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.

Stonecrest Living Inc (NPI 1134773047)

Field	Value
Entity Type	Organization
Organization	Stonecrest Living Inc
Address	4108 Merriam Rd
City	Minnetonka
State	MN
ZIP	55305
Taxonomy	Home Health Agency
NPI Enumerated	July 29, 2019

Payer Source	Total Paid
Medicaid	$40.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer at present: there is no Medicare billing on file and all documented lifetime billing is Medicaid totaling $40.4M. Analysts should treat Medicaid reimbursement dynamics as determinative for this provider’s financial performance and contracting leverage.

Medicaid revenue is extremely concentrated in a single service line: the top code T2031 accounts for 100.0% of the provider’s Medicaid revenue, with 96.9K claims and a $417 avg paid/claim. This concentration means that trends in per‑diem reimbursement or utilization for T2031 will drive the overwhelming majority of this entity’s revenue.

The dominant code T2031 is described as "Assisted living; waiver, per diem," and the provider’s taxonomy is Home Health Agency, indicating an operational focus on Medicaid waiver‑based assisted living per‑diem services rather than traditional episodic home health care. This mix suggests the organization operates at scale in residential or assisted‑living waiver programs where recurring daily payments are the revenue model.

Competitive standing for the core service is strong within the state: the provider ranks #18 of 336 providers in-state (95th percentile) and is described as notably above typical state volume for this code. That placement signals a major presence in Minnesota’s Medicaid assisted‑living waiver market and makes the provider a material counterparty for managed Medicaid plans contracting for these services.

The provider’s NPI was enumerated 2019-07-29 (~7 years ago), and within that timeframe it has accumulated $40.4M in Medicaid revenue focused on T2031. This tenure paired with high cumulative Medicaid receipts suggests the organization established a substantial operational footprint in waiver per‑diem billing relatively quickly after enumeration.

High claim volume combined with per‑claim payment level — 96.9K claims at a $417 avg paid/claim — is consistent with high-frequency per‑diem billing typical of assisted living waiver programs. For payer operational teams, this implies predictable, recurring claims flow that will be sensitive to eligibility, occupancy, and rate changes rather than episodic clinical events.

The extreme revenue concentration in a single code presents a concentration risk: because 100.0% of Medicaid revenue is attributed to T2031, policy, eligibility, or rate changes affecting assisted‑living waiver per‑diems could materially impact this provider’s revenue. Analysts should monitor state waiver rulemaking, rate schedules, and utilization controls that target T2031 when assessing financial or contracting exposure.

From a network and competitive perspective, the provider’s high rank and concentrated Medicaid footprint make it a potential priority target for Medicaid managed care outreach and rate negotiation, but also a single‑service dependency that could be displaced or disrupted if waiver capacity or contracting shifts regionally. Payers should weigh the provider’s high utilization profile against the operational risk of single‑code dependence when designing network strategies.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	96,880	$420	$40.4M

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

Stonecrest Living Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	18	340	10,410	$170	$3.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. David's Center	MN	Community/Behavioral Health Agency	$0	$12.9M
Hopkins School District	MN	Local Education Agency (LEA)	$0	$6.6M
St. David's Center	MN	Rehabilitation Clinic/Center	$0	$6.3M
West Side Sober Living	MN	Substance Abuse Rehabilitation Facility	$0	$5.2M
Irene Grudsky	MN	Contractor	$0	$5.2M
500 Carlson Parkway Opco LLC	MN	Skilled Nursing Facility	$0	$4.8M
Diamond Dental PLLC	MN	Dentist	$0	$4.8M
St. David's Center	MN	Case Management Agency	$0	$4.8M
Minnesota Eye Laser & Surgery Centers, LLC	MN	Ambulatory Surgical Clinic/Center	$1.6M	$0
Thomas Samuelson	MN	Ophthalmology Physician	$249.4K	$0

Stonecrest Living Inc — Billing Profile & Reimbursement Data

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Stonecrest Living Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References