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.

Benton County (NPI 1174697148)

Field	Value
Entity Type	Organization
Organization	Benton County
Address	531 Dewey St
City	Foley
State	MN
ZIP	56329
Taxonomy	Case Management Agency
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicaid	$13.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	15,580	$530	$8.2M
T1016	Case management, each 15 minutes	100,490	$60	$5.5M
T2003	Non-emergency transportation; encounter/trip	3,840	$30	$122.8K
X5621	N/A	450	$110	$50.8K
T2025	Waiver services; not otherwise specified (nos)	530	$60	$31.4K
T1013	Sign language or oral interpretive services, per 15 minutes	330	$20	$6.2K

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

Benton County — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	38	190	2,820	$480	$4.2M
T1016	Case management, each 15 minutes	20	240	1,870	$50	$1.9M
T1013	Sign language or oral interpretive services, per 15 minutes	123	210	560	$60	$822.1K
T2003	Non-emergency transportation; encounter/trip	140	240	7,020	$30	$803.5K
T2025	Waiver services; not otherwise specified (nos)	9	20	890	$80	$489.6K
X5621	N/A	9	20	450	$120	$108.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse Child & Family Services	MN	Community/Behavioral Health Agency	$0	$8.1M
Kristofer Wallman	MN	Medical Physician Assistant	$82.9K	$0
Kari Lippo	MN	Geriatric Physical Therapist	$43.3K	$0

Benton County — Billing Profile & Reimbursement Data

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Benton County — 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