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.

County Of Carlton (NPI 1003921875)

Field	Value
Entity Type	Organization
Organization	County Of Carlton
Address	14 N 11th St
City	Cloquet
State	MN
ZIP	55720
Taxonomy	Case Management Agency
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	13,870	$460	$6.4M
T1016	Case management, each 15 minutes	119,270	$50	$5.4M
H0040	Assertive community treatment program, per diem	6,980	$240	$1.7M
T2003	Non-emergency transportation; encounter/trip	2,080	$50	$112.1K
X5621	N/A	1,460	$40	$61.2K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	1,980	$20	$29.7K
S5110	Home care training, family; per 15 minutes	10	$260	$3.4K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	20	$40	$790

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

County Of Carlton — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	32	40	25,290	$200	$5.8M
T2023	Targeted case management; per month	41	190	2,820	$480	$4.2M
T1016	Case management, each 15 minutes	17	240	1,870	$50	$1.9M
S5110	Home care training, family; per 15 minutes	5	10	1,270	$140	$977.9K
T2003	Non-emergency transportation; encounter/trip	160	240	7,020	$30	$803.5K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	82	80	2,640	$30	$614.1K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	9	10	12,040	$10	$156.9K
X5621	N/A	5	20	450	$120	$108.2K

Nearby Providers

Other providers in the same ZIP code as County Of Carlton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fond Du Lac Reservation Business Committee	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Fond Du Lac Reservation Business Committee	MN	Clinic/Center	$0	$25.8M
Split Rock Operations	MN	Assisted Living Facility	$0	$8.5M
Community Memorial Hospital Association	MN	Critical Access Hospital	$0	$4.3M
Cloquet Area Fire District	MN	Land Ambulance	$422.9K	$1.5M
White Drug Enterprises Inc	MN	Community/Retail Pharmacy	$172.6K	$47.1K
Joey Vork	MN	Family Nurse Practitioner	$102.5K	$0
Rhonda Johnson	MN	Physical Therapist	$38.8K	$0
Karla Kukowski	MN	Physical Therapist	$37K	$0
David Anderson	MN	Emergency Medicine Physician	$27K	$0

County Of Carlton — Billing Profile & Reimbursement Data

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County Of Carlton — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References