Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

St. Luke's Hospital Of Duluth (NPI 1801835970)

Field	Value
Entity Type	Organization
Organization	St. Luke's Hospital Of Duluth
Address	915 E 1st St
City	Duluth
State	MN
ZIP	55805
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$26.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

208 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	147,730	$70	$10.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	18,630	$240	$4.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,430	$180	$2.7M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	8,450	$220	$1.8M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	58,450	$20	$1.3M
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	3,040	$230	$710.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	34,030	$20	$544.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,660	$180	$490K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	19,230	$20	$442.3K
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…	4,570	$80	$356.5K

Showing 1–10 of 208

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

St. Luke's Hospital Of Duluth — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

208 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	80	6,550	$80	$4.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	49	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	38	220	1,730	$120	$1.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	54	120	400	$60	$685.8K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	2	20	650	$190	$566.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	52	100	510	$40	$560.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,131	1,200	1,030	$70	$549.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	694	1,140	1,010	$100	$543K
J0585	Injection, onabotulinumtoxina, 1 unit	17	20	350	$560	$492.3K

Showing 1–10 of 208

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Luke's Hospital Of Duluth, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Brown	MD	Dermatology Physician	$586.4K	$0
Abhimanyu Beri	IL	Clinical Cardiac Electrophysiology Physician	$439.6K	$68.9K
Joshua Aaron	MD	Pulmonary Disease Physician	$443.6K	$44.6K
Ikechukwu Onyeka	ND	Internal Medicine Physician	$486.7K	$0
John Redmond	FL	Adult Reconstructive Orthopaedic Surgery Physician	$459.4K	$0
John Peck	OH	Urology Physician	$355.7K	$0
John Michael Chua Chiaco	IA	Interventional Cardiology Physician	$299K	$0
Porur Somasundaram	FL	Clinical Cardiac Electrophysiology Physician	$225.7K	$0
Mark Berry	MN	Interventional Cardiology Physician	$224.4K	$0
Anemona Anghel-filip	NJ	Cardiovascular Disease Physician	$223.1K	$0

Nearby Providers

Other providers in the same ZIP code as St. Luke's Hospital Of Duluth, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Arrowhead, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$107.9M
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Brightwater Health Dba Human Development Center	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.4M
Smdc Medical Center	MN	General Acute Care Hospital	$0	$35.3M
St Marys Medical Center	MN	General Acute Care Hospital	$0	$21M
Lakewalk Surgery Center, Inc.	MN	Ambulatory Surgical Clinic/Center	$1.7M	$8.6M
Webmed Mental Health	MN	Mental Health Counselor	$0	$7.1M
St. Mary's Duluth Clinic Health System	MN	Clinical Medical Laboratory	$260.2K	$5M
St. Ann's Home	MN	Assisted Living Facility	$0	$5.1M
Hilary Reich	MN	Dermatology Physician	$294K	$0

St. Luke's Hospital Of Duluth — Billing Profile & Reimbursement Data

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St. Luke's Hospital Of Duluth — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References