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.

Effective Living Center, Inc (NPI 1124133475)

Field	Value
Entity Type	Organization
Organization	Effective Living Center, Inc
Address	821 W Saint Germain St
City	Saint Cloud
State	MN
ZIP	56301
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	45,310	$100	$4.4M
H0001	Alcohol and/or drug assessment	2,570	$120	$310.4K
T1016	Case management, each 15 minutes	9,230	$10	$120K
H0038	Self‑help/peer services, per 15 minutes	1,820	$40	$76.3K
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…	950	$60	$56.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	330	$120	$38.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	820	$40	$32.8K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	290	$10	$3.2K
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…	20	$70	$1.2K

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

Effective Living Center, Inc — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	30	280	5,980	$120	$3M
T1016	Case management, each 15 minutes	75	240	1,870	$50	$1.9M
H0038	Self‑help/peer services, per 15 minutes	62	130	1,640	$80	$599.5K
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…	269	620	560	$80	$361.9K
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…	305	340	300	$100	$209.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	65	120	980	$60	$174.5K
H0001	Alcohol and/or drug assessment	22	190	220	$140	$158.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	153	500	90	$120	$124.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	212	350	530	$10	$37.3K

Nearby Providers

Other providers in the same ZIP code as Effective Living Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Charities Of The Diocese Of St Cloud	MN	Community/Behavioral Health Agency	$0	$23.2M
Arise Ventures, Inc.	MN	Home Health Agency	$0	$12.8M
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$11.2M
Catholic Charities Of The Diocese Of St. Cloud	MN	Adolescent and Children Mental Health Clinic/Center	$0	$5.8M
Spot Rehabilitation Inc.	MN	Physical Therapist	$0	$5M
Mitchell Gossman	MN	Ophthalmology Physician	$242.4K	$0
Bartley Mueller	MN	Family Medicine Physician	$83.8K	$0
Julie Anderson	MN	Family Medicine Physician	$78.5K	$0
Kenneth Shea	MN	Neurology Physician	$24.4K	$0
Kourtney Bradford Seubert	MN	Family Medicine Physician	$15.7K	$0

Effective Living Center, Inc — Billing Profile & Reimbursement Data

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Effective Living Center, 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