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.

Martha Ripon (NPI 1154384675)

Field	Value
Entity Type	Individual
Organization	Martha Ripon
Address	920 E 28th St
City	Minneapolis
State	MN
ZIP	55407
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 7, 2006

Payer Source	Total Paid
Medicare	$59.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	240	$140	$33.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	130	$80	$10.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	70	$120	$8.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	50	$100	$5.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$100	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Martha Ripon — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	167	340	70	$100	$12.2K
99309	189	540	80	$70	$10.5K
99306	6	180	40	$130	$8.4K
99305	33	110	30	$100	$4.6K
99316	137	170	30	$90	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Allina Health System	MN	Internal Medicine Physician	$0	$32.9M
Allina Health System	MN	General Acute Care Hospital	$0	$27M
Allina Health System	MN	Physical Medicine & Rehabilitation Physician	$0	$18.2M
Ebenezer Home Care	MN	Home Health Agency	$0	$9.9M
Amaana Adult Day Care Center Inc	MN	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Hennepin County	MN	Psychiatry Physician	$0	$9.3M
Southside Community Health Services, Inc.	MN	Federally Qualified Health Center (FQHC)	$0	$8.9M
Hospital Pathology Associates PA	MN	Anatomic Pathology & Clinical Pathology Physician	$0	$8.5M
Twincare Dental LLC	MN	General Practice Dentistry	$0	$6.2M

Martha Ripon — Billing Profile & Reimbursement Data

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Martha Ripon — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References