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.

River Ridge, LLC (NPI 1164891776)

Field	Value
Entity Type	Organization
Organization	River Ridge, LLC
Address	14750 Lac Lavon Dr
City	Burnsville
State	MN
ZIP	55306
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	September 24, 2015

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	35,270	$80	$2.7M
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…	14,750	$60	$840.6K
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…	4,170	$120	$495.9K
H0001	Alcohol and/or drug assessment	2,770	$120	$320.9K
T1016	Case management, each 15 minutes	11,040	$10	$154.6K
H0038	Self‑help/peer services, per 15 minutes	2,250	$50	$112.3K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	4,450	$10	$44.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	3,680	$10	$40.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,300	$20	$20.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	150	$70	$10.8K

Showing 1–10 of 13

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

River Ridge, LLC — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	40	280	5,980	$120	$3M
T1016	Case management, each 15 minutes	69	240	1,870	$50	$1.9M
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…	367	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	55	130	1,640	$80	$599.5K
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…	48	620	560	$80	$361.9K
90832	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…	322	340	300	$100	$209.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	55	120	980	$60	$174.5K
H0001	Alcohol and/or drug assessment	21	190	220	$140	$158.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	204	500	90	$120	$124.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	69	110	70	$140	$64.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as River Ridge, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Partners In Excellence Inc	MN	Cognitive & Behavioral Psychologist	$0	$61.3M
Handyhelpllc	MN	Community/Behavioral Health Agency	$0	$6.8M
Kelly Williams	MN	Dermatology Physician	$146.9K	$0
Michaela Bailly	MN	Occupational Therapist	$67K	$0
Nicole Gunasekera	MN	Dermatology Physician	$49.4K	$0
Joyanna Adams	MN	Physician Assistant	$39.9K	$0

River Ridge, LLC — Billing Profile & Reimbursement Data

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River Ridge, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References