MITCHELL LEE HOLT, MD
NPI 1912438912, individual, Duluth, MN, Psychiatry & Neurology, Psychiatry
- Medicaid dollars per patient on code 99233 ($357 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MITCHELL LEE HOLT, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 22, 2017, last updated September 28, 2022 |
| Practice location | 502 E 2ND ST, Duluth, MN 55805-1913, 218-786-8364 |
| Mailing address | 400 E 3RD ST, Duluth, MN 55805-1951 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 63818 CT) Student in an Organized Health Care Education/Training Program (390200000X) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 70529 MN) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $181K | 46% | $357 | $96 (top 5% from $249) | 99th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $127K | 32% | $247 | $67 (top 5% from $174) | 98th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $40K | 10% | $150 | $81 (top 5% from $170) | 92nd percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $35K | 9% | $100 | $49 (top 5% from $101) | 95th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $5K | 1% | $170 | $49 (top 5% from $109) | too few months to rank | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $5K | 1% | $182 | $37 (top 5% from $103) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $4K | 1% | $28 | $60 (top 5% from $133) | 14th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $1K | 0% | $93 | $63 (top 5% from $137) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 376 | 53 | $33K | $450 | $111 | 4.0x | 2.6x (90th percentile 4.7x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 197 | 33 | $11K | $308 | $74 | 4.2x | 2.6x (90th percentile 4.3x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 38 | $5K | $821 | $163 | 5.0x | 3.0x (90th percentile 5.6x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 43 | 37 | $4K | $445 | $108 | 4.1x | 2.8x (90th percentile 5.6x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 56 | 13 | $3K | $215 | $61 | 3.5x | 2.1x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
11 providers in St. Louis County, MN carry an indicator in the public record, with $10.2M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | RANGE REGIONAL HEALTH SERVICES Hibbing, MN, ranked 1438 | $42K |
|
| 3 | SPECTRUM COMMUNITY HEALTH INC Virginia, MN, ranked 5111 | $0 |
|
| 3 | JENSEN HEALTH LLC Duluth, MN, ranked 6413 | $0 |
|
| 3 | RANGE REGIONAL HEALTH SERVICES Hibbing, MN, ranked 7048 | $0 |
|
| 5 | MICHAEL MEYER Duluth, MN, ranked 10204 | $645K |
|
| 5 | DAVID BALDES Duluth, MN, ranked 10253 | $524K |
|
| 5 | JESSICA JACOBSON Duluth, MN, ranked 10681 | $6.7M | |
| 5 | DAWN PETERSON Duluth, MN, ranked 10923 | $1.4M |
Recent enforcement in MN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.