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.

Recovery Is Happening (NPI 1114468857)

Field	Value
Entity Type	Organization
Organization	Recovery Is Happening
Address	25 16th St Ne
City	Rochester
State	MN
ZIP	55906
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 14, 2017

Payer Source	Total Paid
Medicaid	$4.9M
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
H0038	Self‑help/peer services, per 15 minutes	29,030	$90	$2.6M
H2035	Alcohol and/or other drug treatment program, per hour	21,120	$110	$2.2M
H0001	Alcohol and/or drug assessment	220	$150	$32.7K

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

Recovery Is Happening — 1 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
H2035	Alcohol and/or other drug treatment program, per hour	70	280	5,980	$120	$3M
H0038	Self‑help/peer services, per 15 minutes	6	130	1,640	$80	$599.5K
H0001	Alcohol and/or drug assessment	95	190	220	$140	$158.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakridge Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$21.4M
Handivanofrochesterllc	MN	Non-emergency Medical Transport (VAN)	$0	$7.5M
Metro Treatment Of Minnesota LP	MN	Methadone Clinic	$141.2K	$5.3M
Exercisabilities, Inc.	MN	Physical Therapist	$0	$5.2M
David Jones	MN	Podiatrist	$134.9K	$0
Rio Haack	MN	Physical Therapist	$103K	$0
Jengyu Lai	MN	Podiatrist	$15.3K	$0

Recovery Is Happening — Billing Profile & Reimbursement Data

Sign up for Recovery Is Happening — Billing Profile & Reimbursement Data policy alerts

Recovery Is Happening — Billing Profile & Reimbursement Data

Sign up for Recovery Is Happening — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References