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    OpenPayerNPI Medicare & MedicaidCounty Of Anoka
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    County Of Anoka — Billing Profile & Reimbursement Data

    NPI 1023250115 · Anoka, MN · Community/Behavioral Health Agency

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    County Of Anoka is a community/behavioral health agency provider located in Anoka, Minnesota. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Anoka
    Address2100 Third Avenue
    CityAnoka
    StateMN
    ZIP55303
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedApril 3, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$59.5M
    Medicare$0

    Key Findings

    COUNTY OF ANOKA reports no Medicare billing on file ("none below") and $59.5M in lifetime Medicaid revenue, making its operational footprint effectively single-payer Medicaid; this concentration indicates its patient population and service delivery are substantially oriented toward Medicaid-eligible beneficiaries rather than Medicare populations.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes (T2023, T1016, T2003) account for 98.7% of the provider's total Medicaid revenue. The top two codes alone—T2023 ($33.5M, 56.3% of Medicaid revenue) and T1016 ($24.6M, 41.4% of Medicaid revenue)—drive the overwhelming majority of income.

    The provider’s code mix indicates a core operational focus on case management services. T2023 (Targeted case management; per month) produced $33.5M from 57.7K claims at $580 avg paid/claim and T1016 (Case management, each 15 minutes) produced $24.6M from 600.7K claims at $41 avg paid/claim, suggesting a model that bills both monthly enrollment-style targeted case management and high-volume 15-minute case management encounters. This pattern is consistent with a community/behavioral health agency delivering large-scale care coordination and ongoing case management rather than episodic medical procedures.

    COUNTY OF ANOKA is a dominant statewide provider for its primary services: T2023 ranks #3 of 192 in-state and is labeled an "extreme outlier" at the 99th percentile, and T1016 ranks #4 of 236, also an "extreme outlier" at the 99th percentile. Those rankings indicate the organization operates far above typical state volume for targeted and routine case management relative to most peers, making it a major player in these Medicaid service lines.

    Beyond the two dominant case-management codes, activity in other Medicaid codes is mixed and mostly modest. T2003 (Non-emergency transportation; encounter/trip) generated $646.8K (1.1% of Medicaid revenue) and ranks #72 of 235 (70th percentile; described as typical, unremarkable), while T2025 and T1017 show smaller, typical volumes, indicating that ancillary services exist but do not materially drive revenue.

    There are a few specialized areas where the provider stands out despite lower absolute revenue: X5621 produced $349.4K from 3.3K claims and ranks #1 of 17 in-state (100th percentile; "notably above typical"), suggesting a niche or concentrated offering for that specific code even though it contributes only 0.6% of Medicaid revenue. Such standout rankings on lower-revenue codes can reflect unique local service lines or billing practices that are uncommon among peers.

    This business profile entails operational and reimbursement risk because the Medicaid revenue base is highly dependent on a small set of service codes (notably T2023 and T1016). Any changes in Medicaid policy, rates, or utilization management affecting targeted case management or short-interval case-management encounters could materially affect overall revenue given those codes’ dominance.

    The provider’s NPI was enumerated on 2009-04-03 (~17 years ago), indicating it is a long-established entity in the state Medicaid market; coupled with the high percentile rankings on core codes, this tenure supports the interpretation that COUNTY OF ANOKA has developed substantial scale and specialization in Medicaid case management over an extended period.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2023Targeted case management; per month57,710$580$33.5M
    T1016Case management, each 15 minutes600,750$40$24.6M
    T2003Non-emergency transportation; encounter/trip20,210$30$646.8K
    X5621N/A3,330$110$349.4K
    T2025Waiver services; not otherwise specified (nos)6,000$40$264.1K
    T1017Targeted case management, each 15 minutes2,980$30$89.3K
    T1013Sign language or oral interpretive services, per 15 minutes680$70$49.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2023Targeted case management; per month31902,820$480$4.2M
    T1017Targeted case management, each 15 minutes19307,860$210$3.8M
    T1016Case management, each 15 minutes42401,870$50$1.9M
    T1013Sign language or oral interpretive services, per 15 minutes97210560$60$822.1K
    T2003Non-emergency transportation; encounter/trip722407,020$30$803.5K
    T2025Waiver services; not otherwise specified (nos)320890$80$489.6K
    X5621N/A120450$120$108.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Innovations, Inc.MNCounseling Psychologist$0$26.3M
    Anoka-hennepin Isd#11MNLocal Education Agency (LEA)$0$26.2M
    R&m Welty Inc.MNMental Illness Community Based Residential Treatment Facility$0$22.5M
    Riverplace Counseling Centers IncMNSubstance Use Disorder Rehabilitation Clinic/Center$0$14.5M
    South Metro Human ServicesMNCase Management Agency$0$11.8M
    All Star Home Health Care IncMNHome Health Agency$0$6.9M
    Golden Hearts Home Care ServicesMNHome Health Agency$0$6.6M
    Gregory WeberMNGastroenterology Physician$67.1K$0
    Hashim NematMNGastroenterology Physician$41.6K$0
    Patrick DixonMNPsychiatric/Mental Health Nurse Practitioner$40.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    County Of Anoka — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota