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.

Hutchinson Health (NPI 1053508820)

Hutchinson Health is a general acute care hospital provider located in Hutchinson, Minnesota. This profile covers 0 Medicare and 147 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	Hutchinson Health
Address	1095 Highway 15 S
City	Hutchinson
State	MN
ZIP	55350
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 26, 2007

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

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

147 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80,230	$90	$6.8M
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…	36,300	$80	$3M
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…	33,700	$60	$2M
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…	51,550	$30	$1.7M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5,820	$50	$314.3K
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…	5,330	$50	$288K
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.	2,440	$120	$280.1K
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…	2,610	$90	$239.7K
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…	4,430	$50	$203.9K
X5622	N/A	3,860	$50	$196.7K

Showing 1–10 of 147

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

Hutchinson Health — 3 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

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	16	80	6,550	$80	$4.4M
H2035	Alcohol and/or other drug treatment program, per hour	255	280	5,980	$120	$3M
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.	88	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.	101	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.	99	220	1,730	$120	$1.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	69	120	400	$60	$685.8K
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…	54	1,180	1,150	$80	$605.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	38	110	1,880	$50	$564.6K
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…	40	1,200	1,030	$70	$549.7K
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…	592	1,140	1,010	$100	$543K

Showing 1–10 of 147

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Elizabeth Miller	MN	Rheumatology Physician	$1.3M	$0
Kyle Swanson	MN	Orthopaedic Surgery Physician	$286.4K	$0
Mark Menge	MN	Hematology & Oncology Physician	$250.4K	$0
Jeffrey Shultz	MN	Cardiovascular Disease Physician	$129.5K	$0
Neeraj Sathnur	MN	Clinical Cardiac Electrophysiology Physician	$127.8K	$0
Rachel Lerner	MN	Hematology & Oncology Physician	$122.9K	$0
Jocelyn Rieder	MN	Urology Physician	$116.7K	$0
David Strothman	MN	Orthopaedic Surgery Physician	$93.2K	$0
Soma Sen	MN	Cardiovascular Disease Physician	$91.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Oaks At Shady Ridge, LLC.	MN	Home Health Agency	$0	$14.2M
Acc Midwest Transportation LLC	MN	Non-emergency Medical Transport (VAN)	$0	$9.8M
Family & Cosmetic Gentle Dentistry, Ltd	MN	General Practice Dentistry	$0	$5.4M
Aigerim Saulebayeva	MN	Ophthalmology Physician	$169.5K	$0
Regional Eye Surgery Center, LLC	MN	Ambulatory Surgical Clinic/Center	$115.9K	$0
Christopher Wallyn	MN	Ophthalmology Physician	$59.4K	$0
Khurshid Iqbal	MN	Internal Medicine Physician	$52.4K	$0
Randall Stuckey	MN	Family Medicine Physician	$27.3K	$0
Emily Tonn	MN	Psychiatric/Mental Health Nurse Practitioner	$23.7K	$0
Scott Wichterman	MN	Psychologist	$4.3K	$0

Hutchinson Health — Billing Profile & Reimbursement Data

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Hutchinson Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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