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.

Suburban Emergency Associates, P.A. (NPI 1134173628)

Field	Value
Entity Type	Organization
Organization	Suburban Emergency Associates, P.A.
Address	1455 Saint Francis Ave
City	Shakopee
State	MN
ZIP	55379
Taxonomy	Nurse Practitioner
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	25,360	$90	$2.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	27,140	$70	$1.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,450	$40	$275.6K
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…	4,220	$60	$244.7K
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…	3,930	$50	$180.6K
99203	The provider sees a new 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 provider…	2,740	$60	$175.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	15,720	$1	$62.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	260	$130	$32.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1,630	$1	$6.5K

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

Suburban Emergency Associates, P.A. — 1 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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13	160	580	$170	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	210	980	$140	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	69	220	1,730	$120	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	28	50	310	$130	$678K
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…	375	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…	375	1,200	1,030	$70	$549.7K
99203	The provider sees a new 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 provider…	56	450	140	$60	$101.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	16	140	650	$1	$47.8K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	830	$1	$3.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Suburban Emergency Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Abram	MN	Emergency Medicine Physician	$79.4K	$1.3K
Kenneth Dodd	MN	Critical Care Medicine (Internal Medicine) Physician	$47.4K	$19K
Jonathan Pohland	MN	Emergency Medicine Physician	$27.8K	$0
Eric Chen	MN	Emergency Medicine Physician	$24.6K	$0
Francis Madore	MN	Emergency Medicine Physician	$24.3K	$0
Richard Lee	MN	Emergency Medicine Physician	$23.5K	$0
Carmen Avendano	MN	Pediatric Emergency Medicine (Emergency Medicine) Physician	$21.2K	$0
Steven Souchtchenko	MN	Emergency Medicine Physician	$21K	$0

Nearby Providers

Other providers in the same ZIP code as Suburban Emergency Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Twin Cities Health	MN	Mental Health Counselor	$0	$16.7M
Universal Health Services LLC	MN	Home Health Registered Nurse	$0	$15.2M
St Francis Regional Medical Center	MN	General Acute Care Hospital	$0	$13M
Northstar Regional	MN	Clinical Medical Laboratory	$22.6K	$2.7M
Mohamed Khattab	MN	Radiation Oncology Physician	$358.1K	$0
Edwin Bogonko	MN	Internal Medicine Physician	$110.3K	$0
Brayton Kiedrowski	MN	Sports Medicine (Family Medicine) Physician	$60.4K	$0
Wendy Bergeron	MN	Family Medicine Physician	$52.3K	$0
Eric Harl	MN	Medical Physician Assistant	$47.4K	$0
Joelle Weir	MN	Nurse Practitioner	$45.6K	$0

Suburban Emergency Associates, P.A. — Billing Profile & Reimbursement Data

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Suburban Emergency Associates, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References