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.

Northern Pines Mental Health Center, Inc. (NPI 1013904051)

Field	Value
Entity Type	Organization
Organization	Northern Pines Mental Health Center, Inc.
Address	1906 5th Ave Se
City	Little Falls
State	MN
ZIP	56345
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$39.5M
Medicare	$0

Key Findings

NORTHERN PINES MENTAL HEALTH CENTER is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $39.5M in lifetime Medicaid revenue, indicating a single-payer footprint concentrated in Medicaid. This payer mix makes the organization primarily exposed to Medicaid policy, reimbursement levels, and state behavioral-health contracting dynamics rather than Medicare volume or risk.

Revenue is highly concentrated in a small set of Medicaid codes: the provider’s top three Medicaid codes (H0040, H2014, 90834) account for 51.4% of its total Medicaid revenue. Those top three line items are H0040 ($9.4M, 23.7%), H2014 ($6.9M, 17.5%), and 90834 ($4M, 10.2%), so over half of Medicaid dollars flow through an assertive community treatment per diem, skills training per 15 minutes, and mid-length psychotherapy.

The code mix aligns with a community mental health center that couples intensive community-based services and high-volume outpatient psychotherapy: H0040 (Assertive community treatment program, per diem) and T2023 (Targeted case management; per month) indicate community outreach and care coordination capacity, while H2014 (Skills training and development, per 15 minutes) and the psychotherapy codes (90832/90834/90837) point to extensive time-based rehabilitative and therapeutic programming. This mix suggests multi-disciplinary staffing and a service model focused on repeated, frequent encounters rather than episodic high-dollar procedures.

NORTHERN PINES operates at an unusually high state scale for skills-training services: H2014 shows 156.9K claims, $6.9M revenue and is labeled an "extreme outlier" at rank #3 of 185 providers in-state (99th percentile). That placement marks the organization as one of the foremost providers of skills training and development in Minnesota, implying significant program capacity and referral volume for that service line.

The provider also shows dominant state standing in short-duration psychotherapy and elevated volume for mid- and long-duration psychotherapy. 90832 has 38.8K claims and $3.1M revenue and ranks #1 of 337 providers in-state (100th percentile; extreme outlier), while 90834 has 43.3K claims and $4M revenue (rank #12 of 623, 98th percentile; extreme outlier). 90837 appears with 35.3K claims and $3.7M revenue and is at rank #23 of 1143 providers in-state (98th percentile; characterized in the file as typical/unremarkable). Together these volumes indicate a heavy reliance on individual psychotherapy across durations as a core revenue generator.

Beyond psychotherapy and skills training, the provider maintains significant case management and crisis-response capacity. T2023 (Targeted case management) reports 8.4K claims and $3.4M revenue (rank #55 of 192, 72th percentile, typical), while H2011 (Crisis intervention service, per 15 minutes) has 7.9K claims and $924.5K revenue and ranks #1 of 31 providers in-state (100th percentile; extreme outlier), and S9484 (Crisis intervention, per hour) ranks #3 of 20 (89th percentile). These entries point to both ongoing care coordination and a substantial crisis-intervention footprint.

Competitive standing is mixed but strong in specific niches: multiple codes place the organization in the 98th–100th percentile statewide (including H2014, 90832, 90834 and H2011), indicating it is a major provider for several behavioral-health services in Minnesota. At the same time, several other codes (for example, T2023 and H0040) are described as more typical in-state despite sizable revenues, so the organization is a dominant player in targeted areas rather than uniformly across the entire behavioral-health code set.

The provider’s NPI tenure (enumerated 2005-10-04, ~21 years ago) and the large claim counts reported for time-based services (e.g., H2014 156.9K claims, 90834 43.3K claims, 90832 38.8K claims) are consistent with an established, high-volume community mental health operation. High volumes in short-interval, time-based codes imply substantial workforce and scheduling intensity—operational considerations that payers and partners should account for when evaluating network capacity, utilization management, or contracting for these service lines.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	57,180	$160	$9.4M
H2014	Skills training and development, per 15 minutes	156,870	$40	$6.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	43,270	$90	$4M
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…	35,320	$110	$3.7M
T2023	Targeted case management; per month	8,410	$410	$3.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	43,940	$70	$3.2M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	38,810	$80	$3.1M
H2035	Alcohol and/or other drug treatment program, per hour	12,960	$80	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,230	$110	$1M
H2011	Crisis intervention service, per 15 minutes	7,900	$120	$924.5K

Showing 1–10 of 30

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

Northern Pines Mental Health Center, Inc. — 6 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	4	40	25,290	$200	$5.8M
T2023	Targeted case management; per month	55	190	2,820	$480	$4.2M
H2035	Alcohol and/or other drug treatment program, per hour	88	280	5,980	$120	$3M
H2014	Skills training and development, per 15 minutes	3	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	23	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	210	240	1,870	$50	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	18	50	5,850	$110	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	399	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	67	130	1,640	$80	$599.5K
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…	527	1,200	1,030	$70	$549.7K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Northern Pines Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Morrison County	MN	Case Management Agency	$0	$16.3M
Unity Family Healthcare	MN	Critical Access Hospital	$0	$12.9M
Franciscan Sisters Of Little Falls, Minnesota	MN	Assisted Living Facility	$0	$4.3M
Michael Arneson	MN	Orthopedic Physical Therapist	$83.1K	$0
Michelle Dahlberg	MN	Physician Assistant	$41.8K	$0
Kenneth Dodge	MN	Optometrist	$29.6K	$0
Amir Makhmalbaf	MN	Internal Medicine Physician	$19.7K	$0
Michael Dorle	MN	Surgery Physician	$10.3K	$0

Northern Pines Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Northern Pines Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References