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.

Regents Of The University Of Minnesota (NPI 1114019858)

Field	Value
Entity Type	Organization
Organization	Regents Of The University Of Minnesota
Address	2001 Bloomington Ave
City	Minneapolis
State	MN
ZIP	55404
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$55.2M
Medicare	$0

Key Findings

REGENTS OF THE UNIVERSITY OF MINNESOTA is effectively a Medicaid-focused provider with no Medicare billing on file; its reported lifetime Medicaid revenue is $55.2M and Medicare revenue is listed as none, indicating a single-payer concentration in Medicaid rather than a mixed Medicare/Medicaid practice profile. This makes Medicaid the dominant revenue source and suggests the organization operates primarily within programs and patient populations served by state Medicaid.

Revenue concentration is high: the top three Medicaid codes by revenue account for 56.9% of the provider's total Medicaid revenue. The largest contributors among those top codes are 99213 ($12.8M, 23.6% of Medicaid revenue), 99214 ($10.3M, 19.0%), and T1017 ($7.7M, 14.2%), indicating a small set of services drives well over half of the Medicaid inflows.

The code mix points to an operational focus on high-volume primary care and case management: 99213 and 99214 (routine established-patient office visits) together represent a major share of revenue, consistent with a high-throughput ambulatory care model, while T1017 (targeted case management) is a substantial revenue driver that signals strong involvement in care coordination or social-service-linked case management activities. Combined, these codes suggest the provider functions as a community-facing, longitudinal care hub that pairs primary care visits with targeted case management services.

Competitive standing in-state is strong for several high-volume codes. The provider ranks in very high percentiles for core services: 99213 is at the 97th percentile (rank #41 of 1201), 99214 is at the 98th percentile (rank #30 of 1177), and T1017 is notably concentrated at the 96th percentile but with a near-top rank (#2 of 25) among providers reporting that code, which underscores a market-leading position in targeted case management and high-volume E/M visits relative to Minnesota peers.

Service-line breadth includes notable behavioral health and dental activity beyond primary care and case management. H2017 (psychosocial rehabilitation) and multiple psychotherapy codes (90832, 90834, 90837) together account for meaningful Medicaid revenue, and dental codes (D0120, D0140, D0150 and restorative/extraction codes) also appear in the top claims list, indicating integrated behavioral health and dental services are significant parts of the care mix rather than isolated ancillary offerings.

Several codes are flagged as statistical outliers or unusually concentrated in-state: T1017 is described as 'notably above typical state volume' and indeed ranks #2 among peers for that code, and preventive/established visit codes 99213 and 99214 are also well above typical state volumes (97th and 98th percentiles). These labels and ranks imply the provider is an outlier in delivering high-volume primary care and case management compared with most Minnesota Medicaid providers.

Tenure: the provider's NPI was enumerated around 2006-09-29 (approximately 20 years ago), indicating long-standing participation in the Medicaid program and a well-established presence in the local market. That longevity aligns with the high-volume billing profile and broad service mix observed across primary care, behavioral health, and dental codes.

Medicaid: Complete Services Breakdown

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

126 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	51,120	$250	$12.8M
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…	44,600	$230	$10.3M
T1017	Targeted case management, each 15 minutes	71,580	$110	$7.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	18,980	$250	$4.7M
D0120	Periodic oral evaluation - established patient	15,430	$290	$4.5M
X5622	N/A	11,500	$240	$2.7M
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…	9,340	$280	$2.6M
D0140	Limited oral evaluation – problem focused	6,440	$230	$1.5M
D0150	Comprehensive oral evaluation – new or established patient	4,330	$260	$1.1M
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…	3,850	$290	$1.1M

Showing 1–10 of 126

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

Regents Of The University Of Minnesota — 5 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

126 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	92	190	2,820	$480	$4.2M
T1017	Targeted case management, each 15 minutes	2	30	7,860	$210	$3.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	54	230	6,320	$120	$2M
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…	30	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…	41	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…	301	1,140	1,010	$100	$543K
D2930	N/A	45	70	610	$170	$518.6K
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…	137	620	560	$80	$361.9K
H0032	Mental health service plan development by non-physician	84	230	490	$80	$255.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	50	240	730	$100	$243.2K

Showing 1–10 of 126

Related Providers

Other providers that share a Tax Identification Number (TIN) with Regents Of The University Of Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairview Express Care	MN	Specialist	$0	$33.1M
Regents Of The University Of Minnesota	MN	Dental Clinic/Center	$0	$15.4M
University Of Minnesota Physicians	MN	Multi-Specialty Clinic/Center	$0	$4.7M
Charles Kim	MN	Cardiovascular Disease Physician	$73.2K	$0
Jeffrey Bennett	MN	Optometrist	$43.7K	$0
Joseph Schoess	MN	Physical Therapist	$38.9K	$0
Rachel Kloehn	MN	Family Nurse Practitioner	$22.3K	$0

Nearby Providers

Other providers in the same ZIP code as Regents Of The University Of Minnesota, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nu-way House Inc	MN	Substance Abuse Rehabilitation Facility	$0	$200.8M
Childrens Health Care	MN	Children's Hospital	$0	$100M
Midwest Home Health Care, Inc.	MN	Home Health Agency	$0	$73.5M
Midwest Quality Home Care, Inc.	MN	Home Health Agency	$0	$66.7M
Minnesota Professional Health Services,inc	MN	Home Health Agency	$0	$51.9M
Park Ave Center Inc	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$50.8M
Minnesota Quality Care, Inc.	MN	Home Health Agency	$0	$48.4M
Direct Home Health Care, Inc.	MN	Home Health Agency	$0	$30.7M
Aaa A-z Friendly Languages Inc	MN	Interpreter	$0	$29.4M
Comfort Services LLC	MN	Home Health Agency	$0	$29.1M

Regents Of The University Of Minnesota — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References