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.

Allina Health System (NPI 1023314804)

Allina Health System is a family medicine physician provider located in St Paul, Minnesota. This profile covers 0 Medicare and 170 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Allina Health System
Address	1021 Bandana Blvd E
City	St Paul
State	MN
ZIP	55108
Taxonomy	Family Medicine Physician
NPI Enumerated	January 27, 2011

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

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

170 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,030	$70	$3.4M
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…	38,160	$50	$1.8M
99203	The provider sees a new 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 provider…	6,380	$60	$401.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10,230	$30	$327.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	3,740	$80	$280.7K
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…	4,200	$60	$264.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	3,110	$80	$257.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	2,860	$90	$242.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,230	$70	$229.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,240	$100	$217.6K

Showing 1–10 of 170

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

Allina Health System — 2 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

170 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	25	1,180	1,150	$80	$605.7K
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…	58	1,200	1,030	$70	$549.7K
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…	126	620	560	$80	$361.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	43	270	550	$70	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	83	120	650	$50	$225.2K
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…	284	340	300	$100	$209.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	24	310	810	$30	$166.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	20	40	150	$320	$165.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45	240	610	$70	$165.5K

Showing 1–10 of 170

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accord	MN	Community/Behavioral Health Agency	$0	$112.2M
Evergreen Recovery	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$47.2M
Asian Adult Day Care LLC	MN	Respite Care	$0	$7.5M
Emily Program P C	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Metropolitan Pediatric Dental Associates, Ltd	MN	Pediatric Dentistry	$0	$4.7M
Gene Chen	MN	Ophthalmology Physician	$342.5K	$0
James Dorrian	MN	Dermatology Physician	$250K	$0
Stephen Mchale	MN	Otolaryngology Physician	$79.2K	$0
Jamie Hanson	MN	Dermatology Physician	$75.7K	$0
Joshua Woelk	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$30.5K	$0

Allina Health System — Billing Profile & Reimbursement Data

Sign up for Allina Health System — Billing Profile & Reimbursement Data policy alerts

Allina Health System — Billing Profile & Reimbursement Data

Sign up for Allina Health System — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
Allina Health System	MN	General Acute Care Hospital	$0	$48.8M
Allina Health System	MN	Internal Medicine Physician	$0	$32.9M
Allina Health System	MN	General Acute Care Hospital	$0	$27M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
Allina Health System	MN	Family Medicine Physician	$0	$22.2M
Allina Health System	MN	Physical Medicine & Rehabilitation Physician	$0	$18.2M
Allina Health System	MN	Obstetrics & Gynecology Physician	$0	$13.2M
St Francis Regional Medical Center	MN	General Acute Care Hospital	$0	$13M
Allina Health System	MN	Family Medicine Physician	$0	$7.5M