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.

Integra Health Care, Inc. (NPI 1114089893)

Field	Value
Entity Type	Organization
Organization	Integra Health Care, Inc.
Address	17645 Juniper Path Ste 115
City	Lakeville
State	MN
ZIP	55044
Taxonomy	Home Health Agency
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, 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…	261,670	$80	$19.6M
S5130	Homemaker service, nos; per 15 minutes	42,390	$40	$1.7M
H2015	Comprehensive community support services, per 15 minutes	6,160	$140	$856.1K

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

Integra Health Care, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, 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…	31	230	37,580	$70	$8.6M
S5130	Homemaker service, nos; per 15 minutes	36	240	7,130	$40	$1M
H2015	Comprehensive community support services, per 15 minutes	40	140	2,300	$110	$700.1K

Nearby Providers

Other providers in the same ZIP code as Integra Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Development Resources, PA	MN	Community/Behavioral Health Agency	$0	$8.3M
Independent School District # 194	MN	Local Education Agency (LEA)	$0	$7.2M
Robert Zabel	MN	Dermatology Physician	$186.4K	$0
Manika Bhateja	MN	Pediatrics Physician	$46.6K	$74.8K
Claire Johnson	MN	Physician Assistant	$48.2K	$0

Integra Health Care, Inc. — Billing Profile & Reimbursement Data

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Integra Health Care, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References