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.

Regions Hospital (NPI 1154359917)

Field	Value
Entity Type	Organization
Organization	Regions Hospital
Address	640 Jackson St
City	Saint Paul
State	MN
ZIP	55101
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 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.	79,840	$90	$6.9M
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.	75,780	$60	$4.7M
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.	68,300	$30	$2.3M
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…	5,550	$110	$615.8K
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.	13,690	$20	$301.2K
T1013	Sign language or oral interpretive services, per 15 minutes	2,230	$50	$115.9K
99220	N/A	530	$110	$59.6K
01961	The provider performs anesthesia services for a cesarean delivery.	260	$160	$40.9K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	240	$90	$20.9K
T1016	Case management, each 15 minutes	410	$40	$16.6K

Showing 1–10 of 27

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

Regions Hospital — 4 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	177	240	1,870	$50	$1.9M
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.	4	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.	5	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.	7	220	1,730	$120	$1.3M
T1013	Sign language or oral interpretive services, per 15 minutes	55	210	560	$60	$822.1K
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…	11	50	310	$130	$678K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	69	100	250	$100	$399.5K
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.	5	150	500	$110	$293.1K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	20	30	100	$120	$227.6K
99220	N/A	16	30	530	$100	$192.5K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Regions Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M
Maple Grove Hospital Corporation	MN	General Acute Care Hospital	$0	$7.6M
University Of Minnesota Physicians	MN	Primary Care Clinic/Center	$0	$6M
Regions Hospital	MN	General Acute Care Hospital	$0	$5.6M

Nearby Providers

Other providers in the same ZIP code as Regions Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramsey County Community Human Services	MN	Public Health or Welfare Agency	$0	$97.5M
South Metro Human Services- Tcm	MN	Case Management Agency	$0	$21.3M
South Metro Human Services-act Purple	MN	Case Management Agency	$0	$10.9M
South Metro Human Services-act Blue	MN	Case Management Agency	$0	$9.9M
Specialized Treatment Services, Inc.	MN	Methadone Clinic	$444.6K	$6.4M
Gillette Children's Specialty Healthcare	MN	Multi-Specialty Clinic/Center	$0	$5.4M
Prasongchai Sattayaprasert	MN	Cardiovascular Disease Physician	$238.9K	$1.1K
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0
Ryan Koene	MN	Clinical Cardiac Electrophysiology Physician	$120K	$0
Charles Shideman	MN	Radiation Oncology Physician	$118.9K	$0

Regions Hospital — Billing Profile & Reimbursement Data

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Regions 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

Related Providers

Nearby Providers

Frequently Asked Questions

References