22 | $0.00 |
| 99443 | 0% | 12 | $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 officialSTONE, SAMUEL (COO)
| Provider | Location | Paid |
|---|---|---|
| Essentia Health Virginia, LLC | Virginia, MN | $12.89M |
| Essentia Health Virginia, LLC | Ely, MN | $3.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.