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. Joseph's Area Health Services (NPI 1023086055)

Field	Value
Entity Type	Organization
Organization	St. Joseph's Area Health Services
Address	600 Pleasant Ave S
City	Park Rapids
State	MN
ZIP	56470
Taxonomy	Critical Access Hospital
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	9,260	$170	$1.6M
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.	18,130	$90	$1.6M
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.	2,120	$240	$516.3K
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…	6,320	$30	$189.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,140	$40	$161.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,350	$40	$130.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	8,290	$10	$74.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	630	$80	$50.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	330	$120	$41.2K
0241U	N/A	620	$60	$38.1K

Showing 1–10 of 50

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. Joseph's Area Health Services — 0 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	54	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.	46	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.	28	220	1,730	$120	$1.3M
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.	90	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…	826	1,200	1,030	$70	$549.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	175	260	890	$60	$405.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	150	500	$110	$293.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	46	90	380	$100	$185.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	66	160	110	$50	$172.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	36	40	100	$140	$148.2K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Joseph's Area Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kari Messner	MN	Diagnostic Radiology Physician	$174.9K	$0
Kamran Khaghany	ND	Diagnostic Radiology Physician	$149.5K	$0
Robert Posch	MN	Diagnostic Radiology Physician	$140.2K	$0
Jalal Dufani	NE	Internal Medicine Physician	$115.1K	$0
Michelle Fulp	AZ	Family Nurse Practitioner	$104.4K	$400
Artem Ryazantsev	NE	Hospitalist Physician	$76.7K	$0
Timothy Nyarandi	ND	Family Medicine Physician	$65.3K	$0
Bradly Williams	MN	Emergency Medicine Physician	$41.5K	$0
Mitchell Goldstein	MN	Surgery Physician	$37.6K	$0
John Hoscheid	ND	Certified Registered Nurse Anesthetist	$21.7K	$0

Nearby Providers

Other providers in the same ZIP code as St. Joseph's Area Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
Lake Country Associates, Inc.	MN	Community/Behavioral Health Agency	$0	$5.6M
Walgreen Co	MN	Pharmacy	$159K	$0
Megan Bollinger	MN	Physical Therapist	$47.5K	$0
Jamie Kueber	MN	Optometrist	$41.4K	$0
Paul Funk	MN	Physical Therapist	$37.3K	$0
Paula Kitzmann	MN	Clinical Social Worker	$36.1K	$0
Clifford Lafreniere	MN	Physical Therapist	$23.8K	$0
Daniel Smith	MN	Surgery Physician	$21.3K	$0
Ryan Strasburg	MN	Certified Registered Nurse Anesthetist	$17.4K	$0

St. Joseph's Area Health Services — Billing Profile & Reimbursement Data

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St. Joseph's Area Health Services — 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