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.

Mayo Clinic Health System-southwest Minnesota Region (NPI 1154302487)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-southwest Minnesota Region
Address	1025 Marsh St
City	Mankato
State	MN
ZIP	56001
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

175 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.	29,910	$360	$10.8M
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.	19,990	$240	$4.7M
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…	43,610	$70	$3.1M
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.	16,930	$180	$3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30,560	$90	$2.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,090	$140	$841K
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,…	30,100	$20	$662.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	660	$670	$445.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	240	$810	$197.2K
0241U	N/A	1,450	$130	$183.8K

Showing 1–10 of 175

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

Mayo Clinic Health System-southwest Minnesota Region — 3 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

175 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	22	80	6,550	$80	$4.4M
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.	11	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.	28	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.	30	220	1,730	$120	$1.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4	10	280	$2,150	$1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	44	120	400	$60	$685.8K
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…	26	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…	936	1,180	1,150	$80	$605.7K
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.	98	100	510	$40	$560.8K
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…	1,085	1,200	1,030	$70	$549.7K

Showing 1–10 of 175

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayo Clinic Health System-southwest Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-southwest Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$24.3M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$13.7M
Shari Germscheid	MN	Family Nurse Practitioner	$1.4M	$0
Sultan Mirza	FL	Dermatology Physician	$1.2M	$0
Peter Noseworthy	MN	Cardiovascular Disease Physician	$1.1M	$0
Ron Smith	MN	Radiation Oncology Physician	$806K	$0
Julian Molina	MN	Medical Oncology Physician	$773.4K	$0
Abigail Stockham	MN	Radiation Oncology Physician	$757.3K	$0
Peter Reichert	MN	Diagnostic Radiology Physician	$656.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Health System-southwest Minnesota Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habilitative Services, LLC	MN	Community/Behavioral Health Agency	$0	$134M
Mankato Clinic Ltd	MN	Family Medicine Physician	$0	$39.2M
Open Door Health Center	MN	Federally Qualified Health Center (FQHC)	$0	$13.5M
County Of Blue Earth	MN	Case Management Agency	$0	$10.8M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$8.8M
Ms-ac Mankato Ag Senior Living LLC	MN	Assisted Living Facility	$0	$8.3M
Horizon Homes, Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
Adult, Child & Family Services, LLC	MN	Psychologist	$0	$5.2M
Pediatric And Adolescent Dentistry	MN	Pediatric Dentistry	$0	$5.1M
School Sisters Of Notre Dame At Central Pacific Province, Inc	MN	Assisted Living Facility	$0	$4.5M

Mayo Clinic Health System-southwest Minnesota Region — Billing Profile & Reimbursement Data

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Mayo Clinic Health System-southwest Minnesota Region — 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