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.

Fraser (NPI 1063568574)

Field	Value
Entity Type	Organization
Organization	Fraser
Address	2400 W 64th St
City	Richfield
State	MN
ZIP	55423
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$91.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and all reported federal fee-for-service revenue comes from Medicaid, totaling $91.7M in lifetime Medicaid revenue. The absence of Medicare activity suggests limited exposure to Medicare reimbursement mix and monitoring, and that operational and reimbursement risk is concentrated in Medicaid policy and utilization trends.

Revenue is highly concentrated in three codes: the top 3 Medicaid codes account for 86.4% of this provider's total Medicaid revenue, driven primarily by T1016 ($58M revenue, 63.3% of this provider's total Medicaid revenue), 97530 ($12.1M, 13.2%), and 92507 ($9M, 9.8%). This concentration means a majority of the business is tied to high-volume case management and therapy services, making payor-rate or utilization changes for those codes material to the provider's top-line.

The code mix indicates a combined case-management and therapy-centric operation: T1016 is by far the largest revenue driver and is listed as case management, while 97530 represents direct therapeutic activity to improve functional performance and 92507 covers speech–language treatment. Together these suggest FRASER operates a rehabilitation clinic/center model that couples intensive case management with hands-on rehabilitation therapies and speech services for Medicaid beneficiaries.

FRASER is a statewide outlier for several Medicaid services, demonstrating dominant competitive standing in those lines: T1016 ranks #2 of 236 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), 97530 ranks #1 of 262 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and 92507 ranks #1 of 111 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rankings indicate FRASER is a major provider in Minnesota for case management, therapeutic activity, and speech services relative to peers.

While a few other service lines contribute meaningfully, they are smaller and more typical in-state: S5140 (foster care, adult) produced $6.8M (7.4% of Medicaid revenue) and ranks #40 of 59 providers in-state (33th percentile; typical, unremarkable volume for this code), and T1020 (personal care services, per diem) produced $2.2M (2.4%) and ranks #5 of 15 providers in-state (71th percentile; typical, unremarkable volume for this code). This mix suggests FRASER supplements its dominant case management/therapy footprint with residential and personal-care services but is not unusually large in those segments.

Several smaller evaluation and habilitation codes show FRASER as a high relative-volume provider despite modest absolute revenue: 97166 ranks #1 of 18 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 92523 ranks #1 of 25 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), though each represents a small share of total Medicaid revenue. These patterns suggest niche dominance in particular assessment and speech-evaluation services that complement the provider’s high-volume therapy and case-management lines.

The provider has long-tenure in the NPI registry, enumerated on 2007-01-26 (~19 years ago), which supports the interpretation that the current service mix and market position have been developed over an extended operating history. Longevity combined with code-level dominance implies established referral and operational processes for the Medicaid populations FRASER serves.

Concentration risk and strategic considerations: because 86.4% of Medicaid revenue is tied to three codes and there is no Medicare revenue to diversify payor mix, changes to Medicaid utilization, coding policy, or reimbursement for T1016, 97530, or 92507 would have outsized impact on total revenue. Analysts should monitor state Medicaid policy, utilization trends for high-volume case management and therapy codes, and any audits or programmatic changes targeting case management and therapy services for the populations served.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	920,960	$60	$58M
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.	213,090	$60	$12.1M
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…	183,970	$50	$9M
S5140	Foster care, adult; per diem	21,530	$310	$6.8M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17,840	$130	$2.2M
T2023	Targeted case management; per month	6,120	$270	$1.6M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	5,130	$120	$636.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	13,950	$30	$446.5K
T1013	Sign language or oral interpretive services, per 15 minutes	10,970	$30	$274.3K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	4,480	$60	$250.9K

Showing 1–10 of 20

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

Fraser — 5 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	40	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	34	30	84,870	$240	$23.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	5	20	11,690	$380	$6.8M
T2023	Targeted case management; per month	64	190	2,820	$480	$4.2M
T2034	Crisis intervention, waiver; per diem	13	10	12,570	$80	$2.8M
T1016	Case management, each 15 minutes	2	240	1,870	$50	$1.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	19	20	3,250	$70	$1.1M
T1013	Sign language or oral interpretive services, per 15 minutes	22	210	560	$60	$822.1K
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…	1	110	1,880	$50	$564.6K
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.	1	260	890	$60	$405.3K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youable Emotional Health Services	MN	Community/Behavioral Health Agency	$0	$34.3M
Progress Valley, Inc.	MN	Substance Abuse Rehabilitation Facility	$0	$6.7M
In House Senior Services, LLC	MN	Primary Podiatric Medicine Podiatrist	$0	$5.8M
Richfield Orthodontic Associates	MN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Golden Nest, LLC	MN	Assisted Living Facility	$0	$4.5M
Eric Nelson	MN	Foot & Ankle Surgery Podiatrist	$240.6K	$0
Eric Affeldt	MN	Podiatrist	$180.8K	$0
Scott Knutson	MN	Podiatrist	$143.3K	$0
Michael Debrule	MN	Primary Podiatric Medicine Podiatrist	$134.2K	$0
Todd Peabody	MN	Podiatrist	$132.1K	$0

Fraser — Billing Profile & Reimbursement Data

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Fraser — 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