Physician
Duluth Graduate Medical Education Council INC
Duluth Graduate Medical Education Council INC was paid $2.86M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoDULUTH GRADUATE MEDICAL EDUCATION COUNCIL INC
DULUTH, MN 55805
DULUTH, MN 55805
33aNPI1972585867assigned 11/16/2005
33bProvider typeFamily Medicine Physician
28Total paid$2.86M
24GClaims66,425
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#11 of 126
Median peer was paid$73K
This provider vs. median39×
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 | 9,903 | $119K | |
| 2019 | 11,400 | $481K | |
| 2020 | 10,273 | $463K | |
| 2021 | 9,541 | $517K | |
| 2022 | 9,579 | $504K | |
| 2023 | 7,822 | $417K | |
| 2024incomplete | 7,907 | $364K |
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 | 61% | 24,390 | 21,256 | $1.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 16,901 | 14,669 | $759K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 1,035 | 965 | $122K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 1,156 | 379 | $44K |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 12,144 | 11,179 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,119 | 2,033 | $24K |
| 90686 | <1% | 1,308 | 1,272 | $15K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 233 | 216 | $14K |
| 90677 | <1% | 61 | 59 | $13K | |
| 99442 | <1% | 296 | 256 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 151 | 140 | $10K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 325 | 299 | $10K |
26 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 151 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,112 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 65 | $6K |
| 85027 | <1% | 973 | $5K | |
| 0124A | <1% | 138 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $3K |
| 93000 | <1% | 433 | $3K | |
| 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% | 2,222 | $3K |
| 91320 | <1% | 25 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 278 | $2K |
| 99443 | <1% | 40 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 23 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 105 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $1K |
| 0001A | <1% | 45 | $1K | |
| 0004A | <1% | 43 | $1K | |
| 90480 | <1% | 27 | $916.93 | |
| G0008 | Administration of influenza virus vaccine | <1% | 126 | $613.94 |
| 90656 | <1% | 26 | $446.17 | |
| 84703 | <1% | 110 | $393.73 | |
| 0002A | <1% | 12 | $366.57 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 37 | $262.04 |
| 81001 | <1% | 65 | $115.76 | |
| 90723 | 0% | 12 | $0.00 | |
| X5622 | 0% | 145 | $0.00 | |
| 99188 | 0% | 23 | $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 officialPRASAD, SHAILENDRA (BOARD CHAIR)