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.

Healtheast St Josephs Hospital (NPI 1134186273)

Healtheast St Josephs Hospital is a general acute care hospital provider located in Saint Paul, Minnesota. This profile covers 0 Medicare and 79 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Healtheast St Josephs Hospital
Address	45 10th Street West
City	Saint Paul
State	MN
ZIP	55102
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 1, 2006

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

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

79 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.	5,960	$240	$1.4M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	20,320	$40	$812.6K
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.	3,650	$120	$444.9K
H2035	Alcohol and/or other drug treatment program, per hour	4,610	$80	$382.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4,400	$70	$308.1K
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.	1,810	$100	$183K
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…	1,770	$100	$180.5K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	10,150	$10	$121.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	3,130	$20	$75.2K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	3,400	$20	$57.8K

Showing 1–10 of 79

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

Healtheast St Josephs Hospital — 1 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

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	46	80	6,550	$80	$4.4M
H2035	Alcohol and/or other drug treatment program, per hour	157	280	5,980	$120	$3M
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.	39	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.	75	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.	107	220	1,730	$120	$1.3M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	11	30	340	$60	$890.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	25	100	510	$40	$560.8K
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…	798	1,140	1,010	$100	$543K
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…	204	620	560	$80	$361.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	118	150	500	$110	$293.1K

Showing 1–10 of 79

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Hauth	MN	Internal Medicine Physician	$162K	$0
Lawrence Lee	MN	Internal Medicine Physician	$122K	$0
Luciano Amado	ID	Clinical Cardiac Electrophysiology Physician	$121.6K	$0
Stuart Adler	MN	Clinical Cardiac Electrophysiology Physician	$104K	$0
Hyun Joo Kim	MN	Pulmonary Disease Physician	$99.9K	$0
Azmath Mohammed	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$93K	$0
Benjamin Williams	MN	Cardiovascular Disease Physician	$74.2K	$0
Charles Kim	MN	Cardiovascular Disease Physician	$73.2K	$0
Mirna Boumitri	MN	Nephrology Physician	$68.6K	$0
Tamas Alexy	MN	Cardiovascular Disease Physician	$63.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
Independent School District 625	MN	Local Education Agency (LEA)	$0	$43.1M
City Of St Paul	MN	Land Ambulance	$2M	$40.9M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
United Family Practice Health Center	MN	Family Medicine Physician	$0	$17.7M
Ramsey County	MN	Public Health or Welfare Agency	$0	$9.8M
Serenity Home Health Care System Inc	MN	Home Health Agency	$0	$4.6M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$4.5M
Mark Palmer	MN	Radiation Oncology Physician	$563.7K	$0
Ryan Youland	MN	Radiation Oncology Physician	$543.4K	$0

Healtheast St Josephs Hospital — Billing Profile & Reimbursement Data

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Healtheast St Josephs Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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